NRCME TEST BANK UPDATED QUESTIONS
AND ANSWERS FULL STUDY SHEET
●● 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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.
AND ANSWERS FULL STUDY SHEET
●● 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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
Answer: 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.
