1|P a g e
DOT NRCME PRACTICE EXAM/ MOST
RECENT AND COMPLETE VERSION
ALL QUESTIONS AND CORRECT
ANSWERS/ VERIFIED EDITION
ALREADY GRADED A+ BRAND NEW!!!
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
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
Who regulates treatment/management and aftercare of substance abuse for drivers? - ANSWER :SAP
(Substance Abuse Professional)
,2|P a g e
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
Intrastate commerce - ANSWER :Interstate: multiple states or international
Intrastate: within 1 state
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|P a g e
SPE if applicable
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+
Language requirement for drivers - ANSWER :Must be able to read/speak English well enough to read
signs, communicate
Height/weight requirement for drivers - ANSWER :There is none
What is tested for in urine? - ANSWER :USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical Certificate? - ANSWER
:3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? - ANSWER :Only every 6
months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
, 4 l| lP l a l g l e
- Maylcertify lQ1 lyear lpost lsurgical lcorrection lof lsecondarylHTN
Which lgeneration lof lantihistamines l should l be lused lfor ldrivers? l - lANSWERl:2nd lgen
- Nonsedating
A ldriver l must lwait l hours lafter ltaking la lsedating lmed lbefore ldriving l - ANSWER :12+ hours
l l l
Urine ldrug ltesting lincludes: l - lANSWER l:MJ
l Tobacco
Amphetamines
Cocaine
l
Opiates
l
Which ltype lof lstroke lonly l requires la l1 lyear lwaiting l period? l- lANSWERl:Cerebellar lor lbrainstem, lwhich
lhas llow lrisk lfor lseizures
- AndlNO lhx l of lseizure
- l + lNeuro lclearance land lnormal lneuro lexam
What lis lthe lA1C lrequirement lfor ldrivers l with lT2DM? l - lANSWERl:There lis lnot l one
Vision l requirements l- lANSWER l:20/40 lin leach leye land lboth leyes l(or lbetter) lField
l >70 ldegrees
Can lsee lamber, lred, lgreen lcolors
Exam: lFundoscopic, l PERRLA,locular lmovements
Hearing lrequirements l- lANSWER l:Whisper lat lnot l less lthan l5 lfeet lin l1 lear,lor laverage lhearing lloss l no
lgreater lthan l40 ldB lat l500Hz, l1000Hz, l 2000 lHz lin l1 lear.
- Can luse lhearing l aids l - lmarklon l paperwork
DOT NRCME PRACTICE EXAM/ MOST
RECENT AND COMPLETE VERSION
ALL QUESTIONS AND CORRECT
ANSWERS/ VERIFIED EDITION
ALREADY GRADED A+ BRAND NEW!!!
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
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
Who regulates treatment/management and aftercare of substance abuse for drivers? - ANSWER :SAP
(Substance Abuse Professional)
,2|P a g e
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
Intrastate commerce - ANSWER :Interstate: multiple states or international
Intrastate: within 1 state
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|P a g e
SPE if applicable
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+
Language requirement for drivers - ANSWER :Must be able to read/speak English well enough to read
signs, communicate
Height/weight requirement for drivers - ANSWER :There is none
What is tested for in urine? - ANSWER :USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical Certificate? - ANSWER
:3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? - ANSWER :Only every 6
months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
, 4 l| lP l a l g l e
- Maylcertify lQ1 lyear lpost lsurgical lcorrection lof lsecondarylHTN
Which lgeneration lof lantihistamines l should l be lused lfor ldrivers? l - lANSWERl:2nd lgen
- Nonsedating
A ldriver l must lwait l hours lafter ltaking la lsedating lmed lbefore ldriving l - ANSWER :12+ hours
l l l
Urine ldrug ltesting lincludes: l - lANSWER l:MJ
l Tobacco
Amphetamines
Cocaine
l
Opiates
l
Which ltype lof lstroke lonly l requires la l1 lyear lwaiting l period? l- lANSWERl:Cerebellar lor lbrainstem, lwhich
lhas llow lrisk lfor lseizures
- AndlNO lhx l of lseizure
- l + lNeuro lclearance land lnormal lneuro lexam
What lis lthe lA1C lrequirement lfor ldrivers l with lT2DM? l - lANSWERl:There lis lnot l one
Vision l requirements l- lANSWER l:20/40 lin leach leye land lboth leyes l(or lbetter) lField
l >70 ldegrees
Can lsee lamber, lred, lgreen lcolors
Exam: lFundoscopic, l PERRLA,locular lmovements
Hearing lrequirements l- lANSWER l:Whisper lat lnot l less lthan l5 lfeet lin l1 lear,lor laverage lhearing lloss l no
lgreater lthan l40 ldB lat l500Hz, l1000Hz, l 2000 lHz lin l1 lear.
- Can luse lhearing l aids l - lmarklon l paperwork
