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NRCME DOT EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| 2026 UPDATED
FMCSA Mission Statement - ANSWER :To reduce crashes, injuries, fatalities involving large
trucks/buses
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
FMCSA - ANSWER :Federal Motor Carrier Safety Administration
NRCME - ANSWER :National Registry of Certified Medical Examiners
Commercial Motor Vehicle - ANSWER :Weight >1000 lb ; or transports >8 people for compensation ;
or >15 people without compensation ; transports hazardous materials requiring placarding
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)
How many standards are used to determine driver fitness for duty? - ANSWER :13
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
Who regulates treatment/management and aftercare of substance abuse for drivers? - ANSWER :SAP
(Substance Abuse Professional)
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Who determines the origin of abnormal drug test results, determining whether the driver has violated drug
use regulations? - ANSWER :Medical Review Officer
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
Intrastate commerce - ANSWER :Interstate: multiple states or international
Intrastate: within 1 state
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
When was DOT established? - ANSWER :1966
Became separate entity on Jan 1, 2000
Motor Carrier Safety Improvement Act of 1999 - ANSWER :Established DOT as separate federal
entity
Omnibus Transportation Employee Testing Act of 1991 - ANSWER :Required drug testing for drivers
The driver must always keep a copy of with them while driving - ANSWER
:Medical Certificate
,3|P a g e
SPE if applicable
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)
Age requirement for drivers - ANSWER :21+
Language requirement for drivers - ANSWER :Must be able to read/speak English well enough to read
signs, communicate
Height/weight requirement for drivers - ANSWER :There is none
What is tested for in urine? - ANSWER :USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical Certificate? - ANSWER
:3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? - 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
, 4|P a g e
- May certify Q1 year post surgical correction of secondary HTN
Which generation of antihistamines should be used for drivers? - ANSWER :2nd gen
- Nonsedating
A driver must wait hours after taking a sedating med before driving - ANSWER :12+ hours
Urine drug testing includes: - ANSWER :MJ
Tobacco
Amphetamines
Cocaine
Opiates
Which type of stroke only requires a 1 year waiting period? - ANSWER :Cerebellar or brainstem,
which has low risk for seizures
- And NO hx of seizure
- + Neuro clearance and normal neuro exam
What is the A1C requirement for drivers with T2DM? - ANSWER :There is not one
Vision requirements - ANSWER :20/40 in each eye and both eyes (or better)
Field >70 degrees
Can see amber, red, green colors
Exam: Fundoscopic, PERRLA, ocular movements
Hearing requirements - ANSWER :Whisper at not less than 5 feet in 1 ear, or average hearing loss no
greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
- Can use hearing aids - mark on paperwork
NRCME DOT EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+| 2026 UPDATED
FMCSA Mission Statement - ANSWER :To reduce crashes, injuries, fatalities involving large
trucks/buses
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
FMCSA - ANSWER :Federal Motor Carrier Safety Administration
NRCME - ANSWER :National Registry of Certified Medical Examiners
Commercial Motor Vehicle - ANSWER :Weight >1000 lb ; or transports >8 people for compensation ;
or >15 people without compensation ; transports hazardous materials requiring placarding
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)
How many standards are used to determine driver fitness for duty? - ANSWER :13
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
Who regulates treatment/management and aftercare of substance abuse for drivers? - ANSWER :SAP
(Substance Abuse Professional)
,2|P a g e
Who determines the origin of abnormal drug test results, determining whether the driver has violated drug
use regulations? - ANSWER :Medical Review Officer
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
Intrastate commerce - ANSWER :Interstate: multiple states or international
Intrastate: within 1 state
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
When was DOT established? - ANSWER :1966
Became separate entity on Jan 1, 2000
Motor Carrier Safety Improvement Act of 1999 - ANSWER :Established DOT as separate federal
entity
Omnibus Transportation Employee Testing Act of 1991 - ANSWER :Required drug testing for drivers
The driver must always keep a copy of with them while driving - ANSWER
:Medical Certificate
,3|P a g e
SPE if applicable
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)
Age requirement for drivers - ANSWER :21+
Language requirement for drivers - ANSWER :Must be able to read/speak English well enough to read
signs, communicate
Height/weight requirement for drivers - ANSWER :There is none
What is tested for in urine? - ANSWER :USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical Certificate? - ANSWER
:3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? - 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
, 4|P a g e
- May certify Q1 year post surgical correction of secondary HTN
Which generation of antihistamines should be used for drivers? - ANSWER :2nd gen
- Nonsedating
A driver must wait hours after taking a sedating med before driving - ANSWER :12+ hours
Urine drug testing includes: - ANSWER :MJ
Tobacco
Amphetamines
Cocaine
Opiates
Which type of stroke only requires a 1 year waiting period? - ANSWER :Cerebellar or brainstem,
which has low risk for seizures
- And NO hx of seizure
- + Neuro clearance and normal neuro exam
What is the A1C requirement for drivers with T2DM? - ANSWER :There is not one
Vision requirements - ANSWER :20/40 in each eye and both eyes (or better)
Field >70 degrees
Can see amber, red, green colors
Exam: Fundoscopic, PERRLA, ocular movements
Hearing requirements - ANSWER :Whisper at not less than 5 feet in 1 ear, or average hearing loss no
greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
- Can use hearing aids - mark on paperwork
