NRCME (DOT) Exam [ACTUAL EXAM] LATEST VERSION
[QUESTIONS AND ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
Who regulates treatment/management and aftercare of substance abuse for drivers? -
CORRECT ANSWER ✔✔✔✔✔ SAP (Substance Abuse Professional)
Who determines the origin of abnormal drug test results, determining whether the driver
has violated drug use regulations? - CORRECT ANSWER ✔✔✔✔✔ Medical Review
Officer
Title 49 CFR 391.41 - CORRECT ANSWER ✔✔✔✔✔ Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
Title 49 CFR 391.43 - CORRECT ANSWER ✔✔✔✔✔ Describes responsibilities of
Medical Examiner, instructions for exam, and requirements for medical certification
- Supporting information to explain 391.41
When was DOT established? - CORRECT ANSWER ✔✔✔✔✔ 1966
Became separate entity on Jan 1, 2000
Motor Carrier Safety Improvement Act of 1999 - CORRECT ANSWER ✔✔✔✔✔
Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991 - CORRECT ANSWER
✔✔✔✔✔ Required drug testing for drivers
The driver must always keep a copy of ____________________ with them while driving
- CORRECT ANSWER ✔✔✔✔✔ Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you release their Medical
Certification? - CORRECT ANSWER ✔✔✔✔✔ No. Certificate is provided to employer.
, (Release is required for a copy of medical report form)
How many standards are used to determine driver fitness for duty? - CORRECT
ANSWER ✔✔✔✔✔ 13
How many standards of "driver fitness for duty" are *discretionary*? - CORRECT
ANSWER ✔✔✔✔✔ 9
(according to my review course)
- Other sources say 10 and say that T2DM is discretionary
How many standards of "driver fitness for duty" are *NON- discretionary*? - CORRECT
ANSWER ✔✔✔✔✔ 4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Age requirement for drivers - CORRECT ANSWER ✔✔✔✔✔ 21+
Language requirement for drivers - CORRECT ANSWER ✔✔✔✔✔ Must be able to
read/speak English well enough to read signs, communicate
Height/weight requirement for drivers - CORRECT ANSWER ✔✔✔✔✔ There is none
What is tested for in urine? - CORRECT ANSWER ✔✔✔✔✔ USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical
Certificate? - CORRECT ANSWER ✔✔✔✔✔ 3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? -
CORRECT ANSWER ✔✔✔✔✔ Only every 6 months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
- May certify Q1 year post surgical correction of secondary HTN
Which generation of antihistamines should be used for drivers? - CORRECT ANSWER
✔✔✔✔✔ 2nd gen
- Nonsedating
[QUESTIONS AND ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
Who regulates treatment/management and aftercare of substance abuse for drivers? -
CORRECT ANSWER ✔✔✔✔✔ SAP (Substance Abuse Professional)
Who determines the origin of abnormal drug test results, determining whether the driver
has violated drug use regulations? - CORRECT ANSWER ✔✔✔✔✔ Medical Review
Officer
Title 49 CFR 391.41 - CORRECT ANSWER ✔✔✔✔✔ Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
Title 49 CFR 391.43 - CORRECT ANSWER ✔✔✔✔✔ Describes responsibilities of
Medical Examiner, instructions for exam, and requirements for medical certification
- Supporting information to explain 391.41
When was DOT established? - CORRECT ANSWER ✔✔✔✔✔ 1966
Became separate entity on Jan 1, 2000
Motor Carrier Safety Improvement Act of 1999 - CORRECT ANSWER ✔✔✔✔✔
Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991 - CORRECT ANSWER
✔✔✔✔✔ Required drug testing for drivers
The driver must always keep a copy of ____________________ with them while driving
- CORRECT ANSWER ✔✔✔✔✔ Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you release their Medical
Certification? - CORRECT ANSWER ✔✔✔✔✔ No. Certificate is provided to employer.
, (Release is required for a copy of medical report form)
How many standards are used to determine driver fitness for duty? - CORRECT
ANSWER ✔✔✔✔✔ 13
How many standards of "driver fitness for duty" are *discretionary*? - CORRECT
ANSWER ✔✔✔✔✔ 9
(according to my review course)
- Other sources say 10 and say that T2DM is discretionary
How many standards of "driver fitness for duty" are *NON- discretionary*? - CORRECT
ANSWER ✔✔✔✔✔ 4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Age requirement for drivers - CORRECT ANSWER ✔✔✔✔✔ 21+
Language requirement for drivers - CORRECT ANSWER ✔✔✔✔✔ Must be able to
read/speak English well enough to read signs, communicate
Height/weight requirement for drivers - CORRECT ANSWER ✔✔✔✔✔ There is none
What is tested for in urine? - CORRECT ANSWER ✔✔✔✔✔ USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical
Certificate? - CORRECT ANSWER ✔✔✔✔✔ 3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? -
CORRECT ANSWER ✔✔✔✔✔ Only every 6 months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
- May certify Q1 year post surgical correction of secondary HTN
Which generation of antihistamines should be used for drivers? - CORRECT ANSWER
✔✔✔✔✔ 2nd gen
- Nonsedating
