NRCME Test Bank Questions 2 with correct
answers
Which |of |the |following |is |a |requirement |for |drivers |with |a |diabetes |exemption?
A) |Possess |a |rapidly |absorbable |form |of |glucose |while |driving |- |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 |annually. |There |is |no |specific |requirement |for |HgA1C |
level.
Drivers |with |insulin |dependent |diabetes:
D) |May |be |eligible |for |a |diabetes |exemption |- |correct |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 |- |correct |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? |C) |One |year |- |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:
D) |The |FMCSA |- |correct |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 |- |correct |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:
C) |Fingerstick |or |blood |glucose |determination |- |correct |answer-C) |The |medical |examiner |should |first |
determine |blood |glucose |and |then |make |an |appropriate |certification |determination |and |referral
Which |of |the |following |is |not |a |criteria |that |the |FMCSA |uses |to |define |a |severe |hypoglycemic |
reaction? |- |correct |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
Drivers |with |a |history |of |_____________ |severe |hypoglycemic |reactions |in |the |past |year |or |
_____________ |severe |hypoglycemic |reactions |in |the |past |five |years |should |not |be |certified. |B) |one, |
two |- |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 |years.
Which |diabetes |mellitus |risk |poses |the |greatest |threat |to |public |safety |C) |Hypoglycemia |- |correct |
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.
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 |- |correct |answer-A) |Driver's |with |diabetes |exemption |
should |check |glucose |values |one |hour |before |driving |and |once |every |four |hours |while |driving
Which |of |the |following |is |true |for |diagnosis |of |a |hernia?
D) |The |maximum |certification |interval |for |a |driver |with |a |hernia |is |two |years |- |correct |answer-D) |The |
medical |examiner |can |use |his/her |judgment |as |to |whether |a |driver |should |be |referred |to |a |surgeon |or
|other |specialist. |There |is |no |specified |waiting |period |following |hernia |surgery |- |the |driver |should |not |
be |certified |until |the |medical |examiner |determines |that |treatment |is |safe |and |effective, |and |that |the |
condition |is |stable. |No |evidence |has |linked |hernias |of |any |type |to |increased |CMV |accident |risk.
Drivers |with |which |of |the |following |conditions |should |be |disqualified? |C) |Renal |failure |on |peritoneal |
dialysis |- |correct |answer-C) |Dialysis |of |any |type |is |disqualifying
,Which |of |the |following |is |true |of |nephropathy? |B) |The |maximum |certification |interval |for |nephropathy
|is |two |years |- |correct |answer-B) |Nephropathy |is |considered |on |a |case-by-case |basis. |The |medical |
examiner |determines |what |evaluation |or |monitoring |is |necessary |for |a |driver |with |3+ |proteinuria |and |
may |disqualify |the |driver. |The |certification |is |always |made |by |the |medical |examiner |and |cannot |be |
deferred |to |a |specialist.
If |a |significant |abnormal |finding |for |urinalysis |specific |gravity, |protein, |or |blood |is |found, |the |medical |
examiner |should: |C) |Use |clinical |expertise |to |determine |a |certification |decision |and |to |determine |if |
additional |evaluation |is |required |or |recommended |- |correct |answer-C) |The |medical |examiner |must |
determine |whether |additional |evaluation |is |needed |and |whether |the |certification |decision |should |be |
postponed |or |limited
A |driver |with |a |history |of |kidney |disease |with |or |without |transplant: |B) |Must |be |assessed |regarding |
the |severity, |stability, |medications |used, |and |medication |side |effects/adverse |reactions. |- |correct |
answer-B) |ASsessment |for |kidney |disease |must |be |ade |on |a |case-by-case |basis. |Dialysis |of |any |kind |is |
disqualifying. |The |medical |examiner |may |choose |to |test |the |driver |for |functional |ability |to |operate |a |
CMV |safely. |The |medical |certification |decision |must |be |made |by |the |medical |examiner.
Which |of |the |following |is |not |a |disqualifying |condition?
A) |Peritoneal |dialysis
B) |Hemodialysis
C) |Hernia
D) |Peripheral |neuropathy |- |correct |answer-Any |type |of |dialysis |is |a |disqualifying |condition. |Peripheral |
neuropathy |is |usually |disqualifying. |Although |a |hernia |may |be |disqualifying, |often |a |driver |can |be |
certified |if |the |symptoms |and/or |examination |findings |are |mild |or |if |the |hernia |has |been |surgically |
repaired |and |the |condition |has |stabilized |(there |is |no |specified |waiting |period |following |hernia |
treatment, |including |surgery).
Urinalysis |is |required |for |the |driver |physical |examination |and |the |results |must |include |C) |Specific |
gravity, |protein, |blood, |and |glucose |- |correct |answer-C) |Specific |gravity, |protein, |blood, |and |glucose |
should |be |checked |at |every |driver |examination
Disqualifying |conditions |include: |D) |Dialysis |- |correct |answer-D) |Dialysis |of |any |type |of |disqualifying
, A |driver |who |has |Hepatitis |C |who |is |stable |and |whose |condition |does |not |represent |a |safety |risk |may |
be |certified |A) |True |- |correct |answer-A) |Hepatitis |C |is |not |disqualifying
A |driver |with |a |history |of |acute |bleeding |ulcer |may |be |certified |if: |D) |The |underlying |cause |has |been |
identified |and |recurrence |risk |is |low |following |treatment |- |correct |answer-D) |Drivers |with |bleeding |
ulcers |should |not |be |certified |until |the |underlying |cause |has |been |identified |and |the |recurrence |risk |is
|low
A |driver |with |a |successful |kidney |transplant |can |be |certified |A) |True |- |correct |answer-A) |Kidney |
transplants |are |not |disqualifying
Which |of |the |following |is |true?
A) |Medical |marijuana |use |if |disqualifying |- |correct |answer-A) |If |a |driver |gives |a |history |of |recent |
marijuana |use, |the |driver |should |be |referred |for |substance |abuse |professional |evaluation |regardless |of
|drug |test |result. |Drivers |with |a |history |of |marijuana |use, |or |a |drug |test |positive |for |marijuana, |must |
undergo |substance |abuse |professional |assessment |and |complete |any |recommended |rehabilitation |
prior |to |returning |to |driving. |Marijuana |is |a |Schedule |I |drug.
Which |of |the |following |is |a |requirement |for |a |driver |with |a |history |of |alcoholism |to |be |certified? |A) |
No |residual |disqualifying |physical |impairment |- |correct |answer-A) |Treatment |with |naltrexone |is |not |
required |for |driver |certification |for |a |driver |with |a |history |of |alcoholism. |A |driver |with |a |history |of |
alcoholism |must |have |completed |counseling |and/or |treatment |and |must |not |have |a |current |alcohol-
related |disorder |in |order |to |be |certified.
Which |of |the |following |is |a |disqualifying |condition?
A) |A |past |clinical |diagnosis |of |alcoholism
B) |A |breath |alcohol |result |of |0.019%
C) |An |alcohol-related |stable |physical |condition, |regardless |of |the |time |element
D) |Use |of |methadone |- |correct |answer-D) |A |current |diagnosis |of |alcoholism |is |disqualifying. |A |breath |
alcohol |result |of |0.02% |or |higher |renders |the |driver |unqualified |to |drive. |An |alcohol-related |unstable |
physical |condition |is |disqualifying.
Ongoing |voluntary |attendance |at |self-help |groups |(e.g. |12 |step |programs) |for |maintenance |of |recovery
|from |alcoholism:
answers
Which |of |the |following |is |a |requirement |for |drivers |with |a |diabetes |exemption?
A) |Possess |a |rapidly |absorbable |form |of |glucose |while |driving |- |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 |annually. |There |is |no |specific |requirement |for |HgA1C |
level.
Drivers |with |insulin |dependent |diabetes:
D) |May |be |eligible |for |a |diabetes |exemption |- |correct |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 |- |correct |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? |C) |One |year |- |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:
D) |The |FMCSA |- |correct |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 |- |correct |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:
C) |Fingerstick |or |blood |glucose |determination |- |correct |answer-C) |The |medical |examiner |should |first |
determine |blood |glucose |and |then |make |an |appropriate |certification |determination |and |referral
Which |of |the |following |is |not |a |criteria |that |the |FMCSA |uses |to |define |a |severe |hypoglycemic |
reaction? |- |correct |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
Drivers |with |a |history |of |_____________ |severe |hypoglycemic |reactions |in |the |past |year |or |
_____________ |severe |hypoglycemic |reactions |in |the |past |five |years |should |not |be |certified. |B) |one, |
two |- |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 |years.
Which |diabetes |mellitus |risk |poses |the |greatest |threat |to |public |safety |C) |Hypoglycemia |- |correct |
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.
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 |- |correct |answer-A) |Driver's |with |diabetes |exemption |
should |check |glucose |values |one |hour |before |driving |and |once |every |four |hours |while |driving
Which |of |the |following |is |true |for |diagnosis |of |a |hernia?
D) |The |maximum |certification |interval |for |a |driver |with |a |hernia |is |two |years |- |correct |answer-D) |The |
medical |examiner |can |use |his/her |judgment |as |to |whether |a |driver |should |be |referred |to |a |surgeon |or
|other |specialist. |There |is |no |specified |waiting |period |following |hernia |surgery |- |the |driver |should |not |
be |certified |until |the |medical |examiner |determines |that |treatment |is |safe |and |effective, |and |that |the |
condition |is |stable. |No |evidence |has |linked |hernias |of |any |type |to |increased |CMV |accident |risk.
Drivers |with |which |of |the |following |conditions |should |be |disqualified? |C) |Renal |failure |on |peritoneal |
dialysis |- |correct |answer-C) |Dialysis |of |any |type |is |disqualifying
,Which |of |the |following |is |true |of |nephropathy? |B) |The |maximum |certification |interval |for |nephropathy
|is |two |years |- |correct |answer-B) |Nephropathy |is |considered |on |a |case-by-case |basis. |The |medical |
examiner |determines |what |evaluation |or |monitoring |is |necessary |for |a |driver |with |3+ |proteinuria |and |
may |disqualify |the |driver. |The |certification |is |always |made |by |the |medical |examiner |and |cannot |be |
deferred |to |a |specialist.
If |a |significant |abnormal |finding |for |urinalysis |specific |gravity, |protein, |or |blood |is |found, |the |medical |
examiner |should: |C) |Use |clinical |expertise |to |determine |a |certification |decision |and |to |determine |if |
additional |evaluation |is |required |or |recommended |- |correct |answer-C) |The |medical |examiner |must |
determine |whether |additional |evaluation |is |needed |and |whether |the |certification |decision |should |be |
postponed |or |limited
A |driver |with |a |history |of |kidney |disease |with |or |without |transplant: |B) |Must |be |assessed |regarding |
the |severity, |stability, |medications |used, |and |medication |side |effects/adverse |reactions. |- |correct |
answer-B) |ASsessment |for |kidney |disease |must |be |ade |on |a |case-by-case |basis. |Dialysis |of |any |kind |is |
disqualifying. |The |medical |examiner |may |choose |to |test |the |driver |for |functional |ability |to |operate |a |
CMV |safely. |The |medical |certification |decision |must |be |made |by |the |medical |examiner.
Which |of |the |following |is |not |a |disqualifying |condition?
A) |Peritoneal |dialysis
B) |Hemodialysis
C) |Hernia
D) |Peripheral |neuropathy |- |correct |answer-Any |type |of |dialysis |is |a |disqualifying |condition. |Peripheral |
neuropathy |is |usually |disqualifying. |Although |a |hernia |may |be |disqualifying, |often |a |driver |can |be |
certified |if |the |symptoms |and/or |examination |findings |are |mild |or |if |the |hernia |has |been |surgically |
repaired |and |the |condition |has |stabilized |(there |is |no |specified |waiting |period |following |hernia |
treatment, |including |surgery).
Urinalysis |is |required |for |the |driver |physical |examination |and |the |results |must |include |C) |Specific |
gravity, |protein, |blood, |and |glucose |- |correct |answer-C) |Specific |gravity, |protein, |blood, |and |glucose |
should |be |checked |at |every |driver |examination
Disqualifying |conditions |include: |D) |Dialysis |- |correct |answer-D) |Dialysis |of |any |type |of |disqualifying
, A |driver |who |has |Hepatitis |C |who |is |stable |and |whose |condition |does |not |represent |a |safety |risk |may |
be |certified |A) |True |- |correct |answer-A) |Hepatitis |C |is |not |disqualifying
A |driver |with |a |history |of |acute |bleeding |ulcer |may |be |certified |if: |D) |The |underlying |cause |has |been |
identified |and |recurrence |risk |is |low |following |treatment |- |correct |answer-D) |Drivers |with |bleeding |
ulcers |should |not |be |certified |until |the |underlying |cause |has |been |identified |and |the |recurrence |risk |is
|low
A |driver |with |a |successful |kidney |transplant |can |be |certified |A) |True |- |correct |answer-A) |Kidney |
transplants |are |not |disqualifying
Which |of |the |following |is |true?
A) |Medical |marijuana |use |if |disqualifying |- |correct |answer-A) |If |a |driver |gives |a |history |of |recent |
marijuana |use, |the |driver |should |be |referred |for |substance |abuse |professional |evaluation |regardless |of
|drug |test |result. |Drivers |with |a |history |of |marijuana |use, |or |a |drug |test |positive |for |marijuana, |must |
undergo |substance |abuse |professional |assessment |and |complete |any |recommended |rehabilitation |
prior |to |returning |to |driving. |Marijuana |is |a |Schedule |I |drug.
Which |of |the |following |is |a |requirement |for |a |driver |with |a |history |of |alcoholism |to |be |certified? |A) |
No |residual |disqualifying |physical |impairment |- |correct |answer-A) |Treatment |with |naltrexone |is |not |
required |for |driver |certification |for |a |driver |with |a |history |of |alcoholism. |A |driver |with |a |history |of |
alcoholism |must |have |completed |counseling |and/or |treatment |and |must |not |have |a |current |alcohol-
related |disorder |in |order |to |be |certified.
Which |of |the |following |is |a |disqualifying |condition?
A) |A |past |clinical |diagnosis |of |alcoholism
B) |A |breath |alcohol |result |of |0.019%
C) |An |alcohol-related |stable |physical |condition, |regardless |of |the |time |element
D) |Use |of |methadone |- |correct |answer-D) |A |current |diagnosis |of |alcoholism |is |disqualifying. |A |breath |
alcohol |result |of |0.02% |or |higher |renders |the |driver |unqualified |to |drive. |An |alcohol-related |unstable |
physical |condition |is |disqualifying.
Ongoing |voluntary |attendance |at |self-help |groups |(e.g. |12 |step |programs) |for |maintenance |of |recovery
|from |alcoholism:
