NRCME 2026 EXAM REVIEW WITH REAL
EXAM QUESTIONS AND CORRECT
ANSWERS RATED A+
Which of the following is true?
By May 21, 2015, medical providers that perform medical
examinations for commercial motor vehicle drivers must have
completed an approved training program and passed a national
certification examination.
The Medical Examiner may request that an appropriate specialist
provider make the driver certification determination.
The purpose of the commercial motor vehicle driver examination
is for treatment of driver medical conditions.
FMCSA guidance recommendations may or may not be followed
by the Medical Examiner. Correct Answer FMCSA guidance
recommendations may or may not be followed by the Medical
Examiner.`
What is the role of the medical examiner? Correct Answer to
determine medical fitness for duty.
What are the differences between the medical standards and the
medical guidelines Correct Answer Medical Standards -
regulations that are non-discretionary - the medical examiner
,cannot use judgment to certify a driver who does not meet a
regulatory standard
Medical Guidelines are discretionary - Medical Examiners may
decide to certify drivers who do not meet medical guidelines. Most
recommendations related to certification of specific medical
conditions are guidance
What are some medical standards for certifications that need to
be done? Correct Answer Vision requirements, including distant
visual acuity, horizontal vision, and color vision. Drivers who do
not meet standards cannot be certified unless accompanied by a
vision exemption/waiver.
Diabetes requirements: drivers using insulin cannot be certified
unless special procedures for evaluation and certification of such
drivers are followed.
Epilepsy: drivers with a diagnosis of epilepsy cannot be certified
unless accompanied by an epilepsy waiver/exemption.
Hearing: drivers who cannot meet whisper test or audiometric test
requirements cannot be certified unless accompanied by a
hearing waiver/exemption.
What are Turn around or short relay drivers? Correct Answer
drivers return to their home base each evening
what are Long relay drivers? Correct Answer drivers drive 9 to 11
hours and then have at least a 10-hour off duty period)
,What are Straight through haul drivers? Correct Answer cross
country
What are Team drivers? Correct Answer drivers share the driving
by alternating their 5-hour driving periods and 5-hour rest periods
What are the instructions for completion of a DOT physical?
Correct Answer Driver arrives at medical examiner's office
Driver may bring paperwork
-Verify driver identification with photo ID
Driver completes formsMCSA 5875 - Medical Examination Report
Form driver history
-Confirm driver signature and date
-Recommend driver sign HIPAA compliant release form(s)
Driver testing then completed by medical examiner and/or staff
-Vision testing
-Hearing - whisper test or audiometry
-Dipstick urinalysis
-Blood pressure
- pulse
-Height and weight
Medical Examiner examination
, =Review driver historyAcknowledge driver "Yes" answers and
clarify with questions and additional information
-Ask if driver has ever received less than a 2-year certification at
any prior DOT medical examination
Physical examination - driver should be in medical gown or
equivalent
-Medical Examiner notes abnormal findings with comments
Medical Examiner completes forms (MCSA 5875 and MCSA
5876)
Provide copy of Driver Certificate to driver and, if requested, to
employer
Complete online completion of driver certification information no
later than midnight (local time) of the calendar day following the
date of the examination
When does the online completion of driver certification information
have to be done? Correct Answer no later than midnight (local
time) of the calendar day following the date of the examination
An individual diagnosed with Stage 1 hypertension (BP is 140/90-
159/99) may be certified for how long? Correct Answer 1 year
At recertification, an individual with a hx of HTN; BP is greater
than 140/90 but less than 160/100, Correct Answer 3 months
EXAM QUESTIONS AND CORRECT
ANSWERS RATED A+
Which of the following is true?
By May 21, 2015, medical providers that perform medical
examinations for commercial motor vehicle drivers must have
completed an approved training program and passed a national
certification examination.
The Medical Examiner may request that an appropriate specialist
provider make the driver certification determination.
The purpose of the commercial motor vehicle driver examination
is for treatment of driver medical conditions.
FMCSA guidance recommendations may or may not be followed
by the Medical Examiner. Correct Answer FMCSA guidance
recommendations may or may not be followed by the Medical
Examiner.`
What is the role of the medical examiner? Correct Answer to
determine medical fitness for duty.
What are the differences between the medical standards and the
medical guidelines Correct Answer Medical Standards -
regulations that are non-discretionary - the medical examiner
,cannot use judgment to certify a driver who does not meet a
regulatory standard
Medical Guidelines are discretionary - Medical Examiners may
decide to certify drivers who do not meet medical guidelines. Most
recommendations related to certification of specific medical
conditions are guidance
What are some medical standards for certifications that need to
be done? Correct Answer Vision requirements, including distant
visual acuity, horizontal vision, and color vision. Drivers who do
not meet standards cannot be certified unless accompanied by a
vision exemption/waiver.
Diabetes requirements: drivers using insulin cannot be certified
unless special procedures for evaluation and certification of such
drivers are followed.
Epilepsy: drivers with a diagnosis of epilepsy cannot be certified
unless accompanied by an epilepsy waiver/exemption.
Hearing: drivers who cannot meet whisper test or audiometric test
requirements cannot be certified unless accompanied by a
hearing waiver/exemption.
What are Turn around or short relay drivers? Correct Answer
drivers return to their home base each evening
what are Long relay drivers? Correct Answer drivers drive 9 to 11
hours and then have at least a 10-hour off duty period)
,What are Straight through haul drivers? Correct Answer cross
country
What are Team drivers? Correct Answer drivers share the driving
by alternating their 5-hour driving periods and 5-hour rest periods
What are the instructions for completion of a DOT physical?
Correct Answer Driver arrives at medical examiner's office
Driver may bring paperwork
-Verify driver identification with photo ID
Driver completes formsMCSA 5875 - Medical Examination Report
Form driver history
-Confirm driver signature and date
-Recommend driver sign HIPAA compliant release form(s)
Driver testing then completed by medical examiner and/or staff
-Vision testing
-Hearing - whisper test or audiometry
-Dipstick urinalysis
-Blood pressure
- pulse
-Height and weight
Medical Examiner examination
, =Review driver historyAcknowledge driver "Yes" answers and
clarify with questions and additional information
-Ask if driver has ever received less than a 2-year certification at
any prior DOT medical examination
Physical examination - driver should be in medical gown or
equivalent
-Medical Examiner notes abnormal findings with comments
Medical Examiner completes forms (MCSA 5875 and MCSA
5876)
Provide copy of Driver Certificate to driver and, if requested, to
employer
Complete online completion of driver certification information no
later than midnight (local time) of the calendar day following the
date of the examination
When does the online completion of driver certification information
have to be done? Correct Answer no later than midnight (local
time) of the calendar day following the date of the examination
An individual diagnosed with Stage 1 hypertension (BP is 140/90-
159/99) may be certified for how long? Correct Answer 1 year
At recertification, an individual with a hx of HTN; BP is greater
than 140/90 but less than 160/100, Correct Answer 3 months
