NRCME Test Bank Questions
Exam Study Guide: GRADED
A+. Questions and Verified
Answers. Latest 2026 Update
Which of the following is a requirement for drivers with a diabetes exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least once every
2 hours while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7 - Ans✔✔-A. Drivers with
diabetes should self monitor blood glucose before driving and every 4 hours
while driving. Blood glucose monitoring logs should be submitted annually.
There is no specific requirement for HgA1C level.
Drivers with insulin dependent diabetes:
A) May be certified for a maximum of 6 months
B) Must maintain a hemoglobin A1C level of less than 7 to qualify for
certification
C) Cannot be certified if they have a history of myocardial infarction
D) May be eligible for a diabetes exemption - Ans✔✔-D) Drivers with insulin
dependent diabetes cannot be certified but may be eligible for a diabetes
exemption
,Which of the following is true?
A) A driver with diabetes who uses insulin does not meet the minimum
requirements of 49 CFR Part 391.41
B) The most important concert related to medication use for treating diabetes
is hyperglycemia
C) Peripheral neuropathy is not a disqualifying condition
D) Diabetes is not a coronary heart disease (CHD) equivalent condition -
Ans✔✔-A) The greatest risk for medication use for drivers with diabetes in
hypoglycemia, not hyperglycemia. Peripheral neuropathy is disqualifying
condition. Diabetes is a CHD equivalent condition.
What is the recommended certification interval for a driver with diabetes
mellituse who does not use insulin?
A) Three months
B) Six months
C) One year
D) Two years - Ans✔✔-C) Drivers with non-insulin dependent diabetes should
be certified for a maximum of one year
A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - Ans✔✔-D) Only the FMCSA can grant exemptions
,A driver with diabetes mellliktus who uses insulin is determined to be
otherwise medically qualified. The medical examiner must indicate that a
diabetes exemption is required on the :
A) Medical Examination Report status section and Medical Examiners
Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation form - Ans✔✔-A) Exemption requirements must
be noted on the Medical Examination Report status section and the Medical
Examiners Certificate
If glucose is detected on urinalysis in a driver with no history of diabetes, an
appropriate next step is:
A) Endocrinology consultation
B) One year clearance and recommendation to see personal physician
C) Fingerstick or blood glucose determination
D) Temporary disqualification - Ans✔✔-C) The medical examiner should first
determine blood glucose and then make an appropriate certification
determination and referral
Drivers with a history of _____________ severe hypoglycemic reactions in the
past year or _____________ severe hypoglycemic reactions in the past five
years should not be certifed.
A) one, three
B) one, two
C) two, three
D) two, five - Ans✔✔-B) A driver should not be certified if the driver has had
one hypoglycemic reaction in the past year or two in the past five years.
, Which of the following is not a criteria that the FMCSA uses to define a severe
hypoglycemic reaction?
A) Seizure
B) Dizziness
C) Need of assistance from another person
D) Period of impaired cognitive function that occurred without warning -
Ans✔✔-B) FMCSA defines severe hypoglycemia as reactions that result in
seizure, loss of consciousness, need of assistance from another person, and a
period of impaired congitive function that occurred without warning
Which diabetes mellitus risk poses the greatest threat to public safety
A) Hyperglycemia
B) Peripheral neuropathy
C) Hypoglycemia
D) Metabolic encephalopathy - Ans✔✔-C) Although hyperglycemia, peripheral
neuropathy, and metabolic encephalopathy all pose significant risks for safe
driving, hypoglycemia poses the greatest risk. The risk is particularly
pronounced in drivers who use insulin. FMCSA defines a hypoglycemia episode
as one that results in seizure, loss of consciousness, need of assistance from
another person, or a period of impaired cognitive function that occurs without
warning.
A driver with a diabetes exemption should check glucose levels when?
A) One hour before driving and at least once every four hours while driving
B) One hour before driving and at least every eight hours while driving
C) Once after four hours of driving
Exam Study Guide: GRADED
A+. Questions and Verified
Answers. Latest 2026 Update
Which of the following is a requirement for drivers with a diabetes exemption?
A) Possess a rapidly absorbable form of glucose while driving
B) Self—monitor blood glucose one hour before driving and at least once every
2 hours while driving
C) Plan to submit blood glucose monitoring logs every 6 months
D) Maintain a Hemoglobin A1C value less than 7 - Ans✔✔-A. Drivers with
diabetes should self monitor blood glucose before driving and every 4 hours
while driving. Blood glucose monitoring logs should be submitted annually.
There is no specific requirement for HgA1C level.
Drivers with insulin dependent diabetes:
A) May be certified for a maximum of 6 months
B) Must maintain a hemoglobin A1C level of less than 7 to qualify for
certification
C) Cannot be certified if they have a history of myocardial infarction
D) May be eligible for a diabetes exemption - Ans✔✔-D) Drivers with insulin
dependent diabetes cannot be certified but may be eligible for a diabetes
exemption
,Which of the following is true?
A) A driver with diabetes who uses insulin does not meet the minimum
requirements of 49 CFR Part 391.41
B) The most important concert related to medication use for treating diabetes
is hyperglycemia
C) Peripheral neuropathy is not a disqualifying condition
D) Diabetes is not a coronary heart disease (CHD) equivalent condition -
Ans✔✔-A) The greatest risk for medication use for drivers with diabetes in
hypoglycemia, not hyperglycemia. Peripheral neuropathy is disqualifying
condition. Diabetes is a CHD equivalent condition.
What is the recommended certification interval for a driver with diabetes
mellituse who does not use insulin?
A) Three months
B) Six months
C) One year
D) Two years - Ans✔✔-C) Drivers with non-insulin dependent diabetes should
be certified for a maximum of one year
A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - Ans✔✔-D) Only the FMCSA can grant exemptions
,A driver with diabetes mellliktus who uses insulin is determined to be
otherwise medically qualified. The medical examiner must indicate that a
diabetes exemption is required on the :
A) Medical Examination Report status section and Medical Examiners
Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation form - Ans✔✔-A) Exemption requirements must
be noted on the Medical Examination Report status section and the Medical
Examiners Certificate
If glucose is detected on urinalysis in a driver with no history of diabetes, an
appropriate next step is:
A) Endocrinology consultation
B) One year clearance and recommendation to see personal physician
C) Fingerstick or blood glucose determination
D) Temporary disqualification - Ans✔✔-C) The medical examiner should first
determine blood glucose and then make an appropriate certification
determination and referral
Drivers with a history of _____________ severe hypoglycemic reactions in the
past year or _____________ severe hypoglycemic reactions in the past five
years should not be certifed.
A) one, three
B) one, two
C) two, three
D) two, five - Ans✔✔-B) A driver should not be certified if the driver has had
one hypoglycemic reaction in the past year or two in the past five years.
, Which of the following is not a criteria that the FMCSA uses to define a severe
hypoglycemic reaction?
A) Seizure
B) Dizziness
C) Need of assistance from another person
D) Period of impaired cognitive function that occurred without warning -
Ans✔✔-B) FMCSA defines severe hypoglycemia as reactions that result in
seizure, loss of consciousness, need of assistance from another person, and a
period of impaired congitive function that occurred without warning
Which diabetes mellitus risk poses the greatest threat to public safety
A) Hyperglycemia
B) Peripheral neuropathy
C) Hypoglycemia
D) Metabolic encephalopathy - Ans✔✔-C) Although hyperglycemia, peripheral
neuropathy, and metabolic encephalopathy all pose significant risks for safe
driving, hypoglycemia poses the greatest risk. The risk is particularly
pronounced in drivers who use insulin. FMCSA defines a hypoglycemia episode
as one that results in seizure, loss of consciousness, need of assistance from
another person, or a period of impaired cognitive function that occurs without
warning.
A driver with a diabetes exemption should check glucose levels when?
A) One hour before driving and at least once every four hours while driving
B) One hour before driving and at least every eight hours while driving
C) Once after four hours of driving
