NRCME (DOT) Exam Study Guide with complete and verified solutions | Latest 2025/2026 Update.

NRCME (DOT) Exam Study Guide with
complete and verified solutions |
Latest 2025/2026 Update.

NRCME i,-i,- i,- National Registry of Certified Medical Examiners i,- i,- i,- i,- i,-




FMCSA i,-i,- i,- Federal Motor Carrier Safety Administration i,- i,- i,- i,-




FMCSA Mission Statement
i,- To reduce crashes, injuries, i,- i,-i,- i,- i,- i,- i,- i,-



fatalities involving large trucks/buses
i,- i,- i,-




Medical Examiner Licensed, certified, registered provider who
i,- i,-i,- i,- i,- i,- i,- i,- i,-



can perform PEs in accordance with laws and regulations ;
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



registered through NRS ; has unique identifier ; passes MEC test
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




Motor Carrier Safety Improvement Act of 1999
i,- i,- i,- i,- i,- i,- i,-i,- Established
i,- i,-



DOT as separate federal entity
i,- i,- i,- i,-




Omnibus Transportation Employee Testing Act of 1991
i,- i,- i,- i,- i,- i,- i,-i,- i,-



Required drug testing for drivers i,- i,- i,- i,-

,The driver must always keep a copy of ____________________ with
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



them while drivingi,- Medical Certificate i,- i,-i,- i,- i,-




SPE if applicable
i,- i,-




Does the driver need to sign a medical release before you release
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



their Medical Certification?
i,- No. Certificate is provided to
i,- i,-i,- i,- i,- i,- i,- i,- i,-



employer. i,-




(Release is required for a copy of medical report form)
i,- i,- i,- i,- i,- i,- i,- i,- i,-




How many standards are used to determine driver fitness for
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



duty? 13 i,-i,- i,-




How many standards of "driver fitness for duty" are
i,- i,- i,- i,- i,- i,- i,- i,- i,-



*discretionary*? 9 i,-i,- i,- i,-




(according to my review course) i,- i,- i,- i,-




- Other sources say 10 and say that T2DM is discretionary
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-




How many standards of "driver fitness for duty" are *NON-
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



discretionary*? 4 i,-i,- i,-




- Vision
i,-

,- Hearing
i,-




- Epilepsy
i,-




- T2DM
i,-




(Some sources say 3 and do not include T2DM)
i,- i,- i,- i,- i,- i,- i,- i,-




Commerical Motor Vehicle Weight >1000 lb ; or transports
i,- i,- i,-i,- i,- i,- i,- i,- i,- i,- i,-



>8 people for compensation ; or >15 people without
i,- i,- i,- i,- i,- i,- i,- i,- i,-



compensation ; transports hazardous materials requiring
i,- i,- i,- i,- i,- i,-



placarding


Interstate commerce i,-




vs. i,-




Intrastate commerce i,- i,-i,- i,- Interstate: multiple states or i,- i,- i,- i,-



international


Intrastate: within 1 state
i,- i,- i,-

, Who regulates treatment/management and aftercare of
i,- i,- i,- i,- i,- i,-



substance abuse for drivers? SAP (Substance Abuse
i,- i,- i,- i,-i,- i,- i,- i,- i,-



Professional)


Who determines the origin of abnormal drug test results,
i,- i,- i,- i,- i,- i,- i,- i,- i,-



determining whether the driver has violated drug use
i,- i,- i,- i,- i,- i,- i,- i,-



regulations? Medical Review Officer i,-i,- i,- i,- i,-




Title 49 CFR 391.41
i,- i,- i,- i,-i,- i,- Medical Examiner Report Form i,- i,- i,-




- Paperwork completed during DOT physical
i,- i,- i,- i,- i,-




- Physical exam requirements for driver
i,- i,- i,- i,- i,-




- Determines if Certificate is granted
i,- i,- i,- i,- i,-




Title 49 CFR 391.43
i,- i,- Describes responsibilities of Medical
i,- i,-i,- i,- i,- i,- i,- i,-



Examiner, instructions for exam, and requirements for medical
i,- i,- i,- i,- i,- i,- i,- i,-



certification
- Supporting information to explain 391.41
i,- i,- i,- i,- i,-




When was DOT established?
i,- i,- i,- i,-i,- i,- 1966


Became separate entity on Jan 1, 2000
i,- i,- i,- i,- i,- i,-