NRCME DOT CERTIFICATION TEST PAPER
2026 SOLVED QUESTIONS AND ANSWERS
COMPREHENSIVE PRACTICE SET GRADED
A+
⩥ 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.
(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
2026 SOLVED QUESTIONS AND ANSWERS
COMPREHENSIVE PRACTICE SET GRADED
A+
⩥ 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.
(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
