NRCME DOT EXAM LATEST 2025
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) | ALREADY
GRADED A+ 2024-2025
A driver has a history of a moderate Traumatic Brain Injury
that occurred 3 years ago as a result of a car accident. He
reports he has fully recovered and provides a note from
his neurologist stating that he suffered no seizures and
that he is able to return to driving. He does not list any
medications in his history. The examiner should:
a. Disqualify the driver.
b. Require the driver to take a "Folstein's mini mental state
exam."
c. Certify the driver for one year.
d. Certify the driver for two years. Correct Answer Correct
Answer is "C". The driver suffered no seizures from the
TBI, has completed the required waiting period (2 years),
and has medical clearance. If the rest of the examination
is unremarkable, the driver could be certified for 1 year.
A driver reports a suicide attempt 10 months earlier,
following the break-up of his marriage. Henoted seeing a
psychiatrist and he takes Citalopram daily and he reports
he feels fine now and is moving on with his life. He
provides a release from his doctor that he may return to
work without restrictions. The medical examiner should:
a. Disqualify the driver.
,b. Require a CAGE questionnaire.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. Correct Answer Correct
Answer is "A".
The driver is disqualified because he has not completed
the mandatory waiting period for suicide attempt of 1 year.
Once he has completed this, he may be certified for 1 year
due to the continued treatment of depression (taking an
SSRI).
The driver lists Synthroid for the treatment of
hypothyroidism. He has been taking it for about 6 months
and feels fine now. His examination is essentially normal.
The examiner's best course of action is to?
a. Request medical clearance for the medication prior to
certification.
b. Certify the driver for 1 year.
c. Certify the driver for 2 years.
d. Counsel the driver that he needs to apply for an
endocrine exemption. Correct Answer Correct Answer is
"C". The driver's hypothyroidism is well managed and he is
asymptomatic. The driver may be certified for 2 years.
Which of the following is correct regarding the appropriate
person to complete and sign Form MCSA-5870 for a driver
who has insulin-treated diabetes mellitus?
a. Only an endocrinologist can complete the form.
b. The medical provider who manages the driver's
diabetes and prescribes insulin for the driver's diabetes
completes the form.
,c. The driver's primary care provider of record must
complete the form.
d. Any provider who has evaluated the driver within the
last 12 months may complete the form. Correct Answer B.
The treating clinician completes from MCSA-5870, defined
as the healthcare professional who manages, and
prescribes insulin for the treatment of the driver's diabetes.
A driver should not be certified when an ABG reveals a
PaO2 of less than 65 at altitudes below:
a. 2,000 feet
b. 3,000 feet
c. 5,000 feet
d. 7,000 feet Correct Answer Correct Answer "C" The
threshold changes to 60 mm Hg at altitudes above 5,000
feet.
If an individual does not meet the hearing requirements
with the use of a hearing aid and requires a Federal
hearing exemption, the examiner should mark on the
Medical Evaluation Report Form:
a. "Does not meet standards"
b. "Wearing hearing aid"
c. "Accompanied by a hearing exemption"
d. All of the above. Correct Answer Correct Answer is "C".
If an individual does not meet the requirements with the
use of a hearing aid and requires a Federal hearing
exemption, the box for "Wearing hearing aid" should NOT
be selected on either the Medical Examination Report
Form, MCSA-5875, or Medical Examiner's Certificate,
, Form MCSA-5876. Instead, only the box for accompanied
by a hearing exemption is selected on the Medical
Examination Report Form, MCSA-5875, and the Medical
Examiner's Certificate, Form MCSA-5876.
A driver presents for certification 6 weeks after suffering a
myocardial infarction. She presents a note from her
cardiologist, clearing her to drive a CMV without
restrictions. Her post MI echocardiogram shows an EF of
50%. Her EKG shows no ischemia. Her ETT exceeds
FMCSA standards. The medical examiner should:
a. Certify the driver for 3 months.
b. Certify the driver for 1 year.
c. Certify the driver for 2 years
d. Disqualify the driver. Correct Answer Correct Answer is
"D". The driver should be disqualified because she has not
met the minimum wait time of 2 months (8 weeks) after
suffering a myocardial infarction. The driver can return for
certification in two more weeks.
A driver presents for certification. He checks "yes" for
"Anxiety, depression, nervousness, and other mental
health problems" for the Driver Health History portion of
the Medical Examiner Report Form. He clarifies he has
depression which is controlled with medications and
electroconvulsive therapy (ECT). Following ECT, the
driver should be symptoms free for how long before being
certified?
a. 3 months
b. 6 months
c. 12 months
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