NRCME (DOT) Exam 2024
FMCSA Mission Statement - Answer-To reduce crashes, injuries, fatalities involving large trucks/buses
Medical Examiner - Answer-Licensed, certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique id...
Medical Examiner - Answer-Licensed, certified, registered provider who can perform
PEs in accordance with laws and regulations ; registered through NRS ; has unique
identifier ; passes MEC test
FMCSA - Answer-Federal Motor Carrier Safety Administration
NRCME - Answer-National Registry of Certified Medical Examiners
Commerical Motor Vehicle - Answer-Weight >1000 lb ; or transports >8 people for
compensation ; or >15 people without compensation ; transports hazardous
materials requiring placarding
Interstate commerce
vs.
Intrastate commerce - Answer-Interstate: multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of substance abuse for drivers?
- Answer-SAP (Substance Abuse Professional)
Who determines the origin of abnormal drug test results, determining whether the
driver has violated drug use regulations? - Answer-Medical Review Officer
Title 49 CFR 391.41 - Answer-Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
Title 49 CFR 391.43 - Answer-Describes responsibilities of Medical Examiner,
instructions for exam, and requirements for medical certification
- Supporting information to explain 391.41
When was DOT established? - Answer-1966
Became separate entity on Jan 1, 2000
Motor Carrier Safety Improvement Act of 1999 - Answer-Established DOT as
separate federal entity
, Omnibus Transportation Employee Testing Act of 1991 - Answer-Required drug
testing for drivers
The driver must always keep a copy of ____________________ with them while
driving - Answer-Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you release their Medical
Certification? - Answer-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? - Answer-13
How many standards of "driver fitness for duty" are *discretionary*? - Answer-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*? - Answer-
4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Age requirement for drivers - Answer-21+
Language requirement for drivers - Answer-Must be able to read/speak English well
enough to read signs, communicate
Height/weight requirement for drivers - Answer-There is none
What is tested for in urine? - Answer-USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical
Certificate? - Answer-3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? -
Answer-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
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