NRCME (DOT) EXAM QUESTIONS &
ANSWERS 2026
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.
(Release is required for a copy of medical report form)
How many standards are used to determine driver fitness for duty? - ANSWER-13
How many standards of "driver fitness for duty" are *discretionary*? - ANSWER-9
(according to my review course)
- Other sources say 10 and say that T2DM is discretionary
, 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
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
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
ANSWERS 2026
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.
(Release is required for a copy of medical report form)
How many standards are used to determine driver fitness for duty? - ANSWER-13
How many standards of "driver fitness for duty" are *discretionary*? - ANSWER-9
(according to my review course)
- Other sources say 10 and say that T2DM is discretionary
, 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
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
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
