DOT Medical Examiner (NRCME)
Exam 2026 National Registry of
Certified Medical Examiners Accurate
passe A+
Exam
FMCSA Mission Statement - correct answer ---To reduce
crashes, injuries, fatalities involving large trucks/buses
Medical Examiner - correct 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 - correct answer ---Federal Motor Carrier Safety
Administration
NRCME - correct answer ---National Registry of Certified
Medical Examiners
Commerical Motor Vehicle - correct 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 - correct answer ---Interstate:
multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of
substance abuse for drivers? - correct answer ---SAP
(Substance Abuse Professional)
Who determines the origin of abnormal drug test results,
determining whether the driver has violated drug use
regulations? - correct answer ---Medical Review Officer
Title 49 CFR 391.41 - correct 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 - correct answer ---Describes
responsibilities of Medical Examiner, instructions for exam,
and requirements for medical certification
- Supporting information to explain 391.41
When was DOT established? - correct answer ---1966
Became separate entity on Jan 1, 2000
, Motor Carrier Safety Improvement Act of 1999 - correct
answer ---Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991 -
correct answer ---Required drug testing for drivers
The driver must always keep a copy of
____________________ with them while driving - correct
answer ---Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you
release their Medical Certification? - correct 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? - correct answer ---13
How many standards of "driver fitness for duty" are
*discretionary*? - correct 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*? - correct answer ---4
- Vision
- Hearing
Exam 2026 National Registry of
Certified Medical Examiners Accurate
passe A+
Exam
FMCSA Mission Statement - correct answer ---To reduce
crashes, injuries, fatalities involving large trucks/buses
Medical Examiner - correct 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 - correct answer ---Federal Motor Carrier Safety
Administration
NRCME - correct answer ---National Registry of Certified
Medical Examiners
Commerical Motor Vehicle - correct 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 - correct answer ---Interstate:
multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of
substance abuse for drivers? - correct answer ---SAP
(Substance Abuse Professional)
Who determines the origin of abnormal drug test results,
determining whether the driver has violated drug use
regulations? - correct answer ---Medical Review Officer
Title 49 CFR 391.41 - correct 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 - correct answer ---Describes
responsibilities of Medical Examiner, instructions for exam,
and requirements for medical certification
- Supporting information to explain 391.41
When was DOT established? - correct answer ---1966
Became separate entity on Jan 1, 2000
, Motor Carrier Safety Improvement Act of 1999 - correct
answer ---Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991 -
correct answer ---Required drug testing for drivers
The driver must always keep a copy of
____________________ with them while driving - correct
answer ---Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you
release their Medical Certification? - correct 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? - correct answer ---13
How many standards of "driver fitness for duty" are
*discretionary*? - correct 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*? - correct answer ---4
- Vision
- Hearing
