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NRCME exam UPDATED Study Guide QUESTIONS AND CORRECT ANSWERS

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NRCME exam UPDATED Study Guide QUESTIONS AND CORRECT ANSWERS vision requirements - CORRECT ANSWERS both eyes

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Uploaded on
January 10, 2026
Number of pages
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Written in
2025/2026
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NRCME exam UPDATED Study Guide
QUESTIONS AND CORRECT ANSWERS
What are regulations? - CORRECT ANSWERS Laws that must be
followed


What are disqualifying medical conditions? - CORRECT ANSWERS
Epilepsy
monocular vision
hearing loss


What are guidelines? - CORRECT ANSWERS Recommendation to
follow but can have raptor ale for variation


FMCSA medical program responsibilities include:
Oversee the Department of Transportation.
Regulation of intrastate commercial motor vehicle operations.
Conduct and oversee the agency's medical exemption and certificate programs.
Provide commercial motor vehicle driver examinations. - CORRECT
ANSWERS Conduct and oversee the agency's medical exemption and
certificate programs.


Which of the following is true?
The FMCSA does not consider feasibility or impact in the rule-making process.
Only the Medical Review Board can provide advice and opinions on FMCSA
rulemaking.
FMCSA medical standards and guidelines are subject to public notice and
comment rulemaking.
The Code of Federal Regulations provide guidance that the medical examiner
may or may not follow.examiner may or may not follow. - CORRECT

,ANSWERS FMCSA medical standards and guidelines are subject to
public notice and comment rulemaking.


FMCSA content sources rules and regulations include
49 CFR Part 16 DOT Procedures for Drug and Alcohol Testing.
49 CFR 391.41 Physical Qualifications for Drivers.
49 CFR 391.82 Medical examination; certificate of physical qualification.
49 CFR Part 73: Medical Review Board procedures. - CORRECT ANSWERS
49 CFR 391.41 Physical Qualifications for Drivers.


Which of the following is true regarding why regulation is needed to protect
public safety?


There is little environmental risk from crashes involving hazardous materials.
There is greater risk of injury and fatalities to individuals in smaller vehicles
from crashes involving commercial motor vehicles.
The economic cost of crashes involving commercial vehicles is relatively low.
Commercial vehicles do not carry members of the public. - CORRECT
ANSWERS There is greater risk of injury and fatalities to individuals in
smaller vehicles from crashes involving commercial motor vehicles.


Which of the following is true?
By May 21, 2015, medical providers that perform medical examinations for
commercial motor vehicle drivers must have completed an approved training
program and passed a national certification examination.
The Medical Examiner may request that an appropriate specialist provider make
the driver certification determination.
The purpose of the commercial motor vehicle driver examination is for
treatment of driver medical conditions.

, FMCSA guidance recommendations may or may not be followed by the
Medical Examiner. - CORRECT ANSWERS FMCSA guidance
recommendations may or may not be followed by the Medical Examiner.`


What is the role of the medical examiner? - CORRECT ANSWERS to
determine medical fitness for duty.


What are the differences between the medical standards and the medical
guidelines - CORRECT ANSWERS Medical Standards - regulations
that are non-discretionary - the medical examiner cannot use judgment to certify
a driver who does not meet a regulatory standard
Medical Guidelines are discretionary - Medical Examiners may decide to certify
drivers who do not meet medical guidelines. Most recommendations related to
certification of specific medical conditions are guidance


What are some medical standards for certifications that need to be done? -
CORRECT ANSWERS Vision requirements, including distant visual
acuity, horizontal vision, and color vision. Drivers who do not meet standards
cannot be certified unless accompanied by a vision exemption/waiver.
Diabetes requirements: drivers using insulin cannot be certified unless special
procedures for evaluation and certification of such drivers are followed.
Epilepsy: drivers with a diagnosis of epilepsy cannot be certified unless
accompanied by an epilepsy waiver/exemption.
Hearing: drivers who cannot meet whisper test or audiometric test requirements
cannot be certified unless accompanied by a hearing waiver/exemption.


What are Turn around or short relay drivers? - CORRECT ANSWERS
drivers return to their home base each evening


what are Long relay drivers? - CORRECT ANSWERS drivers drive 9 to
11 hours and then have at least a 10-hour off duty period)
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