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NRCME (DOT) Exam 2026 NEWEST 2026 ACTUAL EXAM TEST- COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)
FMCSA Mission Statement - CORRECT ANSWER To reduce crashes, injuries,
fatalities involving large trucks/buses
QUESTION : Medical Examiner - CORRECT ANSWER Licensed, certified, registered
provider who can perform PEs in accordance with laws and regulations ; registered through
NRS ; has unique identifier ; passes MEC test
QUESTION : FMCSA - CORRECT ANSWER Federal Motor Carrier Safety
Administration
QUESTION : NRCME - CORRECT ANSWER National Registry of Certified Medical
Examiners
QUESTION : Commerical Motor Vehicle - CORRECT ANSWER Weight >1000 lb ; or
transports >8 people for compensation ; or >15 people without compensation ; transports
hazardous materials requiring placarding
QUESTION : Interstate commerce
vs.
Intrastate commerce - CORRECT ANSWER Interstate: multiple states or
international
2026 2027 GRADED A+
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Intrastate: within 1 state
QUESTION : Who regulates treatment/management and aftercare of substance abuse for
drivers? - CORRECT ANSWER SAP (Substance Abuse Professional)
QUESTION : Who determines the origin of abnormal drug test results, determining whether
the driver has violated drug use regulations? - CORRECT ANSWER Medical Review
Officer
QUESTION : Title 49 CFR 391.41 - CORRECT ANSWER Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
QUESTION : Title 49 CFR 391.43 - CORRECT ANSWER Describes responsibilities of
Medical Examiner, instructions for exam, and requirements for medical certification
- Supporting information to explain 391.41
QUESTION : When was DOT established? - CORRECT ANSWER 1966
Became separate entity on Jan 1, 2000
QUESTION : Motor Carrier Safety Improvement Act of 1999 - CORRECT ANSWER
Established DOT as separate federal entity
QUESTION : Omnibus Transportation Employee Testing Act of 1991 - CORRECT
ANSWER Required drug testing for drivers
2026 2027 GRADED A+
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QUESTION : The driver must always keep a copy of ____________________ with them while
driving - CORRECT ANSWER Medical Certificate
SPE if applicable
QUESTION : Does the driver need to sign a medical release before you release their Medical
Certification? - CORRECT ANSWER No. Certificate is provided to employer.
(Release is required for a copy of medical report form)
QUESTION : How many standards are used to determine driver fitness for duty? -
CORRECT ANSWER 13
QUESTION : How many standards of "driver fitness for duty" are *discretionary*? -
CORRECT ANSWER 9
(according to my review course)
- Other sources say 10 and say that T2DM is discretionary
QUESTION : How many standards of "driver fitness for duty" are *NON- discretionary*? -
CORRECT ANSWER 4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
2026 2027 GRADED A+
NRCME (DOT) Exam 2026 NEWEST 2026 ACTUAL EXAM TEST- COMPLETE
REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ (MOST RECENT!!)
FMCSA Mission Statement - CORRECT ANSWER To reduce crashes, injuries,
fatalities involving large trucks/buses
QUESTION : Medical Examiner - CORRECT ANSWER Licensed, certified, registered
provider who can perform PEs in accordance with laws and regulations ; registered through
NRS ; has unique identifier ; passes MEC test
QUESTION : FMCSA - CORRECT ANSWER Federal Motor Carrier Safety
Administration
QUESTION : NRCME - CORRECT ANSWER National Registry of Certified Medical
Examiners
QUESTION : Commerical Motor Vehicle - CORRECT ANSWER Weight >1000 lb ; or
transports >8 people for compensation ; or >15 people without compensation ; transports
hazardous materials requiring placarding
QUESTION : Interstate commerce
vs.
Intrastate commerce - CORRECT ANSWER Interstate: multiple states or
international
2026 2027 GRADED A+
,2|Page
Intrastate: within 1 state
QUESTION : Who regulates treatment/management and aftercare of substance abuse for
drivers? - CORRECT ANSWER SAP (Substance Abuse Professional)
QUESTION : Who determines the origin of abnormal drug test results, determining whether
the driver has violated drug use regulations? - CORRECT ANSWER Medical Review
Officer
QUESTION : Title 49 CFR 391.41 - CORRECT ANSWER Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
QUESTION : Title 49 CFR 391.43 - CORRECT ANSWER Describes responsibilities of
Medical Examiner, instructions for exam, and requirements for medical certification
- Supporting information to explain 391.41
QUESTION : When was DOT established? - CORRECT ANSWER 1966
Became separate entity on Jan 1, 2000
QUESTION : Motor Carrier Safety Improvement Act of 1999 - CORRECT ANSWER
Established DOT as separate federal entity
QUESTION : Omnibus Transportation Employee Testing Act of 1991 - CORRECT
ANSWER Required drug testing for drivers
2026 2027 GRADED A+
, 3|Page
QUESTION : The driver must always keep a copy of ____________________ with them while
driving - CORRECT ANSWER Medical Certificate
SPE if applicable
QUESTION : Does the driver need to sign a medical release before you release their Medical
Certification? - CORRECT ANSWER No. Certificate is provided to employer.
(Release is required for a copy of medical report form)
QUESTION : How many standards are used to determine driver fitness for duty? -
CORRECT ANSWER 13
QUESTION : How many standards of "driver fitness for duty" are *discretionary*? -
CORRECT ANSWER 9
(according to my review course)
- Other sources say 10 and say that T2DM is discretionary
QUESTION : How many standards of "driver fitness for duty" are *NON- discretionary*? -
CORRECT ANSWER 4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
2026 2027 GRADED A+
