NRCME DOT | Questions with 100% Verified Answers |
Latest Update 2026/2027
Question: what is the #1 cause of fatalities in the US involving CMVs?
Answer: FATIGUE
ways to reduce fatigue in drivers...
- schedule
- question routines during PE
Question: PE requirements
Answer:
Question: T/F: a driver does not need to have a PE done before
returning to work after an illness or injury that interferes with
driving
Answer: FALSE
a driver DOES need to have a PE done
Question: how often does every CMV driver need to be medically
recertified?
a. 6 months
b. 1 year
c. 2 years
d. 4 years
Answer: c. 2 years
this is the MAX length of time... medical examiner can certify for < 2 yrs if more frequent
monitoring is required
Question: driver qualifications
Answer: - must have been trained in an approved DOT/FMCSA training program
- valid drivers license --> denotes ability to pilot CMV > 10,001 lbs or vehicle that
transports > 16 passengers or carries hazardous material
- must have current Medical Examiner's certificate at all times while operating CMV
- must be in random drug and alcohol testing program if CMV > 26,001 lbs
Question: T/F: farmers are exempt for local hauling within a 200 mi radius
of their farm
Answer: FALSE
they are exempt within 150 mi radius... if hired, they must have a CMV PE
,Question: physical requirements
Answer: - no loss of foot, leg, hand, or arm
- no impairment of hand or finger that interferes with prehension or power grasping
- no impairment of arm, foot, or leg that interferes with ability to drive
- no medical hx of DM treated with insulin that is poorly controlled
- no hx of cardiac conditions that cause syncope, dyspnea, collapse, or CHF
Question: drivers with physical impairments that affect their ability to
operate CMVs or have missing limbs must maintain a ________
certificate
what does this application include?
Answer: Skill Performance Evaluation (SPE)
**drivers are tested at regional centers throughout the US
SPE Application:
- unilateral SPE certificate application
- driver employment application
- medical exam report
- medical examiner's certificate stating "accompanied by SPE"
- medical eval from physiatrist or ortho surgery
- copy of road test and certificate
- driver's license
- state motor vehicle driving record x 3 years
- copy of SPE certificate with physical defects
Question: for how long must a copy of a driver's medical examiner's
certificate and medical exam report be retained on file at the
office?
a. 1 year
b. 2 years
c. 3 years
d. 5 years
Answer: c. 3 years
the driver must sign the certificate
Question: T/F: HIPPA dies not apply to DOT exams when dealing with
the employer or another provider
Answer: TRUE
however, any 3rd party must have a signed release form from the driver
Question: (discretionary guides/non-discretionary standards)
immediately disqualify the driver when conditions are met
(discretionary guides/non-discretionary standards) are
limitations steered by recommendations and guidelines from
the FMCSA panel publications and examiner's best judgement
for public safety
Answer: non-discretionary standards
discretionary guides
,Question: which of the following is NOT a non-discretionary driver
disqualifier?
a. failed hearing exam
b. hx of type 1 DM controlled with insulin
c. hx of epilepsy or seizures
d. failed vision exam
Answer: b. hx of type 1 DM controlled with insulin
UNCONTROLLED insulin-dependent DM (without completed MCSA-5870 form) results in
immediate disqualification
these are found in 391.41(b)
Question: FMSCA is a division of the federal department of
transportation (DOT). The requirements of the PE for an
FMCSA-regulated driver are the same as...
a. a pilot for the FAA and an air traffic controller
b. all entities of the DOT have the same exam requirements
c. it is up tot he examiner to determine if they are qualified to
perform an exam on a non-FMCSA entity
d. an engineer for the Federal Railroad Administration
Answer: c. it is up tot he examiner to determine if they are qualified to perform an exam on a
non-
FMCSA entity
Question: what does the FMCSA Office of Medical Programs do?
a. eliminate unfit drivers and examiners
b. evaluate drivers when they fail a physical examination
c. oversee the medical exemption program
d. establish guidelines for the FAA, Coast Guard, FMCSA, FRA,
FTA, and Pipeline Industry
Answer: c. oversee the medical exemption program
Question: which of the following is TRUE of a "commercial motor vehicle"
(CMV)?
a. it weighs < 10,001 lbs
b. there is no transportation of hazardous material
c. it is designed to transport > 16 passengers for compensation
d it is designed to transport > 16 passengers not for
compensation
Answer: d it is designed to transport > 16 passengers not for compensation
the definition of CMV is any self-propelled or towed motor vehicle used on a highway in
interstate commerce to transport passengers or property when the vehicle...
- weighs > 10,001 lbs or 4,536 kg
- transports > 8 passengers for compensation
- transports > 16 passengers NOT for compensation
- transports hazardous material (under 49 U.S.C. 5103)
**definitions are found in 40 CFR 390.5
, Question: T/F: even though the FMCSA does not regulate intrastate
commerce, it does regulate intrastate drivers
Answer: TRUE
**nearly all states have adopted the interstate CMV standards to intrastate, but some are
different
intrastate drivers operate a vehicle that is...
- > 10,001 lbs
- designed to transport 9-15 passengers for compensation
- designed to transport > 16 passengers with or without compensation
- transporting hazardous material
Question: (interstate/intrastate) commerce is trade/traffic/transport in
the US...
- from inside a state to outside of the US
- between 2 states
- from outside the US to a state
(interstate/intrastate) commerce is anything else not
described above (ie. transportation within a state)
the FMCSA CMV certification applies to (interstate/intrastate)
drivers
states regulate (interstate/intrastate) drivers
Answer: INTERSTATE
INTRASTATE
INTERSTATE
INTRASTATE
**states may have more or less strict requirements if working interstate only
**the examiner is required to document if a driver is intrastate only using form MSCA-
5850
Question: T/F: you can not conduct physical qualification exams for and
issue ME certifications to drivers not from the US
Answer: FALSE
you CAN conduct these exams
**if the driver is foreign, then the MEC does NOT need to be uploaded to the National
Registry system 7yy7h777y n bhh
Question: T/F: the medical examiner is not responsible for providing
medical care
Answer: TRUE
however, they should encourage the driver to seek further evaluation if there is an
undiagnosed or worsening medical problem
Latest Update 2026/2027
Question: what is the #1 cause of fatalities in the US involving CMVs?
Answer: FATIGUE
ways to reduce fatigue in drivers...
- schedule
- question routines during PE
Question: PE requirements
Answer:
Question: T/F: a driver does not need to have a PE done before
returning to work after an illness or injury that interferes with
driving
Answer: FALSE
a driver DOES need to have a PE done
Question: how often does every CMV driver need to be medically
recertified?
a. 6 months
b. 1 year
c. 2 years
d. 4 years
Answer: c. 2 years
this is the MAX length of time... medical examiner can certify for < 2 yrs if more frequent
monitoring is required
Question: driver qualifications
Answer: - must have been trained in an approved DOT/FMCSA training program
- valid drivers license --> denotes ability to pilot CMV > 10,001 lbs or vehicle that
transports > 16 passengers or carries hazardous material
- must have current Medical Examiner's certificate at all times while operating CMV
- must be in random drug and alcohol testing program if CMV > 26,001 lbs
Question: T/F: farmers are exempt for local hauling within a 200 mi radius
of their farm
Answer: FALSE
they are exempt within 150 mi radius... if hired, they must have a CMV PE
,Question: physical requirements
Answer: - no loss of foot, leg, hand, or arm
- no impairment of hand or finger that interferes with prehension or power grasping
- no impairment of arm, foot, or leg that interferes with ability to drive
- no medical hx of DM treated with insulin that is poorly controlled
- no hx of cardiac conditions that cause syncope, dyspnea, collapse, or CHF
Question: drivers with physical impairments that affect their ability to
operate CMVs or have missing limbs must maintain a ________
certificate
what does this application include?
Answer: Skill Performance Evaluation (SPE)
**drivers are tested at regional centers throughout the US
SPE Application:
- unilateral SPE certificate application
- driver employment application
- medical exam report
- medical examiner's certificate stating "accompanied by SPE"
- medical eval from physiatrist or ortho surgery
- copy of road test and certificate
- driver's license
- state motor vehicle driving record x 3 years
- copy of SPE certificate with physical defects
Question: for how long must a copy of a driver's medical examiner's
certificate and medical exam report be retained on file at the
office?
a. 1 year
b. 2 years
c. 3 years
d. 5 years
Answer: c. 3 years
the driver must sign the certificate
Question: T/F: HIPPA dies not apply to DOT exams when dealing with
the employer or another provider
Answer: TRUE
however, any 3rd party must have a signed release form from the driver
Question: (discretionary guides/non-discretionary standards)
immediately disqualify the driver when conditions are met
(discretionary guides/non-discretionary standards) are
limitations steered by recommendations and guidelines from
the FMCSA panel publications and examiner's best judgement
for public safety
Answer: non-discretionary standards
discretionary guides
,Question: which of the following is NOT a non-discretionary driver
disqualifier?
a. failed hearing exam
b. hx of type 1 DM controlled with insulin
c. hx of epilepsy or seizures
d. failed vision exam
Answer: b. hx of type 1 DM controlled with insulin
UNCONTROLLED insulin-dependent DM (without completed MCSA-5870 form) results in
immediate disqualification
these are found in 391.41(b)
Question: FMSCA is a division of the federal department of
transportation (DOT). The requirements of the PE for an
FMCSA-regulated driver are the same as...
a. a pilot for the FAA and an air traffic controller
b. all entities of the DOT have the same exam requirements
c. it is up tot he examiner to determine if they are qualified to
perform an exam on a non-FMCSA entity
d. an engineer for the Federal Railroad Administration
Answer: c. it is up tot he examiner to determine if they are qualified to perform an exam on a
non-
FMCSA entity
Question: what does the FMCSA Office of Medical Programs do?
a. eliminate unfit drivers and examiners
b. evaluate drivers when they fail a physical examination
c. oversee the medical exemption program
d. establish guidelines for the FAA, Coast Guard, FMCSA, FRA,
FTA, and Pipeline Industry
Answer: c. oversee the medical exemption program
Question: which of the following is TRUE of a "commercial motor vehicle"
(CMV)?
a. it weighs < 10,001 lbs
b. there is no transportation of hazardous material
c. it is designed to transport > 16 passengers for compensation
d it is designed to transport > 16 passengers not for
compensation
Answer: d it is designed to transport > 16 passengers not for compensation
the definition of CMV is any self-propelled or towed motor vehicle used on a highway in
interstate commerce to transport passengers or property when the vehicle...
- weighs > 10,001 lbs or 4,536 kg
- transports > 8 passengers for compensation
- transports > 16 passengers NOT for compensation
- transports hazardous material (under 49 U.S.C. 5103)
**definitions are found in 40 CFR 390.5
, Question: T/F: even though the FMCSA does not regulate intrastate
commerce, it does regulate intrastate drivers
Answer: TRUE
**nearly all states have adopted the interstate CMV standards to intrastate, but some are
different
intrastate drivers operate a vehicle that is...
- > 10,001 lbs
- designed to transport 9-15 passengers for compensation
- designed to transport > 16 passengers with or without compensation
- transporting hazardous material
Question: (interstate/intrastate) commerce is trade/traffic/transport in
the US...
- from inside a state to outside of the US
- between 2 states
- from outside the US to a state
(interstate/intrastate) commerce is anything else not
described above (ie. transportation within a state)
the FMCSA CMV certification applies to (interstate/intrastate)
drivers
states regulate (interstate/intrastate) drivers
Answer: INTERSTATE
INTRASTATE
INTERSTATE
INTRASTATE
**states may have more or less strict requirements if working interstate only
**the examiner is required to document if a driver is intrastate only using form MSCA-
5850
Question: T/F: you can not conduct physical qualification exams for and
issue ME certifications to drivers not from the US
Answer: FALSE
you CAN conduct these exams
**if the driver is foreign, then the MEC does NOT need to be uploaded to the National
Registry system 7yy7h777y n bhh
Question: T/F: the medical examiner is not responsible for providing
medical care
Answer: TRUE
however, they should encourage the driver to seek further evaluation if there is an
undiagnosed or worsening medical problem
