88M RED BOOK FINAL PAPER 2026 TEST
QUESTIONS AND CORRECT ANSWERS
VERIFIED
●● 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
●● The driver must always keep a copy of ____________________ with
them while driving.
Answer: Medical Certificate
SPE if applicable
●● Does the driver need to sign a medical release before you release
their Medical Certification?.
Answer: No. Certificate is provided to employer.
QUESTIONS AND CORRECT ANSWERS
VERIFIED
●● 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
●● The driver must always keep a copy of ____________________ with
them while driving.
Answer: Medical Certificate
SPE if applicable
●● Does the driver need to sign a medical release before you release
their Medical Certification?.
Answer: No. Certificate is provided to employer.
