NRCME Test Bank Questions with Verified Solutions
(Latest Update 2023)
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 - correctanswers✅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 - correctanswers✅D) Drivers with
insulin dependent diabetes cannot be certified but may be eligible for a
diabetes exemption
, NRCME Test Bank Questions with Verified Solutions
(Latest Update 2023)
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 - correctanswers✅C) Drivers with non-insulin dependent diabetes
should be certified for a maximum of one year
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 - correct
answers✅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.
, NRCME Test Bank Questions with Verified Solutions
(Latest Update 2023)
A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - correctanswers✅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 - correctanswers✅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:
, NRCME Test Bank Questions with Verified Solutions
(Latest Update 2023)
A) Endocrinology consultation
B) One year clearance and recommendation to see personal physician
C) Fingerstick or blood glucose determination
D) Temporary disqualification - correctanswers✅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 - correctanswers✅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?
(Latest Update 2023)
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 - correctanswers✅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 - correctanswers✅D) Drivers with
insulin dependent diabetes cannot be certified but may be eligible for a
diabetes exemption
, NRCME Test Bank Questions with Verified Solutions
(Latest Update 2023)
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 - correctanswers✅C) Drivers with non-insulin dependent diabetes
should be certified for a maximum of one year
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 - correct
answers✅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.
, NRCME Test Bank Questions with Verified Solutions
(Latest Update 2023)
A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - correctanswers✅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 - correctanswers✅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:
, NRCME Test Bank Questions with Verified Solutions
(Latest Update 2023)
A) Endocrinology consultation
B) One year clearance and recommendation to see personal physician
C) Fingerstick or blood glucose determination
D) Temporary disqualification - correctanswers✅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 - correctanswers✅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?
