1|P A G E
NRCME DOT EXAM QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+ |
2026 UPDATED
which of the following identifies the requirements for interstate commercial
vehicles, drivers, and motor carrier?
a. Regulations
b. Standards
c. Rules
d. Qualifications
b. Standards
T/F: the medical examiner can choose to not use the FMCSA Medical Guidelines
to make a certification decision for a driver
TRUE
**if going against the guidelines, the reason must be included in documentation
however, these guidelines are based on expert review and are considered the BEST
PRACTICE
T/F: a driver does not always need to carry their valid Medical Examiner's
certificate, as long as it is up to date
FALSE
drivers must always carry it
which of the following is NOT regulated by FMCSA?
a. drivers
b. commercial motor vehicles
c. motor carriers
d. medical examiners
d. medical examiners
,2|P a g e
T/F: standards and requirements that are identified in the Federal Motor Carrier
Safety Regulations (FMCSRs) are law
TRUE
standards are LEGAL REQUIREMENTS for interstate commercial vehicles
drivers, and motor carriers
what are the main contributors to driver job-related stress?
- route, scheduling, and traffic environment
- road, traffic, weather, and nighttime driving
- vehicle size, noise, vibration, and sleeper environment
- types of cargo (ie. passengers, hazardous material)
what are other driver responsibilities, other than driving, that require them to be
medically fit for duty?
- coupling and un-coupling trailers from the tractor
- loading and unloading trailers
- changing tires
- inspecting the operating conditions of the tractor/trailer
- lifting, installing, and removing heavy tire chains
- lifting heavy tarpaulins to cover open top trailers
T/F: the average driver age is getting younger
FALSE
the average driver age is getting OLDER, which results in more drivers at risk for
age-related health issues
the average truck driver usually...
a. has thrombophlebitis
b. will present with drug-seeking behavior
c. has > 2 medical conditions
d. is 36 yo
c. has > 2 medical conditions
,3|P a g e
T/F: without a completed MSCA-5870 form, a driver with DM cannot be given a
driver certification
TRUE
for how long can a stable, insulin-dependent driver maintain certification?
a. 6 months
b. 1 year
c. 2 years
d. 3 years
b. 1 year
**this is only if the driver provides the TC at least 3 months of at-home glucose
checks while being treated with insulin
is a driver is insulin-dependent and NOT STABLE, then they cannot be certified in
interstate commerce
A driver is presenting with T1DM that is well-controlled with insulin. Who needs
to complete the form MCSA-5870?
a. the driver's treating clinician
b. the medical examiner
c. the driver
d. the driver's supervisor
a. the driver's treating clinician
the treating clinician (TC) then sends the form to the medical examiner (ME)
within 45 days after determining the driver is table on insulin treatment
T/F: the treating clinician of a driver with non-insulin-dependent diabetes myst
provide the medical examiner with a MCSA-5870 form
FALSE
the treating clinician is ONLY involved if the pt is insulin-dependent
drivers with insulin-dependent DM must provide the with an at-home
glucose monitoring report from the past month(s)
, 4|P a g e
a. medical examiner; 3 months
b. medical examiner; 6 months
c. treating clinician; 3 months
d. treating clinician; 6 months
c. treating clinician; 3 months
then the TC can fill out the MCSA-5870 form and send it to the medical examiner
if the driver does not have a log for 3 months, a 3 month certification may be
issued
physical exam for drivers with diabetes
- UA w/ chem strip
- eye exam --> look for signs of retinopathy or macular degeneration
- peripheral neuropathy
- s/s of CAD, cerebrovascular disease, autonomic neuropathy, nephropathy
T/F: loss of proprioception results in disqualification
TRUE
this leads to the inability to perform driving tasks! DO NOT CERTIFY
how long can you certify a driver taking incretin mimetics for T2DM?
a. 6 months
b. 1 year
c. 2 years
d. 3 years
b. 1 year
**this is true for ALL PO hypoglycemics!
**NOTE that incretin mimetics can increase the risk of hypoglycemia when taken
with sulfonylureas
patient education tips for a diabetic driver
NRCME DOT EXAM QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A+ |
2026 UPDATED
which of the following identifies the requirements for interstate commercial
vehicles, drivers, and motor carrier?
a. Regulations
b. Standards
c. Rules
d. Qualifications
b. Standards
T/F: the medical examiner can choose to not use the FMCSA Medical Guidelines
to make a certification decision for a driver
TRUE
**if going against the guidelines, the reason must be included in documentation
however, these guidelines are based on expert review and are considered the BEST
PRACTICE
T/F: a driver does not always need to carry their valid Medical Examiner's
certificate, as long as it is up to date
FALSE
drivers must always carry it
which of the following is NOT regulated by FMCSA?
a. drivers
b. commercial motor vehicles
c. motor carriers
d. medical examiners
d. medical examiners
,2|P a g e
T/F: standards and requirements that are identified in the Federal Motor Carrier
Safety Regulations (FMCSRs) are law
TRUE
standards are LEGAL REQUIREMENTS for interstate commercial vehicles
drivers, and motor carriers
what are the main contributors to driver job-related stress?
- route, scheduling, and traffic environment
- road, traffic, weather, and nighttime driving
- vehicle size, noise, vibration, and sleeper environment
- types of cargo (ie. passengers, hazardous material)
what are other driver responsibilities, other than driving, that require them to be
medically fit for duty?
- coupling and un-coupling trailers from the tractor
- loading and unloading trailers
- changing tires
- inspecting the operating conditions of the tractor/trailer
- lifting, installing, and removing heavy tire chains
- lifting heavy tarpaulins to cover open top trailers
T/F: the average driver age is getting younger
FALSE
the average driver age is getting OLDER, which results in more drivers at risk for
age-related health issues
the average truck driver usually...
a. has thrombophlebitis
b. will present with drug-seeking behavior
c. has > 2 medical conditions
d. is 36 yo
c. has > 2 medical conditions
,3|P a g e
T/F: without a completed MSCA-5870 form, a driver with DM cannot be given a
driver certification
TRUE
for how long can a stable, insulin-dependent driver maintain certification?
a. 6 months
b. 1 year
c. 2 years
d. 3 years
b. 1 year
**this is only if the driver provides the TC at least 3 months of at-home glucose
checks while being treated with insulin
is a driver is insulin-dependent and NOT STABLE, then they cannot be certified in
interstate commerce
A driver is presenting with T1DM that is well-controlled with insulin. Who needs
to complete the form MCSA-5870?
a. the driver's treating clinician
b. the medical examiner
c. the driver
d. the driver's supervisor
a. the driver's treating clinician
the treating clinician (TC) then sends the form to the medical examiner (ME)
within 45 days after determining the driver is table on insulin treatment
T/F: the treating clinician of a driver with non-insulin-dependent diabetes myst
provide the medical examiner with a MCSA-5870 form
FALSE
the treating clinician is ONLY involved if the pt is insulin-dependent
drivers with insulin-dependent DM must provide the with an at-home
glucose monitoring report from the past month(s)
, 4|P a g e
a. medical examiner; 3 months
b. medical examiner; 6 months
c. treating clinician; 3 months
d. treating clinician; 6 months
c. treating clinician; 3 months
then the TC can fill out the MCSA-5870 form and send it to the medical examiner
if the driver does not have a log for 3 months, a 3 month certification may be
issued
physical exam for drivers with diabetes
- UA w/ chem strip
- eye exam --> look for signs of retinopathy or macular degeneration
- peripheral neuropathy
- s/s of CAD, cerebrovascular disease, autonomic neuropathy, nephropathy
T/F: loss of proprioception results in disqualification
TRUE
this leads to the inability to perform driving tasks! DO NOT CERTIFY
how long can you certify a driver taking incretin mimetics for T2DM?
a. 6 months
b. 1 year
c. 2 years
d. 3 years
b. 1 year
**this is true for ALL PO hypoglycemics!
**NOTE that incretin mimetics can increase the risk of hypoglycemia when taken
with sulfonylureas
patient education tips for a diabetic driver
