NRCME Exam Study Questions and
Answers27
What are regulations? - ANSWERS-Laws that must be followed
What are disqualifying medical conditions? - ANSWERS-Epilepsy
monocular vision
hearing loss
What are guidelines? - ANSWERS-Recommendation to follow but can have raptor ale for
variation
FMCSA medical program responsibilities include:
Oversee the Department of Transportation.
Regulation of intrastate commercial motor vehicle operations.
Conduct and oversee the agency's medical exemption and certificate programs.
Provide commercial motor vehicle driver examinations. - ANSWERS-Conduct and oversee the
agency's medical exemption and certificate programs.
Which of the following is true?
The FMCSA does not consider feasibility or impact in the rule-making process.
Only the Medical Review Board can provide advice and opinions on FMCSA rulemaking.
FMCSA medical standards and guidelines are subject to public notice and comment rulemaking.
The Code of Federal Regulations provide guidance that the medical examiner may or may not
follow.examiner may or may not follow. - ANSWERS-FMCSA medical standards and guidelines
are subject to public notice and comment rulemaking.
,FMCSA content sources rules and regulations include
49 CFR Part 16 DOT Procedures for Drug and Alcohol Testing.
49 CFR 391.41 Physical Qualifications for Drivers.
49 CFR 391.82 Medical examination; certificate of physical qualification.
49 CFR Part 73: Medical Review Board procedures. - ANSWERS-49 CFR 391.41 Physical
Qualifications for Drivers.
Which of the following is true regarding why regulation is needed to protect public safety?
There is little environmental risk from crashes involving hazardous materials.
There is greater risk of injury and fatalities to individuals in smaller vehicles from crashes
involving commercial motor vehicles.
The economic cost of crashes involving commercial vehicles is relatively low.
Commercial vehicles do not carry members of the public. - ANSWERS-There is greater risk of
injury and fatalities to individuals in smaller vehicles from crashes involving commercial motor
vehicles.
Which of the following is true?
By May 21, 2015, medical providers that perform medical examinations for commercial motor
vehicle drivers must have completed an approved training program and passed a national
certification examination.
The Medical Examiner may request that an appropriate specialist provider make the driver
certification determination.
The purpose of the commercial motor vehicle driver examination is for treatment of driver
medical conditions.
FMCSA guidance recommendations may or may not be followed by the Medical Examiner. -
ANSWERS-FMCSA guidance recommendations may or may not be followed by the Medical
Examiner.`
, What is the role of the medical examiner? - ANSWERS-to determine medical fitness for duty.
What are the differences between the medical standards and the medical guidelines -
ANSWERS-Medical Standards - regulations that are non-discretionary - the medical examiner
cannot use judgment to certify a driver who does not meet a regulatory standard
Medical Guidelines are discretionary - Medical Examiners may decide to certify drivers who do
not meet medical guidelines. Most recommendations related to certification of specific medical
conditions are guidance
What are some medical standards for certifications that need to be done? - ANSWERS-Vision
requirements, including distant visual acuity, horizontal vision, and color vision. Drivers who do
not meet standards cannot be certified unless accompanied by a vision exemption/waiver.
Diabetes requirements: drivers using insulin cannot be certified unless special procedures for
evaluation and certification of such drivers are followed.
Epilepsy: drivers with a diagnosis of epilepsy cannot be certified unless accompanied by an
epilepsy waiver/exemption.
Hearing: drivers who cannot meet whisper test or audiometric test requirements cannot be
certified unless accompanied by a hearing waiver/exemption.
What are Turn around or short relay drivers? - ANSWERS-drivers return to their home base each
evening
what are Long relay drivers? - ANSWERS-drivers drive 9 to 11 hours and then have at least a 10-
hour off duty period)
What are Straight through haul drivers? - ANSWERS-cross country
What are Team drivers? - ANSWERS-drivers share the driving by alternating their 5-hour driving
periods and 5-hour rest periods
Answers27
What are regulations? - ANSWERS-Laws that must be followed
What are disqualifying medical conditions? - ANSWERS-Epilepsy
monocular vision
hearing loss
What are guidelines? - ANSWERS-Recommendation to follow but can have raptor ale for
variation
FMCSA medical program responsibilities include:
Oversee the Department of Transportation.
Regulation of intrastate commercial motor vehicle operations.
Conduct and oversee the agency's medical exemption and certificate programs.
Provide commercial motor vehicle driver examinations. - ANSWERS-Conduct and oversee the
agency's medical exemption and certificate programs.
Which of the following is true?
The FMCSA does not consider feasibility or impact in the rule-making process.
Only the Medical Review Board can provide advice and opinions on FMCSA rulemaking.
FMCSA medical standards and guidelines are subject to public notice and comment rulemaking.
The Code of Federal Regulations provide guidance that the medical examiner may or may not
follow.examiner may or may not follow. - ANSWERS-FMCSA medical standards and guidelines
are subject to public notice and comment rulemaking.
,FMCSA content sources rules and regulations include
49 CFR Part 16 DOT Procedures for Drug and Alcohol Testing.
49 CFR 391.41 Physical Qualifications for Drivers.
49 CFR 391.82 Medical examination; certificate of physical qualification.
49 CFR Part 73: Medical Review Board procedures. - ANSWERS-49 CFR 391.41 Physical
Qualifications for Drivers.
Which of the following is true regarding why regulation is needed to protect public safety?
There is little environmental risk from crashes involving hazardous materials.
There is greater risk of injury and fatalities to individuals in smaller vehicles from crashes
involving commercial motor vehicles.
The economic cost of crashes involving commercial vehicles is relatively low.
Commercial vehicles do not carry members of the public. - ANSWERS-There is greater risk of
injury and fatalities to individuals in smaller vehicles from crashes involving commercial motor
vehicles.
Which of the following is true?
By May 21, 2015, medical providers that perform medical examinations for commercial motor
vehicle drivers must have completed an approved training program and passed a national
certification examination.
The Medical Examiner may request that an appropriate specialist provider make the driver
certification determination.
The purpose of the commercial motor vehicle driver examination is for treatment of driver
medical conditions.
FMCSA guidance recommendations may or may not be followed by the Medical Examiner. -
ANSWERS-FMCSA guidance recommendations may or may not be followed by the Medical
Examiner.`
, What is the role of the medical examiner? - ANSWERS-to determine medical fitness for duty.
What are the differences between the medical standards and the medical guidelines -
ANSWERS-Medical Standards - regulations that are non-discretionary - the medical examiner
cannot use judgment to certify a driver who does not meet a regulatory standard
Medical Guidelines are discretionary - Medical Examiners may decide to certify drivers who do
not meet medical guidelines. Most recommendations related to certification of specific medical
conditions are guidance
What are some medical standards for certifications that need to be done? - ANSWERS-Vision
requirements, including distant visual acuity, horizontal vision, and color vision. Drivers who do
not meet standards cannot be certified unless accompanied by a vision exemption/waiver.
Diabetes requirements: drivers using insulin cannot be certified unless special procedures for
evaluation and certification of such drivers are followed.
Epilepsy: drivers with a diagnosis of epilepsy cannot be certified unless accompanied by an
epilepsy waiver/exemption.
Hearing: drivers who cannot meet whisper test or audiometric test requirements cannot be
certified unless accompanied by a hearing waiver/exemption.
What are Turn around or short relay drivers? - ANSWERS-drivers return to their home base each
evening
what are Long relay drivers? - ANSWERS-drivers drive 9 to 11 hours and then have at least a 10-
hour off duty period)
What are Straight through haul drivers? - ANSWERS-cross country
What are Team drivers? - ANSWERS-drivers share the driving by alternating their 5-hour driving
periods and 5-hour rest periods
