NRCME (DOT) Exam | Questions with 100% Verified
Answers | Latest Update 2026/2027
Question: FMCSA Mission Statement
Answer: To reduce crashes, injuries, fatalities involving large trucks/buses
Question: 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
Question: FMCSA
Answer: Federal Motor Carrier Safety Administration
Question: NRCME
Answer: National Registry of Certified Medical Examiners
Question: Commerical Motor Vehicle
Answer: Weight >1000 lb ; or transports >8 people for compensation ; or >15 people without
compensation ; transports hazardous materials requiring placarding
Question: Interstate commerce
vs.
Intrastate commerce
Answer: Interstate: multiple states or international
Intrastate: within 1 state
Question: Who regulates treatment/management and aftercare of
substance abuse for drivers?
Answer: SAP (Substance Abuse Professional)
Question: Who determines the origin of abnormal drug test results,
determining whether the driver has violated drug use
regulations?
Answer: Medical Review Officer
Question: 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
, Question: 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
Question: When was DOT established?
Answer: 1966
Became separate entity on Jan 1, 2000
Question: Motor Carrier Safety Improvement Act of 1999
Answer: Established DOT as separate federal entity
Question: Omnibus Transportation Employee Testing Act of 1991
Answer: Required drug testing for drivers
Question: The driver must always keep a copy of ____________________ with
them while driving
Answer: Medical Certificate
SPE if applicable
Question: 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)
Question: How many standards are used to determine driver fitness for
duty?
Answer: 13
Question: 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
Question: How many standards of "driver fitness for duty" are NON-
discretionary?
Answer: 4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Answers | Latest Update 2026/2027
Question: FMCSA Mission Statement
Answer: To reduce crashes, injuries, fatalities involving large trucks/buses
Question: 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
Question: FMCSA
Answer: Federal Motor Carrier Safety Administration
Question: NRCME
Answer: National Registry of Certified Medical Examiners
Question: Commerical Motor Vehicle
Answer: Weight >1000 lb ; or transports >8 people for compensation ; or >15 people without
compensation ; transports hazardous materials requiring placarding
Question: Interstate commerce
vs.
Intrastate commerce
Answer: Interstate: multiple states or international
Intrastate: within 1 state
Question: Who regulates treatment/management and aftercare of
substance abuse for drivers?
Answer: SAP (Substance Abuse Professional)
Question: Who determines the origin of abnormal drug test results,
determining whether the driver has violated drug use
regulations?
Answer: Medical Review Officer
Question: 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
, Question: 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
Question: When was DOT established?
Answer: 1966
Became separate entity on Jan 1, 2000
Question: Motor Carrier Safety Improvement Act of 1999
Answer: Established DOT as separate federal entity
Question: Omnibus Transportation Employee Testing Act of 1991
Answer: Required drug testing for drivers
Question: The driver must always keep a copy of ____________________ with
them while driving
Answer: Medical Certificate
SPE if applicable
Question: 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)
Question: How many standards are used to determine driver fitness for
duty?
Answer: 13
Question: 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
Question: How many standards of "driver fitness for duty" are NON-
discretionary?
Answer: 4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
