NRCME DOT Examiner
Test Practice Questions
- According to FMCSA regulations, which of the following must the medical examiner
evaluate when examining a driver’s eyes?
A. Pupil reactivity
B. Iris symmetry
C. Conjunctival injection
D. Corneal thickness
Incorrect Responses:
B. Iris symmetry
This is incorrect because determining iris symmetry is not required by FMCSA.
C. Conjunctiva injection
This is incorrect because most causes of conjunctival injection would not be
disqualifying. Causes that are suspicious for a disqualifying condition need additional
evaluation. While this abnormal finding should be explained, with determination of
possible effects on safe driving before making a certification decision, it is not a
condition that is specified in FMCSA regulations.
D. Corneal thickness
This is incorrect because it is not measured in an office examination except by an eye
specialist. - According to FMCSA regulations, medical qualification for two years can be given to
a driver who has.?
A. An SPE certificate for a left below the knee amputation (BKA).
B. Hypertension.
C. A recent diagnosis of Lewy body dementia.
D. Documented medical marijuana use for pain control.
Correct Response:
A. An SPE certificate for a left below the knee amputation.This is the correct response
because in order to obtain the SPE certificate, the driver had to demonstrate the ability
to perform all tasks for the commercial driver job description.
Incorrect Responses:
B. Hypertension.
This is not the correct response because drivers with hypertension are only given a
medical certificate that is good for one year.
C. A recent diagnosis of Lewy body dementia.
This is not the correct response because this is a progressive, degenerative condition
with no known treatment. The effects of Lewy body dementia impact the ability to
operate a CMV safely.
D. Documented medical marijuana use for pain control.
This is not the correct response because marijuana remains a drug listed in Schedule I
of the Controlled Substances Act. It remains unacceptable for any safety-sensitive
employee subject to drug testing under the drug testing regulations of DOT to use
marijuana. Also, FMCSA medical guidelines state that “driving impairment due to
marijuana use is well substantiated.”
- During his visit to the medical examiner, a driver complains of severe pain in his
finger for the last two weeks after it was punctured. The examination reveals an
infected, swollen finger. After the medical examiner inquiries, the driver states that the
pain is made worse when he grips the steering wheel. Which of the following should the
medical examiner do next?
A. Obtain a hand X-ray.
B. Assess capillary refill in the hand.
C. Obtain a culture and sensitivity.
D. Assess the driver’s grip strength.
Correct Response: