NRCME Physical Examination Procedures and Forms 1 — Questions and Answers
Question 1: Which federal form must a certified medical examiner use to document a DOT physical examination?
- MCSA-5875 (Correct answer)
- MCSA-5876
- FMCSA-7302
- DOT-4500
Correct answer: MCSA-5875
The MCSA-5875 (Medical Examination Report for Commercial Driver Medical Certification) is the required form for documenting DOT physicals.
Question 2: After completing a DOT physical, within how many business days must the CME transmit results to the FMCSA National Registry?
- 1 business day
- 2 business days
- 5 business days (Correct answer)
- 10 business days
Correct answer: 5 business days
Medical examiners must transmit examination results to the FMCSA National Registry within 5 business days of completing the exam.
Question 3: What is the Medical Examiner's Certificate (MEC) form number issued to a qualified commercial driver?
- MCSA-5874
- MCSA-5876 (Correct answer)
- MCSA-5850
- FMCSA-9100
Correct answer: MCSA-5876
Form MCSA-5876 is the Medical Examiner's Certificate issued to drivers who pass the DOT physical examination.
Question 4: During the DOT physical, a driver's urinalysis is required primarily to screen for which condition?
- Kidney stones
- Diabetes mellitus via glucose (Correct answer)
- Urinary tract infection
- Protein levels
Correct answer: Diabetes mellitus via glucose
The urinalysis in the DOT physical is used to screen for sugar (glucose) as an indicator of uncontrolled diabetes, among other abnormalities.
Question 5: When a commercial driver is found to be medically unqualified, the CME must issue which of the following?
- A conditional certificate
- No certificate and notify the driver (Correct answer)
- A temporary disqualification form
- A restricted MEC
Correct answer: No certificate and notify the driver
When a driver is medically unqualified, the CME does not issue a certificate and must inform the driver of the disqualification.
Question 6: Which blood pressure measurement taken during the DOT physical would result in a one-year certification period?
- 119/79 mmHg
- 139/89 mmHg
- 155/95 mmHg (Correct answer)
- 180/100 mmHg
Correct answer: 155/95 mmHg
A blood pressure reading of 155–159 systolic or 90–99 diastolic (Stage 1 hypertension) qualifies the driver for a one-year certificate.
NRCME Physical Examination Procedures and Forms 1
Which federal form must a certified medical examiner use to document a DOT physical examination?