NRCME EXAM 2026 COMPREHENSIVE
MEDICAL REVIEW RESOURCE
⫸ 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
- Hearing
- Epilepsy
- T2DM
MEDICAL REVIEW RESOURCE
⫸ 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
- Hearing
- Epilepsy
- T2DM
