NRCME (DOT) Exam Questions and Verified Answers -
Latest 2022/2023
FMCSA Mission Statement
To reduce crashes, injuries, fatalities involving large trucks/buses
Medical Examiner
Licensed, certified, registered provider who can perform PEs in accordance with laws
and regulations ; registered through NRS ; has unique identifier ; passes MEC test
FMCSA
Federal Motor Carrier Safety Administration
NRCME
National Registry of Certified Medical Examiners
Commerical Motor Vehicle
Weight >1000 lb ; or transports >8 people for compensation ; or >15 people without
compensation ; transports hazardous materials requiring placarding
Interstate commerce
vs.
Intrastate commerce
Interstate: multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of substance abuse for
drivers?
SAP (Substance Abuse Professional)
Who determines the origin of abnormal drug test results, determining whether the
driver has violated drug use regulations?
Medical Review Officer
Title 49 CFR 391.41
Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
Title 49 CFR 391.43
Describes responsibilities of Medical Examiner, instructions for exam, and requirements
for medical certification
- Supporting information to explain 391.41
When was DOT established?
1966
Became separate entity on Jan 1, 2000
Motor Carrier Safety Improvement Act of 1999
Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991
, Required drug testing for drivers
The driver must always keep a copy of ____________________ with them while
driving
Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you release their Medical
Certification?
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?
13
How many standards of "driver fitness for duty" are discretionary?
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?
4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Age requirement for drivers
21+
Language requirement for drivers
Must be able to read/speak English well enough to read signs, communicate
Height/weight requirement for drivers
There is none
What is tested for in urine?
USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical
Certificate?
3 years
After a reading of Stage 3 hypertension, how often can a driver be certified?
Only every 6 months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
- May certify Q1 year post surgical correction of secondary HTN
Which generation of antihistamines should be used for drivers?
Latest 2022/2023
FMCSA Mission Statement
To reduce crashes, injuries, fatalities involving large trucks/buses
Medical Examiner
Licensed, certified, registered provider who can perform PEs in accordance with laws
and regulations ; registered through NRS ; has unique identifier ; passes MEC test
FMCSA
Federal Motor Carrier Safety Administration
NRCME
National Registry of Certified Medical Examiners
Commerical Motor Vehicle
Weight >1000 lb ; or transports >8 people for compensation ; or >15 people without
compensation ; transports hazardous materials requiring placarding
Interstate commerce
vs.
Intrastate commerce
Interstate: multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of substance abuse for
drivers?
SAP (Substance Abuse Professional)
Who determines the origin of abnormal drug test results, determining whether the
driver has violated drug use regulations?
Medical Review Officer
Title 49 CFR 391.41
Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
Title 49 CFR 391.43
Describes responsibilities of Medical Examiner, instructions for exam, and requirements
for medical certification
- Supporting information to explain 391.41
When was DOT established?
1966
Became separate entity on Jan 1, 2000
Motor Carrier Safety Improvement Act of 1999
Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991
, Required drug testing for drivers
The driver must always keep a copy of ____________________ with them while
driving
Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you release their Medical
Certification?
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?
13
How many standards of "driver fitness for duty" are discretionary?
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?
4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Age requirement for drivers
21+
Language requirement for drivers
Must be able to read/speak English well enough to read signs, communicate
Height/weight requirement for drivers
There is none
What is tested for in urine?
USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical
Certificate?
3 years
After a reading of Stage 3 hypertension, how often can a driver be certified?
Only every 6 months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
- May certify Q1 year post surgical correction of secondary HTN
Which generation of antihistamines should be used for drivers?
