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DOT EXAM - NRCME TRAINING INSTITUTE MATERIAL QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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DOT EXAM - NRCME TRAINING INSTITUTE MATERIAL QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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DOT EXAM - NRCME TRAININGINSTITUTE MATERIAL QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
WhatPisPthePmissionPofPFMCSA?P-
PANSWERPFMCSAPisPfocusedPonPreducingPcrashes,Pinjuries,PandPfatalitiesPinvolvingPlargePtrucksPandPbuses.
WhoPandPwhatPdoesPthePFMCSAPregulate?P-
PANSWERPInterstatePcommercialPoperation,PincludingPthePdriver,Pvehicle,PmotorPcarrier,PandPthePtransportP
ofPhazardousPmaterials.
ExamplesPofPCMVPdriverPstressPfactorsP-
PANSWERPInterruptionPofPnormalPsleep,Pexercising,PeatingPpattern,PandPaccessPtoPsocialPsupportPnetworksP
resultingPinPfatigue,Pobesity,PandPor/alienationPofPaffection.PEnvironmentPthatPmayPhavePexcessivePvibratio
n,Pnoise,PandPextremesPinPtemperaturePandPor/adverseProadPorPtrafficPconditionsPthatPcanPinterferePwithPd
riverPabilityPtoPrecognizePaPdrivingPhazard,PcausePtemporaryPorPpermanentPphysicalPdamagePtoPsensoryPpe
rceptionPorPaffectPdriverPbehavior.PIncreasedPpotentialPforPinjuryPandPfatalitiesPshouldPtherePbePaPcrashPwh
enPdriverPisPresponsiblePforPpassengerPsafetyPorPhazardousPcargo.
WhatParePthePdifferencesPbetweenPthePmedicalPstandardsPandPmedicalPguidelines?P-
PANSWERPRegulationsParePlawPandParePmandatory.PThePMEPmustPusePstandardsPtoPdeterminePinterstatePC
MVPdriverPmedicalPfitnessPforPduty.PMedicalPguidelinesParePnotPregulatoryPandPthePMEPmayPchoosePnotPtoP
followPthePmedicalPguidance.
InPwhichPregulationsParePthePdriverPphysicalPqualificationPstandardsPandPMedicalPExaminersPcited?P-
PANSWERPDriverPphysicalPqualificationPstandardsParePfoundPinP49PCFRP391.41.PMEPresponsibilitiesParePfoun
dPinP49PCFRP391.43
WhatPobjectivePtestsPandPmeasurementsParePrequiredPasPpartPofPthePdriverPphysicalPexamination?P-
PANSWERPHeightP&Pweight
Vision
Hearing
BPP&Ppulse
UrinalysisP(specPgravity,Pprotein,Pblood,Pglucose)
,WhatParePthePpossiblePoutcomesPofPthePdriverPphysicalPexamination?P-PANSWERPCertification
Disqualification
DeterminationPpending
WhatPdatePisPusedPtoPdeterminePmedicalPexaminersPcertificatePexpiration?P-
PANSWERPThePdatePofPthePexamPisPusedPasPthePbasisPforPcertificatePexpiration,PexceptPwhenPdetermination
PpendingPisPchosen.
WhenPdeterminationPpendingPisPchosen,PifPthePdriverPreturnsPwithPthePnecessaryPinformationPpriorPtoPtheP
expirationPofPthePdriver'sPcurrentPcertificatePandPthePdriverPisPqualifiedPbasedPonPthatPinformationPprovide
d,PthePdatePusedPforPthePbasisPofPthePcertificationPtimeframePisPthePdatePthePdriverPreturnedPwithPthePnece
ssaryPinformation.
WhatPisPthePMEPcertificatePexpirationPdatePforPthePfollowingPdrivers?
AP-PExamP4/16/2011,PmeetsPstandardsPinP49PCFRP391.41,PqualifiesPforP2PyearPcertificate.
BP-
PExamP4/16/2011,PmeetsPstandards,PbutPperiodicPmonitoringPrequiredPduePtoPHTN,PqualifiesPforP1PyearPcer
tificate.
CP-PExamP4/16/2011,PdeterminationPpendingPduePtoPnotPhavingPresultsPofPpost-
CABGPstressPtest,PptPreturnsPandPprovidesPthatPinfoPonP4/25/2011,PdriverPisPqualifiedPforP1Pyear.P
D P-
PExamP4/16/2011,PdisqualifiedPduePtoPbenignPpositionPvertigoPonP3/15/2011,PreturnedPtoPMEPforPcertificat
ionPexaminationPonP5/20/11.PHePhasPbeenPasymptomaticPsinceP3/11/2011.PQualifiedPforPtwoPyears.P-
PANSWERPA:P4/16/2013
B:P4/16/2012
C:P4/25/2012
D:P5/20/2013
PatientPexample:
Karen,PrecertificationPexam
42Py/oPfemale
NoPhealthPhistory,PnoPmedications.P
,VisionPacuity:PrightP20/20,PleftP20/30.PBothP20/20.PHorizontalPfieldPofPvisionPRtP80Pdegrees,PLtP80Pdegrees.P
NotPcorrectedPvision.
NoPmonocularPvision.
NoPhearingPaids,PWhisperPtestP5'Pbilaterally.PN/APaudiometricPtesting
UA:PspecPgravP1.020,PproteinP1+,PbloodP4+,PglucosePneg.
HgbP12.4
BPP134/88,PPP80,Pregular.
PE:PonP4thPdayPofPmensesPwithPheavyPbleeding.PAdvisedPtoPconsultPPCPPorPGYNPforPevalPofPexcessivePbleed
ingPthatPcouldPleadPtoPanemia,PleadingPtoPfatiguePthatPwouldPaffectPherPdriving.P-
PANSWERPTwoPyearPcertificationP-PnoPdisqualifyingPhealthPhistoryPorPPEPabnormalities.P
AskPaboutPmedicationPuse,PincludingPOTCPmedications.
MEPobtainedPhemoglobinPtestingPbasedPonPPEPfindings.P(notPrequired)
ThePMEPshouldPcorrectlyPnotePthePbodyPsystemPinPwhichPtherePwasPanPabnormalPfinding.PThePnotePreflects
PinquiryPasPtoPthePaffectPonPdrivingPabilityPandPisPalsoPsupportedPbyPHgbPtestPresults.PMEPalsoPdocumentedP
medicalPfollowPupPadvice.
WhoPcanPperformPthePvisionPportionPofPthePinterstatePCMVPdriverPphysicalPexamination?P-
PANSWERPThePcertifiedPME,Poptometrist,PorPanPopthalmologist.PIfPthePspecialistPproviderPperformsPthePexa
m,PtheyPshouldPcompletePandPsignPthePprovider'sPinformationPonPthePreportPformPandPprovidePthePresults.
ToPpassPthePinterstatePCMVPdriverPvisionPexam,PaPvisualPacuityPofP___/___correctedPorPuncorrectedPisPrequ
ired.P-PANSWERP20/40PonPSnellenPchartPinPeachPeyePindividuallyPANDPinPbothPeyesPcombined.
WhatPeyePconditionsPmustPthePMEPaskPthePdriverPaboutPandPifPindicated,PrequestPspecialistPevaluation?P-
PANSWERPRetinopathy,Pcataracts,Paphakia,Pglaucoma,PandPmacularPdegeneration.
PtPexample:
Mr.PBrown,P48Py/oPmale.PNoPcurrentPmeds,PinjuryP5PyearsPago.PHuntingPaccidentP2PyearsPagoPwithPfacialPtra
umaPandPleftPorbitalPfracture.PPresentedPaP"mayPdrive"PnotePfromPeyePsurgeonP(datedP3PmonthsPpriorPtoPe
xamination).PUncorrectedPvision,PrightPeyeP20/20.PleftPeyeP20/40.PBothP20/20.PHorizontalPfieldPofPvisionPRi
ghtP80Pdegrees,PleftPeyePisPinconclusive.PNoPmonocularPvision.PNoPhearingPaids.PWhisperPtestP5'Pbilaterally.P
N/APaudiometricPtest.PUAPnormal.PBPP122/74,PpP80,Pregular.P-
PANSWERPExamPfindings:PLeftPeyePmusclesPdoPnotPmovePeyePtoPthePleft,PdiscussedPdisqualificationPpending
, eyePexamPbyPspecialist.PExplainedPthePspecialistPwillPgetPprecisePvisualPfieldPmeasurements.PProvidedPdriv
P
erPwithPappropriatePmedicalPreleasePandPcopyPofPmedicalPexamPreportPwithPvisionPsectionPhighlighted.P
DriverPdoesPnotPmeetPrequirements.PHePisPpendingPspecialistPvisionPexam.PDiminishedPvisionPinPleftPeyePno
ted.PPtPcouldPbePfunctionallyPmonocular.
WhatPisPthePpurposePofPthePinterstatePCMVPdriverPphysicalPexamination?P-
PANSWERPToPdetectPthePpresencePofPphysical,Pmental,PorPorganicPconditionsPofPsuchPcharacterPandPextentP
asPtoPaffectPthePdriverPabilityPtoPoperatePaPCMVPsafely.PThisPexamPisPforPpublicPsafetyPdeterminationPandPisP
consideredPbyPFMCSAPtoPbePaP"medicalPfitnessPforPduty"Pexamination.
ExamplesPofP"yes"PanswersPforPhearingPandPearsPonPthePhealthPhistoryPthatPmayPrequirePfurtherPexaminati
onPbeforePaPcertificationPdecisionPcanPbePmadeP-PANSWERPEarPdisorders
LossPofPhearing
LossPofPbalance
PtPexample:P
PtPhasPhearingPofP4'PinPleftPandPrightPears.PDoPtheyPmeetPthePhearingPstandards?P-
PANSWERPNo,PhearingPminimumPforPwhisperPtestPisPequalPorPgreaterPthanP5'PinPthePbetterPear.PThisPdriverPn
eedsPanPaudiometricPhearingPtest.
PtPexample:
DoesPthisPdriverPmeetPhearingPstandardsPforPinterstatePCMVPdriverPcertification?
AudiometricPtestPresultsP-P[HearingPlossPinPdeciblesP500PHz,P1,000PHz,P2,000PHz]P
RightPear:P30,P45,P40
LeftPear:P45,P45,P35P-PANSWERPYes,PthePaveragePhearingPlossPinPthePrightPearPisPlessPthanP40PdB.P
RtPearPaveragePisP38.33P=Ppass
LtPearPaveragePisP41.67P=Pfail
*onlyPonePearPhasPtoPmeetPrequirementPofPlessPthanP40PdBPofPhearingPloss
PtPexample:
Mr.PChin,P54Py/oPmale
AdmitsPlossPofPhearing.PNoPmedications.
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