ESTUDY
NRCME DOT EXAM QUESTIONS STUDY MATERIALS QUESTION
AND ANSWERS (VERIFIED ANSWERS)
1. **What is the minimum PaO2 level required for a driver with a chronic respiratory disorder to be
certified?**
- a) 70 mm Hg
- b) 55 mm Hg
- c) 60 mm Hg
- d) 65 mm Hg
- **Answer:** d) 65 mm Hg
2. **If a driver hears a whispered voice at 5 feet in the right ear and 4 feet in the left ear, what should
the examiner do?**
- a) Disqualify the driver for failing the whispered voice test
- b) Certify the driver for 2 years
- c) Certify the driver for 1 year
- d) Require an audiometric test to check hearing loss in the left ear
- **Answer:** b) Certify the driver for 2 years
3. **A driver who had a mild heart attack 6 weeks ago has an ETT showing 12 METS and an ejection
fraction of 65%. What should the examiner do?**
- a) Disqualify the driver
- b) Qualify the driver for 1 year
- c) Qualify the driver for 2 years
- d) Consult with the cardiologist about potential angina
- **Answer:** a) Disqualify the driver
,ESTUDY
4. **A driver has not completed the required 2-month waiting period but meets all other medical
requirements. What should the examiner do?**
- a) Certify the driver for 1 year upon completion of the waiting period
- b) Disqualify the driver until the waiting period is complete
- c) Certify the driver for 6 months
- d) Certify the driver for 2 years
- **Answer:** a) Certify the driver for 1 year upon completion of the waiting period
5. **What should the examiner do with the following audiometric results?**
- 500 Hz: Right ear 35, Left ear 40
- 1000 Hz: Right ear 40, Left ear 45
- 2000 Hz: Right ear 40, Left ear 45
- 4000 Hz: Right ear 50, Left ear 50
- a) Disqualify the driver
- b) Certify the driver for 2 years
- c) Certify the driver for 1 year
- d) Require a hearing exemption
- **Answer:** b) Certify the driver for 2 years
6. **If a driver has peripheral vision of 70 degrees to the left and 80 degrees to the right, what should
the examiner do?**
- a) Qualify the driver for 2 years
- b) Require a vision exemption for the left peripheral field limitation
- c) Disqualify the driver
- d) Have the driver consult an ophthalmologist
- **Answer:** a) Qualify the driver for 2 years
,ESTUDY
7. **A driver is distant and unresponsive during the exam. What is the best course of action?**
- a) Provide a "CAGE" questionnaire for alcoholism
- b) Disqualify the driver and refer to a mental health professional
- c) Certify the driver for 3 months to observe changes
- d) Require a skill performance evaluation
- **Answer:** b) Disqualify the driver and refer to a mental health professional
8. **A driver uses marijuana for glaucoma and has provided medical documentation stating he can
drive. What should the examiner do?**
- a) Disqualify the driver
- b) Perform a urine drug test and provide a release
- c) Certify the driver for 1 year
- d) Certify the driver for 2 years
- **Answer:** a) Disqualify the driver
9. **What is the classification for a blood pressure reading of 136/92 mm Hg?**
- a) Normal
- b) Stage 1 Hypertension
- c) Stage 2 Hypertension
- d) Stage 3 Hypertension
- **Answer:** b) Stage 1 Hypertension
10. **A driver is taking Celexa for mild depression and has not considered suicide. What should the
examiner do?**
- a) Certify only after obtaining written clearance from the treating provider
, ESTUDY
- b) Certify the driver for 1 year
- c) Certify the driver for 2 years
- d) Disqualify the driver until off medication
- **Answer:** a) Certify only after obtaining written clearance from the treating provider
11. **For insulin-treated diabetes mellitus, how recent must Form MCSA-5870 be?**
- a) 25 days
- b) 30 days
- c) 45 days
- d) 60 days
- **Answer:** c) 45 days
12. **What is the minimum PaO2 level necessary to certify a commercial driver with a chronic
respiratory disorder?**
- a) 55 mm Hg
- b) 60 mm Hg
- c) 65 mm Hg
- d) 70 mm Hg
- **Answer:** c) 65 mm Hg
13. **A driver takes Topamax for migraines and manages his headaches well. What should the examiner
do?**
- a) Obtain medical clearance for the condition and medication
- b) Disqualify the driver due to anti-seizure medication
- c) Certify the driver for 1 year
- d) Certify the driver for 2 years
NRCME DOT EXAM QUESTIONS STUDY MATERIALS QUESTION
AND ANSWERS (VERIFIED ANSWERS)
1. **What is the minimum PaO2 level required for a driver with a chronic respiratory disorder to be
certified?**
- a) 70 mm Hg
- b) 55 mm Hg
- c) 60 mm Hg
- d) 65 mm Hg
- **Answer:** d) 65 mm Hg
2. **If a driver hears a whispered voice at 5 feet in the right ear and 4 feet in the left ear, what should
the examiner do?**
- a) Disqualify the driver for failing the whispered voice test
- b) Certify the driver for 2 years
- c) Certify the driver for 1 year
- d) Require an audiometric test to check hearing loss in the left ear
- **Answer:** b) Certify the driver for 2 years
3. **A driver who had a mild heart attack 6 weeks ago has an ETT showing 12 METS and an ejection
fraction of 65%. What should the examiner do?**
- a) Disqualify the driver
- b) Qualify the driver for 1 year
- c) Qualify the driver for 2 years
- d) Consult with the cardiologist about potential angina
- **Answer:** a) Disqualify the driver
,ESTUDY
4. **A driver has not completed the required 2-month waiting period but meets all other medical
requirements. What should the examiner do?**
- a) Certify the driver for 1 year upon completion of the waiting period
- b) Disqualify the driver until the waiting period is complete
- c) Certify the driver for 6 months
- d) Certify the driver for 2 years
- **Answer:** a) Certify the driver for 1 year upon completion of the waiting period
5. **What should the examiner do with the following audiometric results?**
- 500 Hz: Right ear 35, Left ear 40
- 1000 Hz: Right ear 40, Left ear 45
- 2000 Hz: Right ear 40, Left ear 45
- 4000 Hz: Right ear 50, Left ear 50
- a) Disqualify the driver
- b) Certify the driver for 2 years
- c) Certify the driver for 1 year
- d) Require a hearing exemption
- **Answer:** b) Certify the driver for 2 years
6. **If a driver has peripheral vision of 70 degrees to the left and 80 degrees to the right, what should
the examiner do?**
- a) Qualify the driver for 2 years
- b) Require a vision exemption for the left peripheral field limitation
- c) Disqualify the driver
- d) Have the driver consult an ophthalmologist
- **Answer:** a) Qualify the driver for 2 years
,ESTUDY
7. **A driver is distant and unresponsive during the exam. What is the best course of action?**
- a) Provide a "CAGE" questionnaire for alcoholism
- b) Disqualify the driver and refer to a mental health professional
- c) Certify the driver for 3 months to observe changes
- d) Require a skill performance evaluation
- **Answer:** b) Disqualify the driver and refer to a mental health professional
8. **A driver uses marijuana for glaucoma and has provided medical documentation stating he can
drive. What should the examiner do?**
- a) Disqualify the driver
- b) Perform a urine drug test and provide a release
- c) Certify the driver for 1 year
- d) Certify the driver for 2 years
- **Answer:** a) Disqualify the driver
9. **What is the classification for a blood pressure reading of 136/92 mm Hg?**
- a) Normal
- b) Stage 1 Hypertension
- c) Stage 2 Hypertension
- d) Stage 3 Hypertension
- **Answer:** b) Stage 1 Hypertension
10. **A driver is taking Celexa for mild depression and has not considered suicide. What should the
examiner do?**
- a) Certify only after obtaining written clearance from the treating provider
, ESTUDY
- b) Certify the driver for 1 year
- c) Certify the driver for 2 years
- d) Disqualify the driver until off medication
- **Answer:** a) Certify only after obtaining written clearance from the treating provider
11. **For insulin-treated diabetes mellitus, how recent must Form MCSA-5870 be?**
- a) 25 days
- b) 30 days
- c) 45 days
- d) 60 days
- **Answer:** c) 45 days
12. **What is the minimum PaO2 level necessary to certify a commercial driver with a chronic
respiratory disorder?**
- a) 55 mm Hg
- b) 60 mm Hg
- c) 65 mm Hg
- d) 70 mm Hg
- **Answer:** c) 65 mm Hg
13. **A driver takes Topamax for migraines and manages his headaches well. What should the examiner
do?**
- a) Obtain medical clearance for the condition and medication
- b) Disqualify the driver due to anti-seizure medication
- c) Certify the driver for 1 year
- d) Certify the driver for 2 years
