NRCME (DOT) Exam Questions and Answers
1. FMCSA Mission Statement: To reduce crashes, injuries, fatalities involving large
trucks/buses
2. Medical Examiner: Licensed, certified, registered provider who can perform PEs in
accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC
test
3. FMCSA: Federal Motor Carrier Safety Administration
4. NRCME: National Registry of Certified Medical Examiners
5. Commerical Motor Vehicle: Weight >1000 lb ; or transports >8 people for
compensation ; or >15 people without compensation ; transports hazardous materials requiring
placarding
6. Interstate
commerce vs.
Intrastate commerce: Interstate: multiple states or international
Intrastate: within 1 state
7. Who regulates treatment/management and aftercare of substance
,abuse for drivers?: SAP (Substance Abuse Professional)
8. Who determines the origin of abnormal drug test results,
determining whether the driver has violated drug use regulations?:
Medical Review Officer
9. Title 49 CFR 391.41: Medical Examiner Report Form
-Paperwork completed during DOT physical
-Physical exam requirements for driver
-Determines if Certificate is granted
10. Title 49 CFR 391.43: Describes responsibilities of Medical Examiner, instructions for
exam, and require- ments for medical certification
-Supporting information to explain 391.41
11. When was DOT established?: 1966
Became separate entity on Jan 1, 2000
12. Motor Carrier Safety Improvement Act of 1999: Established DOT as
separate federal entity
13. Omnibus Transportation Employee Testing Act of 1991: Required
drug testing for drivers
, 14. The driver
must always keep a copy of with them
while driving: Medical Certificate
SPE if applicable
15. Does the driver need to sign a medical release before you
release their Medical Certification?: No. Certificate is provided to employer.
(Release is required for a copy of medical report form)
16. How many standards are used to determine driver fitness for
duty?: 13
17. How many standards of "driver fitness for duty" are
*discretionary*?: 9 (according to my review course)
-Other sources say 10 and say that T2DM is discretionary
18. How many standards of "driver fitness for duty" are *NON-
discretionary*?: 4
-Vision
-Hearing
1. FMCSA Mission Statement: To reduce crashes, injuries, fatalities involving large
trucks/buses
2. Medical Examiner: Licensed, certified, registered provider who can perform PEs in
accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC
test
3. FMCSA: Federal Motor Carrier Safety Administration
4. NRCME: National Registry of Certified Medical Examiners
5. Commerical Motor Vehicle: Weight >1000 lb ; or transports >8 people for
compensation ; or >15 people without compensation ; transports hazardous materials requiring
placarding
6. Interstate
commerce vs.
Intrastate commerce: Interstate: multiple states or international
Intrastate: within 1 state
7. Who regulates treatment/management and aftercare of substance
,abuse for drivers?: SAP (Substance Abuse Professional)
8. Who determines the origin of abnormal drug test results,
determining whether the driver has violated drug use regulations?:
Medical Review Officer
9. Title 49 CFR 391.41: Medical Examiner Report Form
-Paperwork completed during DOT physical
-Physical exam requirements for driver
-Determines if Certificate is granted
10. Title 49 CFR 391.43: Describes responsibilities of Medical Examiner, instructions for
exam, and require- ments for medical certification
-Supporting information to explain 391.41
11. When was DOT established?: 1966
Became separate entity on Jan 1, 2000
12. Motor Carrier Safety Improvement Act of 1999: Established DOT as
separate federal entity
13. Omnibus Transportation Employee Testing Act of 1991: Required
drug testing for drivers
, 14. The driver
must always keep a copy of with them
while driving: Medical Certificate
SPE if applicable
15. Does the driver need to sign a medical release before you
release their Medical Certification?: No. Certificate is provided to employer.
(Release is required for a copy of medical report form)
16. How many standards are used to determine driver fitness for
duty?: 13
17. How many standards of "driver fitness for duty" are
*discretionary*?: 9 (according to my review course)
-Other sources say 10 and say that T2DM is discretionary
18. How many standards of "driver fitness for duty" are *NON-
discretionary*?: 4
-Vision
-Hearing
