NRCME TEST BANK PRACTICE
QUESTIONS | QUESTIONS & ANSWERS,
COMPREHENSIVE STUDY GUIDE, EXAM
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Updated Questions and Answers
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,Drivers with insulin dependent diabetes: D) Drivers with insulin dependent diabetes cannot be certified but may be eligible
A) May be certified for a maximum of 6 months for a diabetes exemption
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
Which of the following is true? A) The greatest risk for medication use for drivers with diabetes in hypoglycemia,
A) A driver with diabetes who uses insulin does not meet not hyperglycemia. Peripheral neuropathy is disqualifying condition. Diabetes is a
the minimum requirements of 49 CFR Part 391.41 CHD equivalent condition.
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
What is the recommended certification interval for a C) Drivers with non-insulin dependent diabetes should be certified for a maximum
driver with diabetes mellituse who does not use insulin? of one year
A) Three months
B) Six months
C) One year
D) Two years
A diabetes exemption may be issued by: D) Only the FMCSA can grant exemptions
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA
A driver with diabetes mellliktus who uses insulin is A) Exemption requirements must be noted on the Medical Examination Report
determined to be otherwise medically qualified. The status section and the Medical Examiners Certificate
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
,If glucose is detected on urinalysis in a driver with no C) The medical examiner should first determine blood glucose and then make an
history of diabetes, an appropriate next step is: appropriate certification determination and referral
A) Endocrinology consultation
B) One year clearance and recommendation to see
personal physician
C) Fingerstick or blood glucose determination
D) Temporary disqualification
Drivers with a history of _____________ severe hypoglycemic B) A driver should not be certified if the driver has had one hypoglycemic
reactions in the past year or _____________ severe reaction in the past year or two in the past five years.
hypoglycemic reactions in the past five years should not
be certifed.
A) one, three
B) one, two
C) two, three
D) two, five
Which of the following is not a criteria that the FMCSA B) FMCSA defines severe hypoglycemia as reactions that result in seizure, loss of
uses to define a severe hypoglycemic reaction? consciousness, need of assistance from another person, and a period of impaired
A) Seizure congitive function that occurred without warning
B) Dizziness
C) Need of assistance from another person
D) Period of impaired cognitive function that occurred
without warning
Which diabetes mellitus risk poses the greatest threat to C) Although hyperglycemia, peripheral neuropathy, and metabolic
public safety encephalopathy all pose significant risks for safe driving, hypoglycemia poses the
A) Hyperglycemia greatest risk. The risk is particularly pronounced in drivers who use insulin. FMCSA
B) Peripheral neuropathy defines a hypoglycemia episode as one that results in seizure, loss of
C) Hypoglycemia consciousness, need of assistance from another person, or a period of impaired
D) Metabolic encephalopathy cognitive function that occurs without warning.
A driver with a diabetes exemption should check glucose A) Driver's with diabetes exemption should check glucose values one hour before
levels when? driving and once every four hours while driving
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
D) Once a day after driving period has ended
Which of the following is true for diagnosis of a hernia? D) The medical examiner can use his/her judgment as to whether a driver should
A) The driver should be referred to a surgeon to be referred to a surgeon or other specialist. There is no specified waiting period
determine whether repair of a hernia is necessary following hernia surgery - the driver should not be certified until the medical
B) The waiting period following hernia surgery is two examiner determines that treatment is safe and effective, and that the condition is
weeks stable. No evidence has linked hernias of any type to increased CMV accident
C) Inguinal hernias have been associated with an risk.
increased risk for CMV accidents
D) The maximum certification interval for a driver with a
hernia is two years
, Which of the following is true of nephropathy? B) Nephropathy is considered on a case-by-case basis. The medical examiner
A) Nephropathy is a disqualifying condition determines what evaluation or monitoring is necessary for a driver with 3+
B) The maximum certification interval for nephropathy is proteinuria and may disqualify the driver. The certification is always made by the
two years medical examiner and cannot be deferred to a specialist.
C) A driver with 3+ proteinuria should not be certified
D) A renal specialist should make the certification
determination for a driver with nephropathy
Drivers with which of the following conditions should be C) Dialysis of any type is disqualifying
disqualified?
A) Cancer requiring chemotherapy treatment
B) Umbilical hernia not surgically repaired
C) Renal failure on peritoneal dialysis
D) Hemochromatosis
If a significant abnormal finding for urinalysis specific C) The medical examiner must determine whether additional evaluation is needed
gravity, protein, or blood is found, the medical examiner and whether the certification decision should be postponed or limited
should:
A) Disqualify the driver
B) Request that a renal specialist determine if the driver is
medically qualified
C) Use clinical expertise to determine a certification
decision and to determine if additional evaluation is
required or recommended
D) Obtain blood chemistries for renal function
A driver with a history of kidney disease with or without B) ASsessment for kidney disease must be ade on a case-by-case basis. Dialysis of
transplant: any kind is disqualifying. The medical examiner may choose to test the driver for
A) Is medically disqualified functional ability to operate a CMV safely. The medical certification decision must
B) Must be assessed regarding the severity, stability, be made by the medical examiner.
medications used, and medication side effects/adverse
reactions
C) Should not be assessed for functional ability to
operate a CMV safely
D) Should have the medical certificaton determination
made by a renal specialist
Which of the following is not a disqualifying condition? Any type of dialysis is a disqualifying condition. Peripheral neuropathy is usually
A) Peritoneal dialysis disqualifying. Although a hernia may be disqualifying, often a driver can be
B) Hemodialysis certified if the symptoms and/or examination findings are mild or if the hernia has
C) Hernia been surgically repaired and the condition has stabilized (there is no specified
D) Peripheral neuropathy waiting period following hernia treatment, including surgery).
QUESTIONS | QUESTIONS & ANSWERS,
COMPREHENSIVE STUDY GUIDE, EXAM
PREP & REVIEW MATERIALS
| GRADED A+ | GUARANTEED SUCCESS
Updated Questions and Answers
100% Verified Exam Prep
,Drivers with insulin dependent diabetes: D) Drivers with insulin dependent diabetes cannot be certified but may be eligible
A) May be certified for a maximum of 6 months for a diabetes exemption
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
Which of the following is true? A) The greatest risk for medication use for drivers with diabetes in hypoglycemia,
A) A driver with diabetes who uses insulin does not meet not hyperglycemia. Peripheral neuropathy is disqualifying condition. Diabetes is a
the minimum requirements of 49 CFR Part 391.41 CHD equivalent condition.
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
What is the recommended certification interval for a C) Drivers with non-insulin dependent diabetes should be certified for a maximum
driver with diabetes mellituse who does not use insulin? of one year
A) Three months
B) Six months
C) One year
D) Two years
A diabetes exemption may be issued by: D) Only the FMCSA can grant exemptions
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA
A driver with diabetes mellliktus who uses insulin is A) Exemption requirements must be noted on the Medical Examination Report
determined to be otherwise medically qualified. The status section and the Medical Examiners Certificate
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
,If glucose is detected on urinalysis in a driver with no C) The medical examiner should first determine blood glucose and then make an
history of diabetes, an appropriate next step is: appropriate certification determination and referral
A) Endocrinology consultation
B) One year clearance and recommendation to see
personal physician
C) Fingerstick or blood glucose determination
D) Temporary disqualification
Drivers with a history of _____________ severe hypoglycemic B) A driver should not be certified if the driver has had one hypoglycemic
reactions in the past year or _____________ severe reaction in the past year or two in the past five years.
hypoglycemic reactions in the past five years should not
be certifed.
A) one, three
B) one, two
C) two, three
D) two, five
Which of the following is not a criteria that the FMCSA B) FMCSA defines severe hypoglycemia as reactions that result in seizure, loss of
uses to define a severe hypoglycemic reaction? consciousness, need of assistance from another person, and a period of impaired
A) Seizure congitive function that occurred without warning
B) Dizziness
C) Need of assistance from another person
D) Period of impaired cognitive function that occurred
without warning
Which diabetes mellitus risk poses the greatest threat to C) Although hyperglycemia, peripheral neuropathy, and metabolic
public safety encephalopathy all pose significant risks for safe driving, hypoglycemia poses the
A) Hyperglycemia greatest risk. The risk is particularly pronounced in drivers who use insulin. FMCSA
B) Peripheral neuropathy defines a hypoglycemia episode as one that results in seizure, loss of
C) Hypoglycemia consciousness, need of assistance from another person, or a period of impaired
D) Metabolic encephalopathy cognitive function that occurs without warning.
A driver with a diabetes exemption should check glucose A) Driver's with diabetes exemption should check glucose values one hour before
levels when? driving and once every four hours while driving
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
D) Once a day after driving period has ended
Which of the following is true for diagnosis of a hernia? D) The medical examiner can use his/her judgment as to whether a driver should
A) The driver should be referred to a surgeon to be referred to a surgeon or other specialist. There is no specified waiting period
determine whether repair of a hernia is necessary following hernia surgery - the driver should not be certified until the medical
B) The waiting period following hernia surgery is two examiner determines that treatment is safe and effective, and that the condition is
weeks stable. No evidence has linked hernias of any type to increased CMV accident
C) Inguinal hernias have been associated with an risk.
increased risk for CMV accidents
D) The maximum certification interval for a driver with a
hernia is two years
, Which of the following is true of nephropathy? B) Nephropathy is considered on a case-by-case basis. The medical examiner
A) Nephropathy is a disqualifying condition determines what evaluation or monitoring is necessary for a driver with 3+
B) The maximum certification interval for nephropathy is proteinuria and may disqualify the driver. The certification is always made by the
two years medical examiner and cannot be deferred to a specialist.
C) A driver with 3+ proteinuria should not be certified
D) A renal specialist should make the certification
determination for a driver with nephropathy
Drivers with which of the following conditions should be C) Dialysis of any type is disqualifying
disqualified?
A) Cancer requiring chemotherapy treatment
B) Umbilical hernia not surgically repaired
C) Renal failure on peritoneal dialysis
D) Hemochromatosis
If a significant abnormal finding for urinalysis specific C) The medical examiner must determine whether additional evaluation is needed
gravity, protein, or blood is found, the medical examiner and whether the certification decision should be postponed or limited
should:
A) Disqualify the driver
B) Request that a renal specialist determine if the driver is
medically qualified
C) Use clinical expertise to determine a certification
decision and to determine if additional evaluation is
required or recommended
D) Obtain blood chemistries for renal function
A driver with a history of kidney disease with or without B) ASsessment for kidney disease must be ade on a case-by-case basis. Dialysis of
transplant: any kind is disqualifying. The medical examiner may choose to test the driver for
A) Is medically disqualified functional ability to operate a CMV safely. The medical certification decision must
B) Must be assessed regarding the severity, stability, be made by the medical examiner.
medications used, and medication side effects/adverse
reactions
C) Should not be assessed for functional ability to
operate a CMV safely
D) Should have the medical certificaton determination
made by a renal specialist
Which of the following is not a disqualifying condition? Any type of dialysis is a disqualifying condition. Peripheral neuropathy is usually
A) Peritoneal dialysis disqualifying. Although a hernia may be disqualifying, often a driver can be
B) Hemodialysis certified if the symptoms and/or examination findings are mild or if the hernia has
C) Hernia been surgically repaired and the condition has stabilized (there is no specified
D) Peripheral neuropathy waiting period following hernia treatment, including surgery).
