NRCME (DOT) Exam Questions and
answers, Rated A+. updated
FMCSA Mission Statement - ✔✔To reduce crashes, injuries, fatalities involving large trucks/buses
Medical Examiner - ✔✔Licensed, certified, registered provider
...
NRCME (DOT) Exam Questions and
answers, Rated A+. updated
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? - ✔✔2nd gen
- Nonsedating
A driver must wait ___ hours after taking a sedating med before driving - ✔✔12+ hours
Urine drug testing includes: - ✔✔M
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