Page 1 of 140
FMCSA DOT Medical Examiner
Exam|300+ QUESTIONS AND
ANSWERS|NRCME DOT Exam |FMCSA
MEDICAL EXAMINER EXAM|MEW
UPDATE|100% VERIFIED| FMCSA
provides advisory criteria to assist the
medical examiner in determining
Q1. The primary purpose of Appendix A to 49 CFR Part 391 is
to:
A) Establish mandatory penalties for non-compliance by drivers
B) List the disqualifying medical conditions for all CMV drivers
C) Provide Medical Advisory Criteria to assist the medical
examiner in determining whether a driver meets the physical
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qualification standards
D) Outline the process for obtaining a Skill Performance
Evaluation (SPE) certificate
Answer: C
Rationale: Appendix A to Part 391 contains the Federal Motor
Carrier Safety Administration's (FMCSA) recommendations and
guidance in the form of Medical Advisory Criteria to help medical
examiners assess a driver's physical qualification, not to impose
mandatory requirements.
Q2. 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 (NRCME)
C) Any nurse practitioner
D) A chiropractor with special training
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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.
Q3. 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;
Part 382 covers controlled substances; Part 395 covers hours of
service.*
, Page 4 of 140
Q4. According to 49 CFR Appendix A to Part 391, unless an
individual possesses a skill performance evaluation (SPE)
certificate, loss of which structure precludes physical
qualification?
A) A kidney
B) A foot, a leg, a hand, or an arm
C) A finger or toe
D) An eye
Answer: B
Rationale: Appendix A to Part 391 states: "Unless an individual
possesses a skill performance evaluation certificate, loss of a foot,
a leg, a hand, or an arm precludes physical qualification."
Q5. The NRCME certification test has how many multiple-
choice questions in total?
A) 100
B) 120
FMCSA DOT Medical Examiner
Exam|300+ QUESTIONS AND
ANSWERS|NRCME DOT Exam |FMCSA
MEDICAL EXAMINER EXAM|MEW
UPDATE|100% VERIFIED| FMCSA
provides advisory criteria to assist the
medical examiner in determining
Q1. The primary purpose of Appendix A to 49 CFR Part 391 is
to:
A) Establish mandatory penalties for non-compliance by drivers
B) List the disqualifying medical conditions for all CMV drivers
C) Provide Medical Advisory Criteria to assist the medical
examiner in determining whether a driver meets the physical
,Page 2 of 140
qualification standards
D) Outline the process for obtaining a Skill Performance
Evaluation (SPE) certificate
Answer: C
Rationale: Appendix A to Part 391 contains the Federal Motor
Carrier Safety Administration's (FMCSA) recommendations and
guidance in the form of Medical Advisory Criteria to help medical
examiners assess a driver's physical qualification, not to impose
mandatory requirements.
Q2. 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 (NRCME)
C) Any nurse practitioner
D) A chiropractor with special training
,Page 3 of 140
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.
Q3. 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;
Part 382 covers controlled substances; Part 395 covers hours of
service.*
, Page 4 of 140
Q4. According to 49 CFR Appendix A to Part 391, unless an
individual possesses a skill performance evaluation (SPE)
certificate, loss of which structure precludes physical
qualification?
A) A kidney
B) A foot, a leg, a hand, or an arm
C) A finger or toe
D) An eye
Answer: B
Rationale: Appendix A to Part 391 states: "Unless an individual
possesses a skill performance evaluation certificate, loss of a foot,
a leg, a hand, or an arm precludes physical qualification."
Q5. The NRCME certification test has how many multiple-
choice questions in total?
A) 100
B) 120
