Page 1 of 133
DOT Medical Examiner Testing| 200
QUESTIONS AND ANSWERS|NRCME DOT
Exam|FMCSA MEDICAL EXAMINER
EXAM|MEW UPDATE|100% VERIFIED|
Q1. The physical qualification standards for commercial motor
vehicle (CMV) drivers are found in which section of the Code
of Federal Regulations?
A) 49 CFR Part 40
B) 49 CFR § 391.41
C) 49 CFR § 382.103
D) 49 CFR § 395.3
Answer: B
*Rationale: 49 CFR § 391.41 establishes the physical
qualifications for drivers. Part 40 covers drug/alcohol testing,
,Page 2 of 133
Part 382 covers controlled substances, Part 395 covers hours of
service.*
Q2. A driver subject to 49 CFR Part 391 must have on their
person, when on-duty, a current medical examiner's certificate
unless they are a CDL/CLP holder who has submitted the
certificate to the State and the date is:
A) Before January 30, 2015
B) Between January 30, 2015 and June 21, 2021
C) On or after June 22, 2021
D) No such exception exists
Answer: C
*Rationale: On or after June 22, 2021, CDL/CLP holders who
have submitted their medical certificate to the State no longer
need to carry it on their person.*
Q3. If a driver has a medical variance from FMCSA (e.g., an
exemption letter or SPE certificate), what must they carry
,Page 3 of 133
while on-duty?
A) Only the medical examiner's certificate
B) A copy of the variance documentation in addition to the
medical examiner's certificate
C) Nothing beyond their CDL
D) Only the variance documentation without the medical
certificate
Answer: B
Rationale: Drivers with a medical variance must carry a copy of the
variance documentation when on-duty.
Q4. Under 49 CFR § 391.43, who may perform the medical
examination of a CMV driver?
A) Any licensed physician
B) A medical examiner listed on the FMCSA National Registry
of Certified Medical Examiners
, Page 4 of 133
C) Any nurse practitioner
D) A chiropractor
Answer: B
Rationale: The medical examination must be performed by a
medical examiner listed on the National Registry of Certified
Medical Examiners under 49 CFR Part 390 Subpart D.
Q5. A licensed optometrist may perform which portion of the
medical examination?
A) The entire examination
B) Only the parts pertaining to visual acuity, field of vision,
and color recognition
C) Only the hearing test
D) No portion; only physicians may perform any part
Answer: B
Rationale: A licensed optometrist may perform so much of the
DOT Medical Examiner Testing| 200
QUESTIONS AND ANSWERS|NRCME DOT
Exam|FMCSA MEDICAL EXAMINER
EXAM|MEW UPDATE|100% VERIFIED|
Q1. The physical qualification standards for commercial motor
vehicle (CMV) drivers are found in which section of the Code
of Federal Regulations?
A) 49 CFR Part 40
B) 49 CFR § 391.41
C) 49 CFR § 382.103
D) 49 CFR § 395.3
Answer: B
*Rationale: 49 CFR § 391.41 establishes the physical
qualifications for drivers. Part 40 covers drug/alcohol testing,
,Page 2 of 133
Part 382 covers controlled substances, Part 395 covers hours of
service.*
Q2. A driver subject to 49 CFR Part 391 must have on their
person, when on-duty, a current medical examiner's certificate
unless they are a CDL/CLP holder who has submitted the
certificate to the State and the date is:
A) Before January 30, 2015
B) Between January 30, 2015 and June 21, 2021
C) On or after June 22, 2021
D) No such exception exists
Answer: C
*Rationale: On or after June 22, 2021, CDL/CLP holders who
have submitted their medical certificate to the State no longer
need to carry it on their person.*
Q3. If a driver has a medical variance from FMCSA (e.g., an
exemption letter or SPE certificate), what must they carry
,Page 3 of 133
while on-duty?
A) Only the medical examiner's certificate
B) A copy of the variance documentation in addition to the
medical examiner's certificate
C) Nothing beyond their CDL
D) Only the variance documentation without the medical
certificate
Answer: B
Rationale: Drivers with a medical variance must carry a copy of the
variance documentation when on-duty.
Q4. Under 49 CFR § 391.43, who may perform the medical
examination of a CMV driver?
A) Any licensed physician
B) A medical examiner listed on the FMCSA National Registry
of Certified Medical Examiners
, Page 4 of 133
C) Any nurse practitioner
D) A chiropractor
Answer: B
Rationale: The medical examination must be performed by a
medical examiner listed on the National Registry of Certified
Medical Examiners under 49 CFR Part 390 Subpart D.
Q5. A licensed optometrist may perform which portion of the
medical examination?
A) The entire examination
B) Only the parts pertaining to visual acuity, field of vision,
and color recognition
C) Only the hearing test
D) No portion; only physicians may perform any part
Answer: B
Rationale: A licensed optometrist may perform so much of the
