• 112 questions

NRCME Practice Test

Unofficial questions for the medical examiner certification test, each answered with the 49 CFR section behind it.

How long after it is issued does an FMCSA medical examiner certification credential expire?

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Unofficial practice questions, not affiliated with the Federal Motor Carrier Safety Administration (FMCSA). Bank checked October 9, 2026.

The real test, as the federal rule describes it

Who may sit it
A person licensed, certified or registered under State law to perform physical examinations, who has registered on the National Registry and completed the train
Where
At a testing organization that meets 49 CFR 390.107. FMCSA provides the test; its National Registry site lists the approved organizations.
Deadline
The test information must reach FMCSA no more than 3 years after the training is completed (49 CFR 390.103(a)(4)).
Credential
Expires 10 years after issue. Training is due again between years 4 and 5, and training plus the test between years 9 and 10 (49 CFR 390.109 and 390.111(a)(5)).
Length, time, pass mark
Not stated in 49 CFR part 390 subpart D or on the public National Registry pages read for this page, so none is given here.

Checked October 9, 2026 against 49 CFR part 390 subpart D, eCFR text of October 5, 2026. Rules change, so confirm with the agency itself before your test.

FMCSA's National Registry site

Next step The driver's side: CDL general knowledge

All 112 questions

Examiner's role and the Registry 12

  • A medical examiner receives a notice of proposed removal from the National Registry. By when must any written response be submitted to FMCSA? 49 CFR 390.115(c). Outline: 49 CFR 390.105(b)(1), the examiner's role.
  • The applicant's completed test information must be forwarded to FMCSA no more than how long after the training program is completed? 49 CFR 390.103(a)(4). Outline: 49 CFR 390.105(b)(1), the examiner's role.
  • How does Appendix A to 49 CFR part 391 describe the legal weight of its Medical Advisory Criteria? Appendix A to 49 CFR part 391, part I. Outline: 49 CFR 390.105(b)(1), the examiner's role.
  • How long after it is issued does an FMCSA medical examiner certification credential expire? 49 CFR 390.109. Outline: 49 CFR 390.105(b)(1), the examiner's role.
  • Under 49 CFR 390.5T, who is a "medical examiner"? 49 CFR 390.5T, definition of medical examiner. Outline: 49 CFR 390.105(b)(1), the examiner's role.
  • What does 49 CFR 390.101 say the National Registry of Certified Medical Examiners is designed to improve? 49 CFR 390.101(a). Outline: 49 CFR 390.105(b)(1), the examiner's role.
Show all 112 questions (106 more)

Examiner's role and the Registry, continued

  • What does 49 CFR 390.111 require of an examiner between 9 and 10 years after the credential was issued? 49 CFR 390.111(a)(5)(ii). Outline: 49 CFR 390.105(b)(1), the examiner's role.
  • What must an applicant do before taking the training required by 49 CFR 390.105? 49 CFR 390.103(a)(2). Outline: 49 CFR 390.105(b)(1), the examiner's role.
  • When must a certified medical examiner complete the first periodic training after the credential is issued? 49 CFR 390.111(a)(5)(i). Outline: 49 CFR 390.105(b)(1), the examiner's role.
  • Which of these is a reason FMCSA may remove an examiner from the National Registry under 49 CFR 390.113? 49 CFR 390.113(c). Outline: 49 CFR 390.105(b)(1), the examiner's role.
  • Which profession does 49 CFR 390.103(a)(1) name among those who may apply for medical examiner certification? 49 CFR 390.103(a)(1). Outline: 49 CFR 390.105(b)(1), the examiner's role.
  • Whose medical examinations may a certified VA medical examiner perform under 49 CFR 391.43(b)(2)? 49 CFR 391.43(b)(2). Outline: 49 CFR 390.105(b)(1), the examiner's role.

The work of driving 12

  • A Skill Performance Evaluation certificate covers the power unit. By the notice in 49 CFR 391.49(j)(2), who evaluates the driver on the trailer type to be hauled? 49 CFR 391.49(j)(2). Outline: 49 CFR 390.105(b)(2), the work of commercial driving.
  • A U.S. driver is medically certified on the strength of an FMCSA exemption. By the note in 49 CFR 391.41(a)(1)(i), that driver is: 49 CFR 391.41(a)(1)(i), note. Outline: 49 CFR 390.105(b)(2), the work of commercial driving.
  • Drivers of which vehicles are outside the physical qualification rules of 49 CFR part 391 subpart E, under section 391.2(d)? 49 CFR 391.2(d). Outline: 49 CFR 390.105(b)(2), the work of commercial driving.
  • For the intracity zone exemption in 49 CFR 391.62, what must the examining physician have determined about the driver's condition? 49 CFR 391.62(e)(3). Outline: 49 CFR 390.105(b)(2), the work of commercial driving.
  • In a conflict of medical evaluation under 49 CFR 391.47(b)(5), what must the specialist have been given besides the driver's medical history? 49 CFR 391.47(b)(5). Outline: 49 CFR 390.105(b)(2), the work of commercial driving.
  • Under 49 CFR 390.5T, a vehicle used on a highway in interstate commerce is a commercial motor vehicle when its gross vehicle weight rating is at least: 49 CFR 390.5T, definition of commercial motor vehicle. Outline: 49 CFR 390.105(b)(2), the work of commercial driving.
  • What does 49 CFR 392.3 forbid? 49 CFR 392.3. Outline: 49 CFR 390.105(b)(2), the work of commercial driving.
  • What does Appendix A call critical when assessing a driver's mental alertness for the stresses of commercial driving? Appendix A to 49 CFR part 391, criteria H for 391.41(b)(9). Outline: 49 CFR 390.105(b)(2), the work of commercial driving.
  • What must medical examiners be knowledgeable of under 49 CFR 391.43(c)(1)? 49 CFR 391.43(c)(1). Outline: 49 CFR 390.105(b)(2), the work of commercial driving.
  • What must the specialist be given before writing the medical evaluation summary for a Skill Performance Evaluation application (49 CFR 391.49(d)(3))? 49 CFR 391.49(d)(3). Outline: 49 CFR 390.105(b)(2), the work of commercial driving.
  • Which document does the note in 49 CFR 391.41(a)(1)(i) recognize as proof of medical fitness for a driver from Canada? 49 CFR 391.41(a)(1)(i), note. Outline: 49 CFR 390.105(b)(2), the work of commercial driving.
  • Which vehicle is a commercial motor vehicle under 49 CFR 390.5T whatever it weighs? 49 CFR 390.5T, definition of commercial motor vehicle. Outline: 49 CFR 390.105(b)(2), the work of commercial driving.

Driver history and medicines 10

  • A driver authorized under 49 CFR 391.62 to drive only within an exempt intracity zone comes for an examination. What must the driver give the examiner under section 391.43(d)? 49 CFR 391.43(d). Outline: 49 CFR 390.105(b)(3), identification, history and medicines.
  • A driver takes a Schedule II medicine by prescription. What does the exception in 49 CFR 391.41(b)(12)(ii) require of the prescriber? 49 CFR 391.41(b)(12)(ii). Outline: 49 CFR 390.105(b)(3), identification, history and medicines.
  • A driver's history shows antiseizure medication taken to prevent seizures. By Appendix A, that driver is: Appendix A to 49 CFR part 391, criteria G for 391.41(b)(8). Outline: 49 CFR 390.105(b)(3), identification, history and medicines.
  • After a severe hypoglycemic episode, a treating clinician completes a new MCSA-5870 for the driver. What must the driver do with it under 49 CFR 391.46(e)(2)? 49 CFR 391.46(e)(2). Outline: 49 CFR 390.105(b)(3), identification, history and medicines.
  • Appendix A gives which example of when an examiner may request a non-DOT alcohol test? Appendix A to 49 CFR part 391, criteria K for 391.41(b)(13). Outline: 49 CFR 390.105(b)(3), identification, history and medicines.
  • Appendix A says "current clinical diagnosis of" alcoholism in 49 CFR 391.41(b)(13) covers a current alcoholic illness and what else? Appendix A to 49 CFR part 391, criteria K for 391.41(b)(13). Outline: 49 CFR 390.105(b)(3), identification, history and medicines.
  • By Appendix A, when does a driver have an "established history" of an arthritic or neuromuscular disease for 49 CFR 391.41(b)(7)? Appendix A to 49 CFR part 391, criteria F for 391.41(b)(7). Outline: 49 CFR 390.105(b)(3), identification, history and medicines.
  • By the advisory criteria in Appendix A, why can an examiner not qualify a driver who uses a Schedule I substance? Appendix A to 49 CFR part 391, criteria J for 391.41(b)(12). Outline: 49 CFR 390.105(b)(3), identification, history and medicines.
  • Which medical history does 49 CFR 391.41(b)(3) make disqualifying unless the driver meets section 391.46? 49 CFR 391.41(b)(3). Outline: 49 CFR 390.105(b)(3), identification, history and medicines.
  • Which optional form does Appendix A name for obtaining the prescriber's information, with the driver's consent? Appendix A to 49 CFR part 391, criteria J for 391.41(b)(12). Outline: 49 CFR 390.105(b)(3), identification, history and medicines.

The examination 16

  • A driver cannot meet the hearing standard even with a hearing aid and needs a federal hearing exemption. By Appendix A, which box is selected on the forms? Appendix A to 49 CFR part 391, criteria I for 391.41(b)(11). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • A driver has lost two fingers of one hand. Under which standard does Appendix A say this should be evaluated? Appendix A to 49 CFR part 391, criteria B for 391.41(b)(2). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • A driver's horizontal field of vision measures 70 degrees in one eye and 55 degrees in the other. Under 49 CFR 391.41(b)(10)(ii), which provision may still let the driver qualify? 49 CFR 391.41(b)(10)(ii). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • Appendix A converts an ISO audiometric result at 500 Hz to the ANSI standard by subtracting: Appendix A to 49 CFR part 391, criteria I for 391.41(b)(11). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • Appendix A says an elevated blood pressure finding should be confirmed by: Appendix A to 49 CFR part 391, criteria E for 391.41(b)(6). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • By Appendix A, loss of how many fingers counts as loss of a hand under 49 CFR 391.41(b)(1)? Appendix A to 49 CFR part 391, criteria A for 391.41(b)(1). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • By Appendix A, what follows when a driver fails the whispered voice test in both ears? Appendix A to 49 CFR part 391, criteria I for 391.41(b)(11). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • How is the driver placed for the whispered voice test described in Appendix A? Appendix A to 49 CFR part 391, criteria I for 391.41(b)(11). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • On which form are the results of the medical examination recorded under 49 CFR 391.43(f)? 49 CFR 391.43(f). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • Under 49 CFR 391.41(b)(11), the audiometric average is taken at which three frequencies? 49 CFR 391.41(b)(11). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • What does 49 CFR 391.41(b)(2)(i) ask about an impaired hand or finger? 49 CFR 391.41(b)(2)(i). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • What does the examiner whisper in Appendix A's whispered voice test? Appendix A to 49 CFR part 391, criteria I for 391.41(b)(11). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • When hearing is tested with an audiometric device under 49 CFR 391.41(b)(11), the average loss in the better ear must not be greater than: 49 CFR 391.41(b)(11). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • When the examination is complete, what must the examiner put on the Medical Examination Report besides the date and signature (49 CFR 391.43(g)(1))? 49 CFR 391.43(g)(1). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • Which of these is on Appendix A's list of conditions that interfere with oxygen exchange? Appendix A to 49 CFR part 391, criteria D for 391.41(b)(5). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.
  • With glasses a driver reads 20/40 with the right eye, 20/50 with the left eye and 20/40 with both eyes. Under 49 CFR 391.41(b)(10)(i), which finding falls short? 49 CFR 391.41(b)(10)(i). Outline: 49 CFR 390.105(b)(4), performing and documenting the examination.

Further tests and specialists 13

  • An examiner is unsure whether to qualify a driver with a diagnosis of a seizure disorder. What does Appendix A allow? Appendix A to 49 CFR part 391, criteria G for 391.41(b)(8). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • By Appendix A, evaluation for secondary hypertension is warranted when a driver stays hypertensive on: Appendix A to 49 CFR part 391, criteria E for 391.41(b)(6). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • By Appendix A, is a substance abuse professional required when an examiner requests a non-DOT drug test? Appendix A to 49 CFR part 391, criteria J for 391.41(b)(12). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • By Appendix A, what should an examiner do on detecting a possible undiagnosed respiratory dysfunction likely to affect safe driving? Appendix A to 49 CFR part 391, criteria D for 391.41(b)(5). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • The driver's examiner and the motor carrier's examiner disagree. An application under 49 CFR 391.47 must include the opinion of: 49 CFR 391.47(b)(3). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • For a single unprovoked loss of consciousness found not to be a seizure, Appendix A says the examiner should decide in consultation with: Appendix A to 49 CFR part 391, criteria G for 391.41(b)(8). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • In weighing the treating clinician's assessment form, 49 CFR 391.46(c)(2) has the medical examiner use: 49 CFR 391.46(c)(2). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • The medical examination under 49 CFR 391.44(c) must begin not more than how long after the Vision Evaluation Report is signed and dated? 49 CFR 391.44(c). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • What becomes of the completed MCSA-5870 once the medical examiner receives it (49 CFR 391.46(c)(1))? 49 CFR 391.46(c)(1). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • Which form does the treating clinician complete for a driver whose diabetes is treated with insulin? 49 CFR 391.46(b)(1). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • Which form must the eye specialist complete for a driver who does not meet the vision standard in the worse eye (49 CFR 391.44(b)(1))? 49 CFR 391.44(b)(1). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • Who is the "treating clinician" in 49 CFR 391.46(b)? 49 CFR 391.46(b). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.
  • Who may complete the medical evaluation summary that goes with an application for a Skill Performance Evaluation certificate (49 CFR 391.49(d)(3))? 49 CFR 391.49(d)(3). Outline: 49 CFR 390.105(b)(5), further tests and specialist opinion.

Educating the driver 9

  • A certified driver whose diabetes is treated with insulin has a severe hypoglycemic episode. Under 49 CFR 391.46(e)(1), the driver: 49 CFR 391.46(e)(1). Outline: 49 CFR 390.105(b)(6), informing and educating the operator.
  • A driver qualifies under the alternative vision standard for the first time. Under 49 CFR 391.44(d)(1), apart from the listed exceptions, the driver must: 49 CFR 391.44(d)(1). Outline: 49 CFR 390.105(b)(6), informing and educating the operator.
  • Appendix A's hypertension criteria say individuals should be alerted that: Appendix A to 49 CFR part 391, criteria E for 391.41(b)(6). Outline: 49 CFR 390.105(b)(6), informing and educating the operator.
  • By Appendix A, where does a driver who does not meet the federal hearing standard get an application for a hearing exemption? Appendix A to 49 CFR part 391, criteria I for 391.41(b)(11). Outline: 49 CFR 390.105(b)(6), informing and educating the operator.
  • How does 49 CFR 391.46(e)(1) define a severe hypoglycemic episode? 49 CFR 391.46(e)(1). Outline: 49 CFR 390.105(b)(6), informing and educating the operator.
  • What kind of glucometer must an insulin-treated driver use for self-monitoring records under 49 CFR 391.46(d)? 49 CFR 391.46(d). Outline: 49 CFR 390.105(b)(6), informing and educating the operator.
  • What must an examiner tell a person found not physically qualified, on or after June 23, 2025 (49 CFR 391.43(g)(3))? 49 CFR 391.43(g)(3). Outline: 49 CFR 390.105(b)(6), informing and educating the operator.
  • What must an insulin-treated driver bring to each evaluation by the treating clinician (49 CFR 391.46(d))? 49 CFR 391.46(d). Outline: 49 CFR 390.105(b)(6), informing and educating the operator.
  • Which side effects of antihypertensive medicines does Appendix A name? Appendix A to 49 CFR part 391, criteria E for 391.41(b)(6). Outline: 49 CFR 390.105(b)(6), informing and educating the operator.

Outcome and certificate period 27

  • A driver has a prosthesis in place of a lost foot and holds no Skill Performance Evaluation certificate. By Appendix A: Appendix A to 49 CFR part 391, criteria A for 391.41(b)(1). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • A musculoskeletal condition under 49 CFR 391.41(b)(7) needs more frequent monitoring. Appendix A says the examiner may: Appendix A to 49 CFR part 391, criteria F for 391.41(b)(7). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • After a single unprovoked loss of consciousness found not to be a seizure, how long does Appendix A recommend waiting before certification is considered? Appendix A to 49 CFR part 391, criteria G for 391.41(b)(8). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • After a single unprovoked nonepileptic seizure, Appendix A allows certification when the driver is off antiseizure medication and seizure free for: Appendix A to 49 CFR part 391, criteria G for 391.41(b)(8). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • After a Stage 3 blood pressure is brought down to 140/90 or less, Appendix A says the driver may be certified for: Appendix A to 49 CFR part 391, criteria E for 391.41(b)(6). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • An examiner finds that a driver meets every standard and sees nothing that calls for closer monitoring. Under 49 CFR 391.45(b), the next examination is due within: 49 CFR 391.45(b). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • An insulin-treated driver has not given the treating clinician 3 months of electronic glucose records. Under 49 CFR 391.46(c)(2)(iv), the driver may be certified for no more than: 49 CFR 391.46(c)(2)(iv). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • Appendix A's Stage 1 hypertension is a systolic pressure of 140 to 159 mmHg and/or a diastolic pressure of: Appendix A to 49 CFR part 391, criteria E for 391.41(b)(6). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • By Appendix A, a driver whose blood pressure is at or above 180 systolic and 110 diastolic: Appendix A to 49 CFR part 391, criteria E for 391.41(b)(6). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • By Appendix A, a driver whose blood pressure is in the Stage 1 range may be medically certified for: Appendix A to 49 CFR part 391, criteria E for 391.41(b)(6). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • By Appendix A, a driver with a history of epilepsy may be certified when off antiseizure medication and seizure free for: Appendix A to 49 CFR part 391, criteria G for 391.41(b)(8). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • By Appendix A, a driver with Stage 2 blood pressure (160-179 systolic and/or 100-109 diastolic) may be given: Appendix A to 49 CFR part 391, criteria E for 391.41(b)(6). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • By Appendix A, a Skill Performance Evaluation certificate is not available for: Appendix A to 49 CFR part 391, criteria B for 391.41(b)(2). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • By Appendix A, an examiner may certify a driver with a prior clinical diagnosis of alcoholism when it is: Appendix A to 49 CFR part 391, criteria K for 391.41(b)(13). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • By Appendix A, anticoagulation therapy: Appendix A to 49 CFR part 391, criteria C for 391.41(b)(4). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • By Appendix A, which individuals are unlikely to satisfy the standard of 49 CFR 391.41(b)(9)? Appendix A to 49 CFR part 391, criteria H for 391.41(b)(9). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • The examiner delays the determination to get more information. Within how many days must the driver be told it is due (49 CFR 391.43(g)(4))? 49 CFR 391.43(g)(4). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • The examiner does not know how severe a driver's hypertension was before treatment. Appendix A recommends: Appendix A to 49 CFR part 391, criteria E for 391.41(b)(6). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • For how long at most is a Skill Performance Evaluation certificate valid under 49 CFR 391.49(h)? 49 CFR 391.49(h). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • How often must a driver qualified under the alternative vision standard of 49 CFR 391.44 be examined by a medical examiner? 49 CFR 391.44(c). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • Under 49 CFR 381.300(b), an FMCSA exemption gives relief from a regulation for up to: 49 CFR 381.300(b). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • Under 49 CFR 391.44(c)(2)(iii), a driver examined under the alternative vision standard is not physically qualified when the vision deficiency is: 49 CFR 391.44(c)(2)(iii). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • Under 49 CFR 391.46(c)(2)(i), an insulin-treated driver is not physically qualified when he or she is not: 49 CFR 391.46(c)(2)(i). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • Under the alternative vision standard in 49 CFR 391.44(c)(2)(i), what must the better eye have? 49 CFR 391.44(c)(2)(i). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • What becomes of a driver's earlier medical examiner's certificates when an examiner finds the driver not physically qualified (49 CFR 391.43(g)(3))? 49 CFR 391.43(g)(3). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • What does Appendix A say about coronary artery bypass surgery and pacemaker implantation? Appendix A to 49 CFR part 391, criteria C for 391.41(b)(4). Outline: 49 CFR 390.105(b)(7), the outcome and its period.
  • Which finding makes an insulin-treated driver not physically qualified on a permanent basis under 49 CFR 391.46(c)(2)(ii)? 49 CFR 391.46(c)(2)(ii). Outline: 49 CFR 390.105(b)(7), the outcome and its period.

Reporting and records 13

  • A motor carrier that employs, or may employ, the driver asks for a copy of the certificate. Under 49 CFR 391.43(g)(2), the examiner: 49 CFR 391.43(g)(2). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • After removal from the National Registry, for how long does the person's information stay publicly available, marked as no longer listed (49 CFR 390.115(g))? 49 CFR 390.115(g). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • An examiner performs no driver examinations in a calendar month. Under 49 CFR 391.43(g)(5)(ii), the examiner must: 49 CFR 391.43(g)(5)(ii). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • By when must the examiner send FMCSA the results form for a completed examination (49 CFR 391.43(g)(5)(i)(B))? 49 CFR 391.43(g)(5)(i)(B). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • FMCSA's electronic medical certification information and a paper certificate disagree. Under 49 CFR 391.41(a)(2)(iv), which controls? 49 CFR 391.41(a)(2)(iv). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • For a regular audit of eligibility under 49 CFR 390.111(a)(4), an examiner must provide proof of licensure and training within: 49 CFR 390.111(a)(4). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • How long must the Medical Examination Report and a copy of each certificate stay on file at the examiner's office (49 CFR 391.43(i))? 49 CFR 391.43(i). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • On or after June 23, 2025, to which qualified driver must the examiner furnish an original certificate under 49 CFR 391.43(g)(2)(ii)? 49 CFR 391.43(g)(2)(ii). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • What must a motor carrier verify about the examiner before letting a driver operate, under 49 CFR 391.23(m)(1)? 49 CFR 391.23(m)(1). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • Which form carries the examination results that the examiner transmits to FMCSA? 49 CFR 391.43(g)(5)(i)(B). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • Which form is the Medical Examiner's Certificate under 49 CFR 391.43(h)? 49 CFR 391.43(h). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • Within how many days must an examiner report a change in registration information to FMCSA (49 CFR 390.111(a)(2))? 49 CFR 390.111(a)(2). Outline: 49 CFR 390.105(b)(8), reporting and documentation.
  • Within what time must an examiner make examination files available to an authorized FMCSA or enforcement representative under 49 CFR 391.43(i)? 49 CFR 391.43(i). Outline: 49 CFR 390.105(b)(8), reporting and documentation.

How this list was compiled: Our own questions, written to the eight training topics that 49 CFR 390.105(b) lists for medical examiners (https://www.ecfr.gov/current/title-49/section-390.105, eCFR text of October 5, 2026, read 2026-10-09). The rule gives the topics no weights. The bank holds 12, 12, 10, 16, 13, 9, 27, 13 questions in the order of the rule. Every fact was read on 2026-10-09 on ecfr.gov in the section the question names: 49 CFR part 391 subpart E (sections 391.41 to 391.49), Appendix A to part 391 (Medical Advisory Criteria, which calls itself advisory), part 390 subpart D, and sections 381.300, 390.5T, 391.2, 391.23, 391.62 and 392.3. Licence: Questions, choices and explanations are original work of this site.

How it works

This free practice test for NRCME candidates has 112 of our own questions on the physical qualification rules for commercial drivers. It is unofficial and not affiliated with, endorsed by or sponsored by the Federal Motor Carrier Safety Administration (FMCSA).

Read the full guide

The eight training topics

49 CFR 390.105(b), read October 9, 2026, lists eight training topics for medical examiners: the examiner's role, the work of driving, history and medicines, the examination, further tests, educating the driver, the certification outcome, and reporting. The rule gives them no weights.

Rule and advice

Sections 391.41 to 391.49 are the binding standards. Appendix A to part 391, the Medical Advisory Criteria, calls itself strictly advisory, so each question drawn from it names Appendix A.

  • Certificate periods carry the most questions: 24 months at most, 12 for insulin-treated diabetes and the alternative vision standard, less for raised blood pressure.
  • Form numbers recur: MCSA-5875 is the report, MCSA-5876 the certificate, MCSA-5850 the results sent to FMCSA, MCSA-5870 diabetes, MCSA-5871 vision.

Questions and answers

Is this NRCME practice test free?

Yes. There is no charge and no sign-up. It works as an NRCME practice test online, in any browser, and each answer shows the rule section it was written from.

What is on the NRCME exam?

FMCSA's 2012 final rule (77 FR 24104) says the test, like the training, is based on its regulations and guidelines. 49 CFR 390.105(b) sets eight training topics, from the examiner's role to reporting. FMCSA provides the test; organizations that meet section 390.107 give it.

How many questions are on the NRCME test?

49 CFR part 390 subpart D states no question count, time limit or pass mark, and this page does not guess one. Ask the testing organization you book with.

How long is NRCME certification good for?

The credential expires 10 years after issue (49 CFR 390.109). To stay listed, an examiner completes periodic training between years 4 and 5, then training and the test again between years 9 and 10.

Are these the real NRCME test questions?

No. These NRCME practice tests hold only our own questions, written from the federal rule. Section 390.107 has testing organizations keep the real test items secure, and none is used here.

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