NRCME DOT NEWEST EXAM 2025 ACTUAL

• | P a g e

pg. 1

NRCME (DOT) NEWEST EXAM 2025 ACTUAL

EXAM TEST BANK| COMPLETE 350 QUESTIONS

AND CORRECT DETAILED ANSWERS

(VERIFIED ANSWERS) ALREADY GRADED A+|

NRCME (DOT) CERTIFICATION EXAM || BRAND

NEW!!

What is the driver required to sign for on MCSA-5875?

• Health history.
• Release of information.
• Acknowledgement of testing results.
• Acceptance of the Medical Examiner's certification determination -

Correct Answer - Health history.

What is appropriate preparation for the physical examination?

• Dress and stockings.
• Examination gown and underwear.
• Shorts and tennis shoes.
• Loose fitting clothing. - Correct Answer - Examination gown and

underwear

The driver has a history of coronary artery bypass grafting (CABG) 3 years ago. He is now describing shortness of breath. The Medical

Examiner's next step is: 1 / 4

• | P a g e

pg. 2

• Refer the driver for cardiac stress testing.
• Refer the driver for cardiology evaluation.
• Disqualify the driver.
• Assess cardiac risk factors and further characterize the driver's

symptoms - Correct Answer - Assess cardiac risk factors and further characterize the driver's symptoms

Which of the following should raise the greatest concern for the Medical Examiner's assessment?

• History of lumbar fusion 2 years ago.
• Grade 1 ankle sprain 1 month ago.
• Prepatellar bursitis 3 months ago.
• Rotator cuff injury 6 months ago. - Correct Answer - Grade 1 ankle

sprain 1 month ago.

The driver smokes and describes long hours of prolonged driving.Which of the following is the most important condition or symptom that the Medical Examiner should discuss with the driver?

• Fatigue.
• COPD.
• Deep vein thrombosis and possible pulmonary embolus.
• Acute cardiac conditions - Correct Answer - Deep vein thrombosis

and possible pulmonary embolus

• / 4

• | P a g e

pg. 3 The driver describes pain to the right of the thoracolumbar junction.What condition would be of most concern for the Medical Examiner for risk of sudden incapacitation?

• Kidney stones.
• Subluxations.
• Low back pain.
• Pancreatitis - Correct Answer - Kidney stones.

The driver gives a recent history of a diagnosis of carpal tunnel syndrome (CTS). What should the Medical Examiner do next?

• Refer the driver for orthopedic evaluation.
• Test grip strength and prehension.
• Disqualify the driver.
• Advise the driver to apply for a SPE Certificate. - Correct Answer -

Test grip strength and prehension.

The driver gives a history of a seizure 14 years ago due to an adverse medication reaction. What is the next step for the Medical Examiner?

• Disqualify the driver.
• Indicate that the driver is only medically qualified with a

seizure/epilepsy exemption/waiver.

• Check pharmacy records for anti-seizure medications.
• Confirm the driver's medical history with the driver's primary care

provider. - Correct Answer - Confirm the driver's medical history with the driver's primary care provider 3 / 4

• | P a g e

pg. 4 The driver has a BMI of 37 and 2+ edema in the lower extremities. The

Medical Examiner's next step is to:

• Advise the driver to elevate legs above heart.
• Assess cardiac risk factors.
• Refer the driver for a cardiology evaluation.
• Recommend a diuretic medication - Correct Answer - Assess cardiac

risk factors

The driver gives a history of a recent right shoulder injury. The following measurements are described in the shoulders. Abduction R 90 L 160 IR R 40 L 50 Flexion R 100 L 170 ER R 30 L 50. The Medical Examiner should note which of the following?

• Instability.
• Normal ROM.
• Abnormal ROM.
• Weakness - Correct Answer - Abnormal ROM.

Which conditions are disqualifying by regulation?

• Hearing loss and seizures/epilepsy.
• Seizures/epilepsy and insulin-dependent diabetes.
• Insulin-dependent diabetes and monocular vision.
• Hearing loss and insulin-dependent diabetes. - Correct Answer -

Hearing loss and seizures/epilepsy.

• / 4