NCRME (DOT) EXAM 2025 / NCRME EXAM TEST BANK ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which of the following is a requirement for a driver with a history of alcoholism to be certified?
A) No residual disqualifying physical impairment
B) Successful treatment with naltrexone
C) Currently in counseling and/or treatment
D) No more than one current alcohol-related disorder - ANSWER-A) Treatment with naltrexone is
not required for driver certification for a driver with a history of alcoholism. A driver with a history of
alcoholism must have completed counseling and/or treatment and must not have a current alcohol-
related disorder in order to be certified.
Which of the following is a disqualifying condition?
A) A past clinical diagnosis of alcoholism
B) A breath alcohol result of 0.019%
2|Page
C) An alcohol-related stable physical condition, regardless of the time element
D) Use of methadone - ANSWER-D) A current diagnosis of alcoholism is disqualifying. A breath
alcohol result of 0.02% or higher renders the driver unqualified to drive. An alcohol-related unstable
physical condition is disqualifying.
Ongoing voluntary attendance at self-help groups (e.g. 12 step programs) for maintenance of recovery
from alcoholism:
A) Is required for all drivers recovering from alcoholism
B) Is disqualifying
C) Is allowed but not required for drivers recovering from alcoholism
D) Fulfills the requirement for rehabilitation following a violation of alcohol rules. - ANSWER-C) 12-
step or similar programs do not fulfill rehabiliation requirements for drivers with a violation of alcohol
,(or drug) regulations. Participation in such programs is allowed, but not required, and is not
disqualifying.
Which of the following is a mental health professional that the medial examiner may refer to or consult
with?
1) Breath alcohol technician (BAT)
3|Page
2) Designated employer representative (DER)
3) Medical review officer (MRO)
4) Substance abuse professional (SAP)
A) 1, 2, and 3
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
E) all of the above - ANSWER-According to the FMCSA, all of these are defined as mental health
professionals
The maximal certification internal for a driver with a history of drug abuse or alcoholism is
A) Six months
B) One year
C) Two years
D) Do not certify - ANSWER-C) Drivers with a history of drug abuse or alcoholism may be certified
forup to two years. Drivers may be subject to drug and/or alcohol testing more frequently, but such
testing is performed under 49 CFR Part 40 drug and alcohol testing regulations, not under 49 CFR Part
391.41 driver qualification standards
4|Page
,Which of the following is true?
A) One of the requirements for the CMV drier physical examination is testing for controlled
substances
B) A driver taking multiple medications reports daily, regular or moderate use of alcohol. The
Medical Examiner should evaluate the possibility of medication interactions with alcohol that may cause
impairment
C) Even in remission, alcoholism is disabling for the CMV driver
D) Use of Schedule I drugs is not disqualifying - ANSWER-B) Testing for controlled substances if not
required for the CMV driver examination. Alcoholism in remission is not a disqualifying condition. Use of
Schedule I drugs is disqualifying.
Ongoing attendance at self-help groups
A) Fulfills the requirement to complete a rehabilitation program
B) Is not disqualifying when used for maintenance of recovery
C) Eliminates the need for follow-up testing
D) Is mandated by the FMCSA - ANSWER-B) Attendance at self-help groups is to disqualifying but
does not fulfill the requirement for participation ina rehabilitation program. Follow-
5|Page
up testing must be performed according to FMCSA guidelines, regardless of participation in a self-help
group. The Substance Abuse Professional (SAP) determines the need for attendance at self-help groups
as a condition of return to work as a CMV driver.
A driver taking methadone for substance abuse treatment may be certified for three months.
A) True
B) False - ANSWER-B) False, methadone is disqualifying
Schedule I drugs, including marijuana or medical marijuana, are disqualifying
A) True
B) False - ANSWER-A) Driver's taking Schedule I drugs are disqualifying
, Recertification o the driver disqualifying for alcohol abuse requires the driver to
A) Have an evaluation y a substance abuse professional (SAP)
B) Have a referral by the driver's primary care physican stating the driver is attending a self-help
group
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C) Have a complete physical examination
D) Have a drug test - ANSWER-A) A driver disqualified for alcohol abuse must be evaluated by a
substance abuse professional prior to return to duty and complete any rehabilitation program
recommended by the substance abuse professional. The driver also must undergo return to duty alcohol
testing.
The Medical Examiner should be familiar with DOT drug and alcohol testing requirements as outlined in:
A) 49 CFR Part 40
B) 40 CFR Part 38
C) 49 CFR Part 66
D) 49 CFR Part 12 - ANSWER-A) DOT drug and alcohol testing regulations are described in 49 CFR
Part 40
If the Substance Abuse Professional determines that current alcoholism exists, the driver is not qualified
to drive a commercial motor vehicle in interstate commerce
A) True
B) False - ANSWER-A) Drivers with a current diagnosis of alcoholis are disqualified
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The impairment benchmark for FMCSA for alcohol is
A) 0.01
B) 0.03
C) 0.04
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
Which of the following is a requirement for a driver with a history of alcoholism to be certified?
A) No residual disqualifying physical impairment
B) Successful treatment with naltrexone
C) Currently in counseling and/or treatment
D) No more than one current alcohol-related disorder - ANSWER-A) Treatment with naltrexone is
not required for driver certification for a driver with a history of alcoholism. A driver with a history of
alcoholism must have completed counseling and/or treatment and must not have a current alcohol-
related disorder in order to be certified.
Which of the following is a disqualifying condition?
A) A past clinical diagnosis of alcoholism
B) A breath alcohol result of 0.019%
2|Page
C) An alcohol-related stable physical condition, regardless of the time element
D) Use of methadone - ANSWER-D) A current diagnosis of alcoholism is disqualifying. A breath
alcohol result of 0.02% or higher renders the driver unqualified to drive. An alcohol-related unstable
physical condition is disqualifying.
Ongoing voluntary attendance at self-help groups (e.g. 12 step programs) for maintenance of recovery
from alcoholism:
A) Is required for all drivers recovering from alcoholism
B) Is disqualifying
C) Is allowed but not required for drivers recovering from alcoholism
D) Fulfills the requirement for rehabilitation following a violation of alcohol rules. - ANSWER-C) 12-
step or similar programs do not fulfill rehabiliation requirements for drivers with a violation of alcohol
,(or drug) regulations. Participation in such programs is allowed, but not required, and is not
disqualifying.
Which of the following is a mental health professional that the medial examiner may refer to or consult
with?
1) Breath alcohol technician (BAT)
3|Page
2) Designated employer representative (DER)
3) Medical review officer (MRO)
4) Substance abuse professional (SAP)
A) 1, 2, and 3
B) 1 and 3 only
C) 2 and 4 only
D) 4 only
E) all of the above - ANSWER-According to the FMCSA, all of these are defined as mental health
professionals
The maximal certification internal for a driver with a history of drug abuse or alcoholism is
A) Six months
B) One year
C) Two years
D) Do not certify - ANSWER-C) Drivers with a history of drug abuse or alcoholism may be certified
forup to two years. Drivers may be subject to drug and/or alcohol testing more frequently, but such
testing is performed under 49 CFR Part 40 drug and alcohol testing regulations, not under 49 CFR Part
391.41 driver qualification standards
4|Page
,Which of the following is true?
A) One of the requirements for the CMV drier physical examination is testing for controlled
substances
B) A driver taking multiple medications reports daily, regular or moderate use of alcohol. The
Medical Examiner should evaluate the possibility of medication interactions with alcohol that may cause
impairment
C) Even in remission, alcoholism is disabling for the CMV driver
D) Use of Schedule I drugs is not disqualifying - ANSWER-B) Testing for controlled substances if not
required for the CMV driver examination. Alcoholism in remission is not a disqualifying condition. Use of
Schedule I drugs is disqualifying.
Ongoing attendance at self-help groups
A) Fulfills the requirement to complete a rehabilitation program
B) Is not disqualifying when used for maintenance of recovery
C) Eliminates the need for follow-up testing
D) Is mandated by the FMCSA - ANSWER-B) Attendance at self-help groups is to disqualifying but
does not fulfill the requirement for participation ina rehabilitation program. Follow-
5|Page
up testing must be performed according to FMCSA guidelines, regardless of participation in a self-help
group. The Substance Abuse Professional (SAP) determines the need for attendance at self-help groups
as a condition of return to work as a CMV driver.
A driver taking methadone for substance abuse treatment may be certified for three months.
A) True
B) False - ANSWER-B) False, methadone is disqualifying
Schedule I drugs, including marijuana or medical marijuana, are disqualifying
A) True
B) False - ANSWER-A) Driver's taking Schedule I drugs are disqualifying
, Recertification o the driver disqualifying for alcohol abuse requires the driver to
A) Have an evaluation y a substance abuse professional (SAP)
B) Have a referral by the driver's primary care physican stating the driver is attending a self-help
group
6|Page
C) Have a complete physical examination
D) Have a drug test - ANSWER-A) A driver disqualified for alcohol abuse must be evaluated by a
substance abuse professional prior to return to duty and complete any rehabilitation program
recommended by the substance abuse professional. The driver also must undergo return to duty alcohol
testing.
The Medical Examiner should be familiar with DOT drug and alcohol testing requirements as outlined in:
A) 49 CFR Part 40
B) 40 CFR Part 38
C) 49 CFR Part 66
D) 49 CFR Part 12 - ANSWER-A) DOT drug and alcohol testing regulations are described in 49 CFR
Part 40
If the Substance Abuse Professional determines that current alcoholism exists, the driver is not qualified
to drive a commercial motor vehicle in interstate commerce
A) True
B) False - ANSWER-A) Drivers with a current diagnosis of alcoholis are disqualified
7|Page
The impairment benchmark for FMCSA for alcohol is
A) 0.01
B) 0.03
C) 0.04
