NRCME Test Bank Questions With
Correct Answers
Which bof bthe bfollowing bis ba brequirement bfor bdrivers bwith ba bdiabetes bexemption?
A) bPossess ba brapidly babsorbable bform bof bglucose bwhile bdriving
B) bSelf—monitor bblood bglucose bone bhour bbefore bdriving band bat bleast bonce bevery
b2 bhours bwhile bdriving
C) bPlan bto bsubmit bblood bglucose bmonitoring blogs bevery b6 bmonths
D) bMaintain ba bHemoglobin bA1C bvalue bless bthan b7 b- bcorrect banswers✔✔A. bDrivers
bwith bdiabetes bshould bself bmonitor bblood bglucose bbefore bdriving band bevery b4
bhours bwhile bdriving. bBlood bglucose bmonitoring blogs bshould bbe bsubmitted bannually.
bThere bis bno bspecific brequirement bfor bHgA1C blevel.
Drivers bwith binsulin bdependent bdiabetes:
A) bMay bbe bcertified bfor ba bmaximum bof b6 bmonths
B) bMust bmaintain ba bhemoglobin bA1C blevel bof bless bthan b7 bto bqualify bfor
bcertification
C) bCannot bbe bcertified bif bthey bhave ba bhistory bof bmyocardial binfarction
D) bMay bbe beligible bfor ba bdiabetes bexemption b- bcorrect banswers✔✔D) bDrivers bwith
binsulin bdependent bdiabetes bcannot bbe bcertified bbut bmay bbe beligible bfor ba
bdiabetes bexemption
Which bof bthe bfollowing bis btrue?
A) bA bdriver bwith bdiabetes bwho buses binsulin bdoes bnot bmeet bthe bminimum
brequirements bof b49 bCFR bPart b391.41
B) bThe bmost bimportant bconcert brelated bto bmedication buse bfor btreating bdiabetes bis
bhyperglycemia
C) bPeripheral bneuropathy bis bnot ba bdisqualifying bcondition
D) bDiabetes bis bnot ba bcoronary bheart bdisease b(CHD) bequivalent bcondition b- bcorrect
banswers✔✔A) bThe bgreatest brisk bfor bmedication buse bfor bdrivers bwith bdiabetes bin
bhypoglycemia, bnot bhyperglycemia. bPeripheral bneuropathy bis bdisqualifying bcondition.
bDiabetes bis ba bCHD bequivalent bcondition.
What bis bthe brecommended bcertification binterval bfor ba bdriver bwith bdiabetes
bmellituse bwho bdoes bnot buse binsulin?
,A) bThree bmonths
B) bSix bmonths
C) bOne byear
D) bTwo byears b- bcorrect banswers✔✔C) bDrivers bwith bnon-insulin bdependent
bdiabetes bshould bbe bcertified bfor ba bmaximum bof bone byear
A bdiabetes bexemption bmay bbe bissued bby:
A) bAn bendocrinologist
B) bThe bMedical bExaminer
C) bThe bdriver's bpersonal bphysician
D) bThe bFMCSA b- bcorrect banswers✔✔D) bOnly bthe bFMCSA bcan bgrant bexemptions
A bdriver bwith bdiabetes bmellliktus bwho buses binsulin bis bdetermined bto bbe botherwise
bmedically bqualified. bThe bmedical bexaminer bmust bindicate bthat ba bdiabetes
bexemption bis brequired bon bthe b:
A) bMedical bExamination bReport bstatus bsection band bMedical bExaminers bCertificate
B) bLetter bto bthe bFMCSA
C) bEmployer bauthorization bform
D) bEndocrinology bconsultation bform b- bcorrect banswers✔✔A) bExemption
brequirements bmust bbe bnoted bon bthe bMedical bExamination bReport bstatus bsection
band bthe bMedical bExaminers bCertificate
If bglucose bis bdetected bon burinalysis bin ba bdriver bwith bno bhistory bof bdiabetes, ban
bappropriate bnext bstep bis:
A) bEndocrinology bconsultation
B) bOne byear bclearance band brecommendation bto bsee bpersonal bphysician
C) bFingerstick bor bblood bglucose bdetermination
D) bTemporary bdisqualification b- bcorrect banswers✔✔C) bThe bmedical bexaminer
bshould bfirst bdetermine bblood bglucose band bthen bmake ban bappropriate bcertification
bdetermination band breferral
Drivers bwith ba bhistory bof b_____________ bsevere bhypoglycemic breactions bin bthe
bpast byear bor b_____________ bsevere bhypoglycemic breactions bin bthe bpast bfive
byears bshould bnot bbe bcertifed.
A) bone, bthree
B) bone, btwo
C) btwo, bthree
D) btwo, bfive b- bcorrect banswers✔✔B) bA bdriver bshould bnot bbe bcertified bif bthe bdriver
bhas bhad bone bhypoglycemic breaction bin bthe bpast byear bor btwo bin bthe bpast bfive
byears.
Which bof bthe bfollowing bis bnot ba bcriteria bthat bthe bFMCSA buses bto bdefine ba bsevere
bhypoglycemic breaction?
A) bSeizure
B) bDizziness
C) bNeed bof bassistance bfrom banother bperson
,D) bPeriod bof bimpaired bcognitive bfunction bthat boccurred bwithout bwarning b- bcorrect
banswers✔✔B) bFMCSA bdefines bsevere bhypoglycemia bas breactions bthat bresult bin
bseizure, bloss bof bconsciousness, bneed bof bassistance bfrom banother bperson, band ba
bperiod bof bimpaired bcongitive bfunction bthat boccurred bwithout bwarning
Which bdiabetes bmellitus brisk bposes bthe bgreatest bthreat bto bpublic bsafety
A) bHyperglycemia
B) bPeripheral bneuropathy
C) bHypoglycemia
D) bMetabolic bencephalopathy b- bcorrect banswers✔✔C) bAlthough bhyperglycemia,
bperipheral bneuropathy, band bmetabolic bencephalopathy ball bpose bsignificant brisks bfor
bsafe bdriving, bhypoglycemia bposes bthe bgreatest brisk. bThe brisk bis bparticularly
bpronounced bin bdrivers bwho buse binsulin. bFMCSA bdefines ba bhypoglycemia bepisode
bas bone bthat bresults bin bseizure, bloss bof bconsciousness, bneed bof bassistance bfrom
banother bperson, bor ba bperiod bof bimpaired bcognitive bfunction bthat boccurs bwithout
bwarning.
A bdriver bwith ba bdiabetes bexemption bshould bcheck bglucose blevels bwhen?
A) bOne bhour bbefore bdriving band bat bleast bonce bevery bfour bhours bwhile bdriving
B) bOne bhour bbefore bdriving band bat bleast bevery beight bhours bwhile bdriving
C) bOnce bafter bfour bhours bof bdriving
D) bOnce ba bday bafter bdriving bperiod bhas bended b- bcorrect banswers✔✔A) bDriver's
bwith bdiabetes bexemption bshould bcheck bglucose bvalues bone bhour bbefore bdriving
band bonce bevery bfour bhours bwhile bdriving
Which bof bthe bfollowing bis btrue bfor bdiagnosis bof ba bhernia?
A) bThe bdriver bshould bbe breferred bto ba bsurgeon bto bdetermine bwhether brepair bof ba
bhernia bis bnecessary
B) bThe bwaiting bperiod bfollowing bhernia bsurgery bis btwo bweeks
C) bInguinal bhernias bhave bbeen bassociated bwith ban bincreased brisk bfor bCMV
baccidents
D) bThe bmaximum bcertification binterval bfor ba bdriver bwith ba bhernia bis btwo byears b-
bcorrect banswers✔✔D) bThe bmedical bexaminer bcan buse bhis/her bjudgment bas bto
bwhether ba bdriver bshould bbe breferred bto ba bsurgeon bor bother bspecialist. bThere bis
bno bspecified bwaiting bperiod bfollowing bhernia bsurgery b- bthe bdriver bshould bnot bbe
bcertified buntil bthe bmedical bexaminer bdetermines bthat btreatment bis bsafe band
beffective, band bthat bthe bcondition bis bstable. bNo bevidence bhas blinked bhernias bof
bany btype bto bincreased bCMV baccident brisk.
Which bof bthe bfollowing bis btrue bof bnephropathy?
A) bNephropathy bis ba bdisqualifying bcondition
B) bThe bmaximum bcertification binterval bfor bnephropathy bis btwo byears
C) bA bdriver bwith b3+ bproteinuria bshould bnot bbe bcertified
D) bA brenal bspecialist bshould bmake bthe bcertification bdetermination bfor ba bdriver bwith
bnephropathy b- bcorrect banswers✔✔B) bNephropathy bis bconsidered bon ba bcase-by-
case bbasis. bThe bmedical bexaminer bdetermines bwhat bevaluation bor bmonitoring bis
, bnecessary bfor ba bdriver bwith b3+ bproteinuria band bmay bdisqualify bthe bdriver. bThe
bcertification bis balways bmade bby bthe bmedical bexaminer band bcannot bbe bdeferred bto
ba bspecialist.
Drivers bwith bwhich bof bthe bfollowing bconditions bshould bbe bdisqualified?
A) bCancer brequiring bchemotherapy btreatment
B) bUmbilical bhernia bnot bsurgically brepaired
C) bRenal bfailure bon bperitoneal bdialysis
D) bHemochromatosis b- bcorrect banswers✔✔C) bDialysis bof bany btype bis bdisqualifying
If ba bsignificant babnormal bfinding bfor burinalysis bspecific bgravity, bprotein, bor bblood bis
bfound, bthe bmedical bexaminer bshould:
A) bDisqualify bthe bdriver
B) bRequest bthat ba brenal bspecialist bdetermine bif bthe bdriver bis bmedically bqualified
C) bUse bclinical bexpertise bto bdetermine ba bcertification bdecision band bto bdetermine bif
badditional bevaluation bis brequired bor brecommended
D) bObtain bblood bchemistries bfor brenal bfunction b- bcorrect banswers✔✔C) bThe
bmedical bexaminer bmust bdetermine bwhether badditional bevaluation bis bneeded band
bwhether bthe bcertification bdecision bshould bbe bpostponed bor blimited
A bdriver bwith ba bhistory bof bkidney bdisease bwith bor bwithout btransplant:
A) bIs bmedically bdisqualified
B) bMust bbe bassessed bregarding bthe bseverity, bstability, bmedications bused, band
bmedication bside beffects/adverse breactions
C) bShould bnot bbe bassessed bfor bfunctional bability bto boperate ba bCMV bsafely
D) bShould bhave bthe bmedical bcertificaton bdetermination bmade bby ba brenal bspecialist
b- bcorrect banswers✔✔B) bASsessment bfor bkidney bdisease bmust bbe bade bon ba
bcase-by-case bbasis. bDialysis bof bany bkind bis bdisqualifying. bThe bmedical bexaminer
bmay bchoose bto btest bthe bdriver bfor bfunctional bability bto boperate ba bCMV bsafely.
bThe bmedical bcertification bdecision bmust bbe bmade bby bthe bmedical bexaminer.
Which bof bthe bfollowing bis bnot ba bdisqualifying bcondition?
A) bPeritoneal bdialysis
B) bHemodialysis
C) bHernia
D) bPeripheral bneuropathy b- bcorrect banswers✔✔Any btype bof bdialysis bis ba
bdisqualifying bcondition. bPeripheral bneuropathy bis busually bdisqualifying. bAlthough ba
bhernia bmay bbe bdisqualifying, boften ba bdriver bcan bbe bcertified bif bthe bsymptoms
band/or bexamination bfindings bare bmild bor bif bthe bhernia bhas bbeen bsurgically
brepaired band bthe bcondition bhas bstabilized b(there bis bno bspecified bwaiting bperiod
bfollowing bhernia btreatment, bincluding bsurgery).
Urinalysis bis brequired bfor bthe bdriver bphysical bexamination band bthe bresults bmust
binclude
A) bSpecific bgravity, bcreatinine, bbilirubin, band bglucose
B) bCreatinine, bbilirubin, bblood, band bprotein
Correct Answers
Which bof bthe bfollowing bis ba brequirement bfor bdrivers bwith ba bdiabetes bexemption?
A) bPossess ba brapidly babsorbable bform bof bglucose bwhile bdriving
B) bSelf—monitor bblood bglucose bone bhour bbefore bdriving band bat bleast bonce bevery
b2 bhours bwhile bdriving
C) bPlan bto bsubmit bblood bglucose bmonitoring blogs bevery b6 bmonths
D) bMaintain ba bHemoglobin bA1C bvalue bless bthan b7 b- bcorrect banswers✔✔A. bDrivers
bwith bdiabetes bshould bself bmonitor bblood bglucose bbefore bdriving band bevery b4
bhours bwhile bdriving. bBlood bglucose bmonitoring blogs bshould bbe bsubmitted bannually.
bThere bis bno bspecific brequirement bfor bHgA1C blevel.
Drivers bwith binsulin bdependent bdiabetes:
A) bMay bbe bcertified bfor ba bmaximum bof b6 bmonths
B) bMust bmaintain ba bhemoglobin bA1C blevel bof bless bthan b7 bto bqualify bfor
bcertification
C) bCannot bbe bcertified bif bthey bhave ba bhistory bof bmyocardial binfarction
D) bMay bbe beligible bfor ba bdiabetes bexemption b- bcorrect banswers✔✔D) bDrivers bwith
binsulin bdependent bdiabetes bcannot bbe bcertified bbut bmay bbe beligible bfor ba
bdiabetes bexemption
Which bof bthe bfollowing bis btrue?
A) bA bdriver bwith bdiabetes bwho buses binsulin bdoes bnot bmeet bthe bminimum
brequirements bof b49 bCFR bPart b391.41
B) bThe bmost bimportant bconcert brelated bto bmedication buse bfor btreating bdiabetes bis
bhyperglycemia
C) bPeripheral bneuropathy bis bnot ba bdisqualifying bcondition
D) bDiabetes bis bnot ba bcoronary bheart bdisease b(CHD) bequivalent bcondition b- bcorrect
banswers✔✔A) bThe bgreatest brisk bfor bmedication buse bfor bdrivers bwith bdiabetes bin
bhypoglycemia, bnot bhyperglycemia. bPeripheral bneuropathy bis bdisqualifying bcondition.
bDiabetes bis ba bCHD bequivalent bcondition.
What bis bthe brecommended bcertification binterval bfor ba bdriver bwith bdiabetes
bmellituse bwho bdoes bnot buse binsulin?
,A) bThree bmonths
B) bSix bmonths
C) bOne byear
D) bTwo byears b- bcorrect banswers✔✔C) bDrivers bwith bnon-insulin bdependent
bdiabetes bshould bbe bcertified bfor ba bmaximum bof bone byear
A bdiabetes bexemption bmay bbe bissued bby:
A) bAn bendocrinologist
B) bThe bMedical bExaminer
C) bThe bdriver's bpersonal bphysician
D) bThe bFMCSA b- bcorrect banswers✔✔D) bOnly bthe bFMCSA bcan bgrant bexemptions
A bdriver bwith bdiabetes bmellliktus bwho buses binsulin bis bdetermined bto bbe botherwise
bmedically bqualified. bThe bmedical bexaminer bmust bindicate bthat ba bdiabetes
bexemption bis brequired bon bthe b:
A) bMedical bExamination bReport bstatus bsection band bMedical bExaminers bCertificate
B) bLetter bto bthe bFMCSA
C) bEmployer bauthorization bform
D) bEndocrinology bconsultation bform b- bcorrect banswers✔✔A) bExemption
brequirements bmust bbe bnoted bon bthe bMedical bExamination bReport bstatus bsection
band bthe bMedical bExaminers bCertificate
If bglucose bis bdetected bon burinalysis bin ba bdriver bwith bno bhistory bof bdiabetes, ban
bappropriate bnext bstep bis:
A) bEndocrinology bconsultation
B) bOne byear bclearance band brecommendation bto bsee bpersonal bphysician
C) bFingerstick bor bblood bglucose bdetermination
D) bTemporary bdisqualification b- bcorrect banswers✔✔C) bThe bmedical bexaminer
bshould bfirst bdetermine bblood bglucose band bthen bmake ban bappropriate bcertification
bdetermination band breferral
Drivers bwith ba bhistory bof b_____________ bsevere bhypoglycemic breactions bin bthe
bpast byear bor b_____________ bsevere bhypoglycemic breactions bin bthe bpast bfive
byears bshould bnot bbe bcertifed.
A) bone, bthree
B) bone, btwo
C) btwo, bthree
D) btwo, bfive b- bcorrect banswers✔✔B) bA bdriver bshould bnot bbe bcertified bif bthe bdriver
bhas bhad bone bhypoglycemic breaction bin bthe bpast byear bor btwo bin bthe bpast bfive
byears.
Which bof bthe bfollowing bis bnot ba bcriteria bthat bthe bFMCSA buses bto bdefine ba bsevere
bhypoglycemic breaction?
A) bSeizure
B) bDizziness
C) bNeed bof bassistance bfrom banother bperson
,D) bPeriod bof bimpaired bcognitive bfunction bthat boccurred bwithout bwarning b- bcorrect
banswers✔✔B) bFMCSA bdefines bsevere bhypoglycemia bas breactions bthat bresult bin
bseizure, bloss bof bconsciousness, bneed bof bassistance bfrom banother bperson, band ba
bperiod bof bimpaired bcongitive bfunction bthat boccurred bwithout bwarning
Which bdiabetes bmellitus brisk bposes bthe bgreatest bthreat bto bpublic bsafety
A) bHyperglycemia
B) bPeripheral bneuropathy
C) bHypoglycemia
D) bMetabolic bencephalopathy b- bcorrect banswers✔✔C) bAlthough bhyperglycemia,
bperipheral bneuropathy, band bmetabolic bencephalopathy ball bpose bsignificant brisks bfor
bsafe bdriving, bhypoglycemia bposes bthe bgreatest brisk. bThe brisk bis bparticularly
bpronounced bin bdrivers bwho buse binsulin. bFMCSA bdefines ba bhypoglycemia bepisode
bas bone bthat bresults bin bseizure, bloss bof bconsciousness, bneed bof bassistance bfrom
banother bperson, bor ba bperiod bof bimpaired bcognitive bfunction bthat boccurs bwithout
bwarning.
A bdriver bwith ba bdiabetes bexemption bshould bcheck bglucose blevels bwhen?
A) bOne bhour bbefore bdriving band bat bleast bonce bevery bfour bhours bwhile bdriving
B) bOne bhour bbefore bdriving band bat bleast bevery beight bhours bwhile bdriving
C) bOnce bafter bfour bhours bof bdriving
D) bOnce ba bday bafter bdriving bperiod bhas bended b- bcorrect banswers✔✔A) bDriver's
bwith bdiabetes bexemption bshould bcheck bglucose bvalues bone bhour bbefore bdriving
band bonce bevery bfour bhours bwhile bdriving
Which bof bthe bfollowing bis btrue bfor bdiagnosis bof ba bhernia?
A) bThe bdriver bshould bbe breferred bto ba bsurgeon bto bdetermine bwhether brepair bof ba
bhernia bis bnecessary
B) bThe bwaiting bperiod bfollowing bhernia bsurgery bis btwo bweeks
C) bInguinal bhernias bhave bbeen bassociated bwith ban bincreased brisk bfor bCMV
baccidents
D) bThe bmaximum bcertification binterval bfor ba bdriver bwith ba bhernia bis btwo byears b-
bcorrect banswers✔✔D) bThe bmedical bexaminer bcan buse bhis/her bjudgment bas bto
bwhether ba bdriver bshould bbe breferred bto ba bsurgeon bor bother bspecialist. bThere bis
bno bspecified bwaiting bperiod bfollowing bhernia bsurgery b- bthe bdriver bshould bnot bbe
bcertified buntil bthe bmedical bexaminer bdetermines bthat btreatment bis bsafe band
beffective, band bthat bthe bcondition bis bstable. bNo bevidence bhas blinked bhernias bof
bany btype bto bincreased bCMV baccident brisk.
Which bof bthe bfollowing bis btrue bof bnephropathy?
A) bNephropathy bis ba bdisqualifying bcondition
B) bThe bmaximum bcertification binterval bfor bnephropathy bis btwo byears
C) bA bdriver bwith b3+ bproteinuria bshould bnot bbe bcertified
D) bA brenal bspecialist bshould bmake bthe bcertification bdetermination bfor ba bdriver bwith
bnephropathy b- bcorrect banswers✔✔B) bNephropathy bis bconsidered bon ba bcase-by-
case bbasis. bThe bmedical bexaminer bdetermines bwhat bevaluation bor bmonitoring bis
, bnecessary bfor ba bdriver bwith b3+ bproteinuria band bmay bdisqualify bthe bdriver. bThe
bcertification bis balways bmade bby bthe bmedical bexaminer band bcannot bbe bdeferred bto
ba bspecialist.
Drivers bwith bwhich bof bthe bfollowing bconditions bshould bbe bdisqualified?
A) bCancer brequiring bchemotherapy btreatment
B) bUmbilical bhernia bnot bsurgically brepaired
C) bRenal bfailure bon bperitoneal bdialysis
D) bHemochromatosis b- bcorrect banswers✔✔C) bDialysis bof bany btype bis bdisqualifying
If ba bsignificant babnormal bfinding bfor burinalysis bspecific bgravity, bprotein, bor bblood bis
bfound, bthe bmedical bexaminer bshould:
A) bDisqualify bthe bdriver
B) bRequest bthat ba brenal bspecialist bdetermine bif bthe bdriver bis bmedically bqualified
C) bUse bclinical bexpertise bto bdetermine ba bcertification bdecision band bto bdetermine bif
badditional bevaluation bis brequired bor brecommended
D) bObtain bblood bchemistries bfor brenal bfunction b- bcorrect banswers✔✔C) bThe
bmedical bexaminer bmust bdetermine bwhether badditional bevaluation bis bneeded band
bwhether bthe bcertification bdecision bshould bbe bpostponed bor blimited
A bdriver bwith ba bhistory bof bkidney bdisease bwith bor bwithout btransplant:
A) bIs bmedically bdisqualified
B) bMust bbe bassessed bregarding bthe bseverity, bstability, bmedications bused, band
bmedication bside beffects/adverse breactions
C) bShould bnot bbe bassessed bfor bfunctional bability bto boperate ba bCMV bsafely
D) bShould bhave bthe bmedical bcertificaton bdetermination bmade bby ba brenal bspecialist
b- bcorrect banswers✔✔B) bASsessment bfor bkidney bdisease bmust bbe bade bon ba
bcase-by-case bbasis. bDialysis bof bany bkind bis bdisqualifying. bThe bmedical bexaminer
bmay bchoose bto btest bthe bdriver bfor bfunctional bability bto boperate ba bCMV bsafely.
bThe bmedical bcertification bdecision bmust bbe bmade bby bthe bmedical bexaminer.
Which bof bthe bfollowing bis bnot ba bdisqualifying bcondition?
A) bPeritoneal bdialysis
B) bHemodialysis
C) bHernia
D) bPeripheral bneuropathy b- bcorrect banswers✔✔Any btype bof bdialysis bis ba
bdisqualifying bcondition. bPeripheral bneuropathy bis busually bdisqualifying. bAlthough ba
bhernia bmay bbe bdisqualifying, boften ba bdriver bcan bbe bcertified bif bthe bsymptoms
band/or bexamination bfindings bare bmild bor bif bthe bhernia bhas bbeen bsurgically
brepaired band bthe bcondition bhas bstabilized b(there bis bno bspecified bwaiting bperiod
bfollowing bhernia btreatment, bincluding bsurgery).
Urinalysis bis brequired bfor bthe bdriver bphysical bexamination band bthe bresults bmust
binclude
A) bSpecific bgravity, bcreatinine, bbilirubin, band bglucose
B) bCreatinine, bbilirubin, bblood, band bprotein
