NRCME (DOT) EXAM QUESTIONS & ANSWERS 2025
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
Commerical Motor Vehicle - Answer -Weight >1000 lb ; or transports >8 people for
compensation ; or >15 people without compensation ; transports hazardous materials
requiring placarding
Interstate commerce
vs.
Intrastate commerce - Answer -Interstate: multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of substance abuse for drivers? -
Answer -SAP (Substance Abuse Professional)
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
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
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
- 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
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
Commerical Motor Vehicle - Answer -Weight >1000 lb ; or transports >8 people for
compensation ; or >15 people without compensation ; transports hazardous materials
requiring placarding
Interstate commerce
vs.
Intrastate commerce - Answer -Interstate: multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of substance abuse for drivers? -
Answer -SAP (Substance Abuse Professional)
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
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
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
- 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
