NRCME Training DOT Exam Actual 2026
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Terms in this set (146)
What is the mission of FMCSA? FMCSA is focused on reducing crashes, injuries,
and fatalities involving large trucks and buses.
Who and what does the FMCSA Interstate commercial operation, including the
regulate? driver, vehicle, motor carrier, and the transport of
hazardous materials.
Examples of CMV driver stress Interruption of normal sleep, exercising, eating
factors pattern, and access to social support networks
resulting in fatigue, obesity, and or/alienation of
affection. Environment that may have excessive
vibration, noise, and extremes in temperature and
or/adverse road or traffic conditions that can
interfere with driver ability to recognize a driving
hazard, cause temporary or permanent physical
damage to sensory perception or affect driver
behavior. Increased potential for injury and
fatalities should there be a crash when driver is
responsible for passenger safety or hazardous
cargo.
,What are the differences between Regulations are law and are mandatory. The ME
the medical standards and medical must use standards to determine interstate CMV
guidelines? driver medical fitness for duty. Medical guidelines
are not regulatory and the ME may choose not to
follow the medical guidance.
In which regulations are the driver Driver physical qualification standards are found
physical qualification standards and in 49 CFR 391.41. ME responsibilities are found in
Medical Examiners cited? 49 CFR 391.43
What objective tests and Height & weight
measurements are required as part Vision
of the driver physical examination? Hearing
BP & pulse
Urinalysis (spec gravity, protein, blood, glucose)
What are the possible outcomes of Certification
the driver physical examination? Disqualification
Determination pending
What date is used to determine The date of the exam is used as the basis for
medical examiners certificate certificate expiration, except when determination
expiration? pending is chosen.
When determination pending is chosen, if the
driver returns with the necessary information
prior to the expiration of the driver's current
certificate and the driver is qualified based on
that information provided, the date used for the
basis of the certification timeframe is the date the
driver returned with the necessary information.
,What is the ME certificate A: 4/16/2013
expiration date for the following B: 4/16/2012
drivers? C: 4/25/2012
A - Exam 4/16/2011, meets D: 5/20/2013
standards in 49 CFR 391.41, qualifies
for 2 year certificate.
B - Exam 4/16/2011, meets
standards, but periodic monitoring
required due to HTN, qualifies for 1
year certificate.
C - Exam 4/16/2011, determination
pending due to not having results
of post-CABG stress test, pt returns
and provides that info on 4/25/2011,
driver is qualified for 1 year.
D - Exam 4/16/2011, disqualified due
to benign position vertigo on
3/15/2011, returned to ME for
certification examination on 5/20/11.
He has been asymptomatic since
3/11/2011. Qualified for two years.
, Patient example: Two year certification - no disqualifying health
Karen, recertification exam history or PE abnormalities.
42 y/o female Ask about medication use, including OTC
No health history, no medications. medications.
Vision acuity: right 20/20, left 20/30. ME obtained hemoglobin testing based on PE
Both 20/20. Horizontal field of findings. (not required)
vision Rt 80 degrees, Lt 80 degrees. The ME should correctly note the body system in
Not corrected vision. which there was an abnormal finding. The note
No monocular vision. reflects inquiry as to the affect on driving ability
No hearing aids, Whisper test 5' and is also supported by Hgb test results. ME
bilaterally. N/A audiometric testing also documented medical follow up advice.
UA: spec grav 1.020, protein 1+,
blood 4+, glucose neg.
Hgb 12.4
BP 134/88, P 80, regular.
PE: on 4th day of menses with
heavy bleeding. Advised to consult
PCP or GYN for eval of excessive
bleeding that could lead to anemia,
leading to fatigue that would affect
her driving.
Who can perform the vision portion The certified ME, optometrist, or an
of the interstate CMV driver opthalmologist. If the specialist provider
physical examination? performs the exam, they should complete and
sign the provider's information on the report form
and provide the results.
To pass the interstate CMV driver 20/40 on Snellen chart in each eye individually
vision exam, a visual acuity of AND in both eyes combined.
___/___corrected or uncorrected is
required.
Questions and Correct Answers (Latest 2026 /
2027 Update) Graded A+ 100% Guarantee
Verified by Experts
Save
Terms in this set (146)
What is the mission of FMCSA? FMCSA is focused on reducing crashes, injuries,
and fatalities involving large trucks and buses.
Who and what does the FMCSA Interstate commercial operation, including the
regulate? driver, vehicle, motor carrier, and the transport of
hazardous materials.
Examples of CMV driver stress Interruption of normal sleep, exercising, eating
factors pattern, and access to social support networks
resulting in fatigue, obesity, and or/alienation of
affection. Environment that may have excessive
vibration, noise, and extremes in temperature and
or/adverse road or traffic conditions that can
interfere with driver ability to recognize a driving
hazard, cause temporary or permanent physical
damage to sensory perception or affect driver
behavior. Increased potential for injury and
fatalities should there be a crash when driver is
responsible for passenger safety or hazardous
cargo.
,What are the differences between Regulations are law and are mandatory. The ME
the medical standards and medical must use standards to determine interstate CMV
guidelines? driver medical fitness for duty. Medical guidelines
are not regulatory and the ME may choose not to
follow the medical guidance.
In which regulations are the driver Driver physical qualification standards are found
physical qualification standards and in 49 CFR 391.41. ME responsibilities are found in
Medical Examiners cited? 49 CFR 391.43
What objective tests and Height & weight
measurements are required as part Vision
of the driver physical examination? Hearing
BP & pulse
Urinalysis (spec gravity, protein, blood, glucose)
What are the possible outcomes of Certification
the driver physical examination? Disqualification
Determination pending
What date is used to determine The date of the exam is used as the basis for
medical examiners certificate certificate expiration, except when determination
expiration? pending is chosen.
When determination pending is chosen, if the
driver returns with the necessary information
prior to the expiration of the driver's current
certificate and the driver is qualified based on
that information provided, the date used for the
basis of the certification timeframe is the date the
driver returned with the necessary information.
,What is the ME certificate A: 4/16/2013
expiration date for the following B: 4/16/2012
drivers? C: 4/25/2012
A - Exam 4/16/2011, meets D: 5/20/2013
standards in 49 CFR 391.41, qualifies
for 2 year certificate.
B - Exam 4/16/2011, meets
standards, but periodic monitoring
required due to HTN, qualifies for 1
year certificate.
C - Exam 4/16/2011, determination
pending due to not having results
of post-CABG stress test, pt returns
and provides that info on 4/25/2011,
driver is qualified for 1 year.
D - Exam 4/16/2011, disqualified due
to benign position vertigo on
3/15/2011, returned to ME for
certification examination on 5/20/11.
He has been asymptomatic since
3/11/2011. Qualified for two years.
, Patient example: Two year certification - no disqualifying health
Karen, recertification exam history or PE abnormalities.
42 y/o female Ask about medication use, including OTC
No health history, no medications. medications.
Vision acuity: right 20/20, left 20/30. ME obtained hemoglobin testing based on PE
Both 20/20. Horizontal field of findings. (not required)
vision Rt 80 degrees, Lt 80 degrees. The ME should correctly note the body system in
Not corrected vision. which there was an abnormal finding. The note
No monocular vision. reflects inquiry as to the affect on driving ability
No hearing aids, Whisper test 5' and is also supported by Hgb test results. ME
bilaterally. N/A audiometric testing also documented medical follow up advice.
UA: spec grav 1.020, protein 1+,
blood 4+, glucose neg.
Hgb 12.4
BP 134/88, P 80, regular.
PE: on 4th day of menses with
heavy bleeding. Advised to consult
PCP or GYN for eval of excessive
bleeding that could lead to anemia,
leading to fatigue that would affect
her driving.
Who can perform the vision portion The certified ME, optometrist, or an
of the interstate CMV driver opthalmologist. If the specialist provider
physical examination? performs the exam, they should complete and
sign the provider's information on the report form
and provide the results.
To pass the interstate CMV driver 20/40 on Snellen chart in each eye individually
vision exam, a visual acuity of AND in both eyes combined.
___/___corrected or uncorrected is
required.
