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NRCME (DOT) Exam Questions and Answers
FMCSA Mission Statement
Ans: To reduce crashes, injuries, fatalities involving large trucks/buses
Medical Examiner
Ans: Licensed, certified, registered provider who can perform PEs in
accordance with laws and regulations ; registered through NRS ; has
unique identifier ; passes MEC test
FMCSA
Ans: Federal Motor Carrier Safety Administration
NRCME
Ans: National Registry of Certified Medical Examiners
Commerical Motor Vehicle
Ans: Weight >1000 lb ; or transports >8 people for compensation ; or
>15 people without compensation ; transports hazardous materials
requiring placarding
Interstate commerce
vs.
Intrastate commerce
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Ans: Interstate: multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of substance
abuse for drivers?
Ans: SAP (Substance Abuse Professional)
Who determines the origin of abnormal drug test results,
determining whether the driver has violated drug use regulations?
Ans: Medical Review Officer
Title 49 CFR 391.41
Ans: Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
Title 49 CFR 391.43
Ans: Describes responsibilities of Medical Examiner, instructions for
exam, and requirements for medical certification
- Supporting information to explain 391.41
When was DOT established?
Ans: 1966
Became separate entity on Jan 1, 2000
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Motor Carrier Safety Improvement Act of 1999
Ans: Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991
Ans: Required drug testing for drivers
The driver must always keep a copy of ____________________ with
them while driving
Ans: Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you release
their Medical Certification?
Ans: 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?
Ans: 13
How many standards of "driver fitness for duty" are
*discretionary*?
© 2025 All rights reserved
NRCME (DOT) Exam Questions and Answers
FMCSA Mission Statement
Ans: To reduce crashes, injuries, fatalities involving large trucks/buses
Medical Examiner
Ans: Licensed, certified, registered provider who can perform PEs in
accordance with laws and regulations ; registered through NRS ; has
unique identifier ; passes MEC test
FMCSA
Ans: Federal Motor Carrier Safety Administration
NRCME
Ans: National Registry of Certified Medical Examiners
Commerical Motor Vehicle
Ans: Weight >1000 lb ; or transports >8 people for compensation ; or
>15 people without compensation ; transports hazardous materials
requiring placarding
Interstate commerce
vs.
Intrastate commerce
© 2025 All rights reserved
, 2 | Page
Ans: Interstate: multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of substance
abuse for drivers?
Ans: SAP (Substance Abuse Professional)
Who determines the origin of abnormal drug test results,
determining whether the driver has violated drug use regulations?
Ans: Medical Review Officer
Title 49 CFR 391.41
Ans: Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
Title 49 CFR 391.43
Ans: Describes responsibilities of Medical Examiner, instructions for
exam, and requirements for medical certification
- Supporting information to explain 391.41
When was DOT established?
Ans: 1966
Became separate entity on Jan 1, 2000
© 2025 All rights reserved
, 3 | Page
Motor Carrier Safety Improvement Act of 1999
Ans: Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991
Ans: Required drug testing for drivers
The driver must always keep a copy of ____________________ with
them while driving
Ans: Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you release
their Medical Certification?
Ans: 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?
Ans: 13
How many standards of "driver fitness for duty" are
*discretionary*?
© 2025 All rights reserved
