NRCME DOT Certification Test QUESTIONS &
ANSWERS 2026 | A+ GRADED 100%
VERIFIED
‣ Medical Examiner . Answer: Licensed, certified, registered provider who can
perform PEs in accordance with laws and regulations ; registered through NRS ;
has unique identifier ; passes MEC test
‣ FMCSA . Answer: Federal Motor Carrier Safety Administration
‣ NRCME . Answer: National Registry of Certified Medical Examiners
‣ Commerical Motor Vehicle . Answer: Weight >1000 lb ; or transports >8 people
for compensation ; or >15 people without compensation ; transports hazardous
materials requiring placarding
‣ Interstate commerce
vs.
Intrastate commerce . Answer: Interstate: multiple states or international
Intrastate: within 1 state
‣ Who regulates treatment/management and aftercare of substance abuse for
drivers? . Answer: SAP (Substance Abuse Professional)
‣ Who determines the origin of abnormal drug test results, determining whether the
driver has violated drug use regulations? . Answer: Medical Review Officer
‣ Title 49 CFR 391.41 . Answer: Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
, - Determines if Certificate is granted
‣ Title 49 CFR 391.43 . Answer: Describes responsibilities of Medical Examiner,
instructions for exam, and requirements for medical certification
- Supporting information to explain 391.41
‣ When was DOT established? . Answer: 1966
Became separate entity on Jan 1, 2000
‣ Motor Carrier Safety Improvement Act of 1999 . Answer: Established DOT as
separate federal entity
‣ Omnibus Transportation Employee Testing Act of 1991 . Answer: Required drug
testing for drivers
‣ The driver must always keep a copy of ____________________ with them while
driving . Answer: Medical Certificate
SPE if applicable
‣ Does the driver need to sign a medical release before you release their Medical
Certification? . Answer: No. Certificate is provided to employer.
(Release is required for a copy of medical report form)
‣ How many standards are used to determine driver fitness for duty? . Answer: 13
‣ How many standards of "driver fitness for duty" are *discretionary*? . Answer: 9
(according to my review course)
- Other sources say 10 and say that T2DM is discretionary
‣ How many standards of "driver fitness for duty" are *NON- discretionary*? .
Answer: 4
- Vision
ANSWERS 2026 | A+ GRADED 100%
VERIFIED
‣ Medical Examiner . Answer: Licensed, certified, registered provider who can
perform PEs in accordance with laws and regulations ; registered through NRS ;
has unique identifier ; passes MEC test
‣ FMCSA . Answer: Federal Motor Carrier Safety Administration
‣ NRCME . Answer: National Registry of Certified Medical Examiners
‣ Commerical Motor Vehicle . Answer: Weight >1000 lb ; or transports >8 people
for compensation ; or >15 people without compensation ; transports hazardous
materials requiring placarding
‣ Interstate commerce
vs.
Intrastate commerce . Answer: Interstate: multiple states or international
Intrastate: within 1 state
‣ Who regulates treatment/management and aftercare of substance abuse for
drivers? . Answer: SAP (Substance Abuse Professional)
‣ Who determines the origin of abnormal drug test results, determining whether the
driver has violated drug use regulations? . Answer: Medical Review Officer
‣ Title 49 CFR 391.41 . Answer: Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
, - Determines if Certificate is granted
‣ Title 49 CFR 391.43 . Answer: Describes responsibilities of Medical Examiner,
instructions for exam, and requirements for medical certification
- Supporting information to explain 391.41
‣ When was DOT established? . Answer: 1966
Became separate entity on Jan 1, 2000
‣ Motor Carrier Safety Improvement Act of 1999 . Answer: Established DOT as
separate federal entity
‣ Omnibus Transportation Employee Testing Act of 1991 . Answer: Required drug
testing for drivers
‣ The driver must always keep a copy of ____________________ with them while
driving . Answer: Medical Certificate
SPE if applicable
‣ Does the driver need to sign a medical release before you release their Medical
Certification? . Answer: No. Certificate is provided to employer.
(Release is required for a copy of medical report form)
‣ How many standards are used to determine driver fitness for duty? . Answer: 13
‣ How many standards of "driver fitness for duty" are *discretionary*? . Answer: 9
(according to my review course)
- Other sources say 10 and say that T2DM is discretionary
‣ How many standards of "driver fitness for duty" are *NON- discretionary*? .
Answer: 4
- Vision
