NRCME DOT LATEST EXAM
QUESTIONS AND DETAILED CORRECT
ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) | ALREADY
GRADED A+ 2025
A 26 year-old driver presents for a first-time certification.
He has a long-standing history of ADHD and is taking
methylphenidate. You have verified his diagnosis and
obtained clearance from his treating psychiatrist. As the
certified examiner, you:
a. Should disqualify the driver, explaining that use of such
stimulants is cause for disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
d. May certify for a maximum of 2 years. Correct Answer
c. May certify for a maximum of 12 months.
A driver has a blood pressure of 168/112 mm Hg
confirmed during the examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. Correct Answer Correct Answer is
"A". This is Stage 3 hypertension. The driver is
disqualified until his blood pressure is less than
140/90 mm Hg at which time he will have a maximum
certification of 6 months.
,For how long would a driver be certified if he is taking
Micardis HCT for hypertension, and has a confirmed blood
pressure of 148/96 mm Hg at the time of the examination?
a. 3 months
b. 6 months
c. 1 year
d. 2 years Correct Answer Correct Answer is "A".
Because the driver has a history of hypertension (he
is taking medication), and he had Stage 1
hypertension during his exam, he would be provided a
1- time, 3-month certificate in order to lower his blood
pressure to an acceptable level during that time.
During the examination, a driver is found to have a
positive "Babinski" reflex. The examiner should:
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Council the driver to obtain an SPE.
d. Disqualify the driver until s/he has a neurological
consultation. Correct Answer Correct Answer is "D". A
positive Babinski reflex is indicative of abnormalities
in the motor control pathways leading from the
cerebral cortex and is widely used as a diagnostic
aide in disorders of the central nervous system. The
examiner should obtain clearance from a neurologist
prior to reconsidering the driver for certification.
All of the following are required components of all DOT
medical examinations EXCEPT?
a. Vision
,b. Hearing
c. Blood Pressure
d. Ophthalmoscopic examination Correct Answer Correct
Answer is "D". There are four required components of
every examination: vision, hearing, blood pressure
and urinalysis. Ophthalmoscopic examination is not
required but may be done if deemed necessary.
A driver reports in his history that he was treated for
epilepsy 14 years ago but stopped taking anti-epileptic
medication on his own since his move to your area 11
years ago. He has not seen a neurologist nor a health
care provider in over 10 years and reports no seizures
during this period. The examiner should:
a. Request medical clearance, and if obtained the driver
may be certified for 1 year.
b. Request medical clearance, and if obtained the driver
may be certified for 2 years.
c. Refer the driver to the epilepsy/seizure exemption
program.
d. Disqualify the driver. Correct Answer D. Disqualify
Comment: Even though the driver reports exceeding
the 10-year waiting period, it was not under medical
supervision and the driver discontinued medication
use and treatment outside of medical oversight. Since
the driver cannot a documented medical history this
driver does not meet the non- discretionary epilepsy
standard until it is established that the driver is 10
years seizure-free while off anti-convulsants.
, A driver reports for a re-certification examination 8 weeks
after having triple coronary artery bypass surgery. He
presents a note from his treating provider stating that he is
able to return to driving without restriction. Additionally, the
note mentions that the driver's results of his ETT were
normal, and his echo showed a left ventricular ejection
fraction of 75%. The examiner should?
a. Temporarily disqualify the driver until he has completed
the required waiting period.
b. Permanently disqualify the driver because his ejection
fraction is too low.
c. Certify the driver for 1 year only.
d. Certify the driver for 2 years because he has medical
clearance. Correct Answer Correct Answer "A".
Following CABG, there is a 3-month waiting period.
Since the driver is only at 8 weeks post-op, he would
have to wait 4 more weeks until he can certify. Once
he completes his waiting period, he would be certified
for 1 year from the date of the original examination.
What is the maximum number of hours a CMV driver can
drive in 7 consecutive days?
a. 50.
b. 60.
c. 70.
d. 80. Correct Answer Correct Answer "B". 60-70 Hour
Limit: A driver may not drive after 60/70 hours of duty
in 7/8 consecutive days. Many versions of the NRCME
exam will have one question about the 60/70 rule.
A blood pressure of 166/92 mm Hg would be?
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