NRCME (DOT) Exam 2024 with complete
solutions
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 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)
solutions
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 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)
