NRCME Test Bank Questions with verified ans . . . . . .
wers Latest Update . .
Which of the following is a requirement for drivers with a diabetes exempti
. . . . . . . . . . . .
on?
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 ho
. . . . . . . . . . . . .
urs while driving
. .
C) Plan to submit blood glucose monitoring logs every 6 months
. . . . . . . . . .
D) Maintain a Hemoglobin A1C value less than 7 - correct answer A. Drivers
. . . . . . . . . . . . .
with diabetes should self monitor blood glucose before driving and every 4
. . . . . . . . . . . .
hours while driving. Blood glucose monitoring logs should be submitted an
. . . . . . . . . . .
nually. 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 certifi
. . . . . . . . . . . . . .
cation
C) Cannot be certified if they have a history of myocardial infarction
. . . . . . . . . . .
D) May be eligible for a diabetes exemption - correct answer D) Drivers wit
. . . . . . . . . . . . .
h insulin dependent diabetes cannot be certified but may be eligible for a d
. . . . . . . . . . . . .
iabetes exemption .
Which of the following is true? . . . . .
A) A driver with diabetes who uses insulin does not meet the minimum req
. . . . . . . . . . . . .
uirements of 49 CFR Part 391.41 . . . . .
,NRCME Test Bank Questions with verified ans . . . . . .
wers Latest Update . .
B) The most important concert related to medication use for treating diabe
. . . . . . . . . . .
tes is hyperglycemia
. .
C) Peripheral neuropathy is not a disqualifying condition
. . . . . . .
D) Diabetes is not a coronary heart disease
. . . . . . . .
(CHD) equivalent condition - correct answer A) The greatest risk for medica
. . . . . . . . . . .
tion use for drivers with diabetes in hypoglycemia, not hyperglycemia. Peri
. . . . . . . . . .
pheral 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 - correct 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 - correct answer D) Only the FMCSA can grant exemptions
. . . . . . . . . . . .
, NRCME Test Bank Questions with verified ans . . . . . .
wers Latest Update . .
A driver with diabetes mellliktus who uses insulin is determined to be othe
. . . . . . . . . . . .
rwise medically qualified. The medical examiner must indicate that a diabe
. . . . . . . . . .
tes exemption is required on the :
. . . . . .
A) Medical Examination Report status section and Medical Examiners Certi
. . . . . . . . .
ficate
B) Letter to the FMCSA
. . . .
C) Employer authorization form
. . .
D) Endocrinology consultation form - correct answer A) Exemption require
. . . . . . . . .
ments must be noted on the Medical Examination Report status section an
. . . . . . . . . . .
d 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 - correct answer C) The medical examiner sh
. . . . . . . . . .
ould first determine blood glucose and then make an appropriate certifica
. . . . . . . . . .
tion 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
. .
, NRCME Test Bank Questions with verified ans . . . . . .
wers Latest Update . .
B) one, two
. .
C) two, three
. .
D) two, five - correct 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 y
. . . . . . . . . . . . . . .
ears.
Which of the following is not a criteria that the FMCSA uses to define a seve
. . . . . . . . . . . . . . .
re hypoglycemic reaction?
. .
A) Seizure
.
B) Dizziness
.
C) Need of assistance from another person
. . . . . .
D) Period of impaired cognitive function that occurred without warning - c
. . . . . . . . . . .
orrect answer B) FMCSA defines severe hypoglycemia as reactions that res
. . . . . . . . . .
ult in seizure, loss of consciousness, need of assistance from another perso
. . . . . . . . . . .
n, and a period of impaired congitive function that occurred without warni
. . . . . . . . . . .
ng
Which diabetes mellitus risk poses the greatest threat to public safety
. . . . . . . . . .
A) Hyperglycemia
.
B) Peripheral neuropathy
. .
C) Hypoglycemia
.
D) Metabolic encephalopathy - correct answer C) Although hyperglycemia
. . . . . . . .
, peripheral neuropathy, and metabolic encephalopathy all pose significan
. . . . . . . .
wers Latest Update . .
Which of the following is a requirement for drivers with a diabetes exempti
. . . . . . . . . . . .
on?
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 ho
. . . . . . . . . . . . .
urs while driving
. .
C) Plan to submit blood glucose monitoring logs every 6 months
. . . . . . . . . .
D) Maintain a Hemoglobin A1C value less than 7 - correct answer A. Drivers
. . . . . . . . . . . . .
with diabetes should self monitor blood glucose before driving and every 4
. . . . . . . . . . . .
hours while driving. Blood glucose monitoring logs should be submitted an
. . . . . . . . . . .
nually. 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 certifi
. . . . . . . . . . . . . .
cation
C) Cannot be certified if they have a history of myocardial infarction
. . . . . . . . . . .
D) May be eligible for a diabetes exemption - correct answer D) Drivers wit
. . . . . . . . . . . . .
h insulin dependent diabetes cannot be certified but may be eligible for a d
. . . . . . . . . . . . .
iabetes exemption .
Which of the following is true? . . . . .
A) A driver with diabetes who uses insulin does not meet the minimum req
. . . . . . . . . . . . .
uirements of 49 CFR Part 391.41 . . . . .
,NRCME Test Bank Questions with verified ans . . . . . .
wers Latest Update . .
B) The most important concert related to medication use for treating diabe
. . . . . . . . . . .
tes is hyperglycemia
. .
C) Peripheral neuropathy is not a disqualifying condition
. . . . . . .
D) Diabetes is not a coronary heart disease
. . . . . . . .
(CHD) equivalent condition - correct answer A) The greatest risk for medica
. . . . . . . . . . .
tion use for drivers with diabetes in hypoglycemia, not hyperglycemia. Peri
. . . . . . . . . .
pheral 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 - correct 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 - correct answer D) Only the FMCSA can grant exemptions
. . . . . . . . . . . .
, NRCME Test Bank Questions with verified ans . . . . . .
wers Latest Update . .
A driver with diabetes mellliktus who uses insulin is determined to be othe
. . . . . . . . . . . .
rwise medically qualified. The medical examiner must indicate that a diabe
. . . . . . . . . .
tes exemption is required on the :
. . . . . .
A) Medical Examination Report status section and Medical Examiners Certi
. . . . . . . . .
ficate
B) Letter to the FMCSA
. . . .
C) Employer authorization form
. . .
D) Endocrinology consultation form - correct answer A) Exemption require
. . . . . . . . .
ments must be noted on the Medical Examination Report status section an
. . . . . . . . . . .
d 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 - correct answer C) The medical examiner sh
. . . . . . . . . .
ould first determine blood glucose and then make an appropriate certifica
. . . . . . . . . .
tion 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
. .
, NRCME Test Bank Questions with verified ans . . . . . .
wers Latest Update . .
B) one, two
. .
C) two, three
. .
D) two, five - correct 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 y
. . . . . . . . . . . . . . .
ears.
Which of the following is not a criteria that the FMCSA uses to define a seve
. . . . . . . . . . . . . . .
re hypoglycemic reaction?
. .
A) Seizure
.
B) Dizziness
.
C) Need of assistance from another person
. . . . . .
D) Period of impaired cognitive function that occurred without warning - c
. . . . . . . . . . .
orrect answer B) FMCSA defines severe hypoglycemia as reactions that res
. . . . . . . . . .
ult in seizure, loss of consciousness, need of assistance from another perso
. . . . . . . . . . .
n, and a period of impaired congitive function that occurred without warni
. . . . . . . . . . .
ng
Which diabetes mellitus risk poses the greatest threat to public safety
. . . . . . . . . .
A) Hyperglycemia
.
B) Peripheral neuropathy
. .
C) Hypoglycemia
.
D) Metabolic encephalopathy - correct answer C) Although hyperglycemia
. . . . . . . .
, peripheral neuropathy, and metabolic encephalopathy all pose significan
. . . . . . . .
