1|Page
NRCME DOT EXAM WITH QUESTIONS AND
100% CORRECT ANSWERS|| LATEST AND
COMPLETE VERSION 2025-2026 WITH EXPERT
VERIFIED SOLUTIONS|| ASSURED PASS
FMCSA Mission Statement - ANSWER: To reduce crashes, injuries, fatalities
involving large trucks/buses
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
,2|Page
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
, 3|Page
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
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Age requirement for drivers - ANSWER: 21+
NRCME DOT EXAM WITH QUESTIONS AND
100% CORRECT ANSWERS|| LATEST AND
COMPLETE VERSION 2025-2026 WITH EXPERT
VERIFIED SOLUTIONS|| ASSURED PASS
FMCSA Mission Statement - ANSWER: To reduce crashes, injuries, fatalities
involving large trucks/buses
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
,2|Page
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
, 3|Page
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
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Age requirement for drivers - ANSWER: 21+
