NRCME (DOT) Exam 2022 with Correct
Answers Grade A+
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
Answers Grade A+
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
