NRCME Test Bank Questions LATEST VERSION 175 QUESTIONS AND
ANSWERS WITH STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED
PASS, LATEST UPDATE 2025
1. Drivers with insulin dependent
diabetes:
A) May be certified for a maxi-
mum of 6 months
B) Must maintain a hemoglobin
A1C level of less than 7 to qualify D) Drivers with insulin dependent diabetes cannot be cer-
for certification tified but may be eligible for a diabetes exemption
C) Cannot be certified if they
have a history of myocardial in-
farction
D) May be eligible for a diabetes
exemption
2. Which of the following is true?
A) A driver with diabetes who
uses insulin does not meet the
minimum requirements of 49
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 LATEST VERSION 175 QUESTIONS AND
ANSWERS WITH STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED
PASS, LATEST UPDATE 2025
CFR Part 391.41
B) The most important con-
cert related to medication use
for treating diabetes is hyper-
glycemia
C) Peripheral neuropathy is not
a disqualifying condition
D) Diabetes is not a coronary
heart disease (CHD) equivalent
condition
3. What is the recommended certi- C) Drivers with non-insulin dependent diabetes should be
fication interval for a driver with certified for a maximum of one year
diabetes mellituse who does
not use insulin?
A) Three months
B) Six months
C) One year
D) Two years
4. A diabetes exemption may be is- D) Only the FMCSA can grant exemptions
sued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physi-
cian
D) The FMCSA
5. A driver with diabetes melllik- A) Exemption requirements must be noted on the Medical
tus who uses insulin is deter- Examination Report status section and the Medical Exam-
mined to be otherwise medical- iners Certificate
ly qualified. The medical exam-
, NRCME Test Bank Questions LATEST VERSION 175 QUESTIONS AND
ANSWERS WITH STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED
PASS, LATEST UPDATE 2025
iner must indicate that a dia-
betes exemption is required on
the :
A) Medical Examination Report
status section and Medical Ex-
aminers Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation
form
6. If glucose is detected on urinal- C) The medical examiner should first determine blood glu-
ysis in a driver with no history cose and then make an appropriate certification determi-
of diabetes, an appropriate next nation and referral
step is:
A) Endocrinology consultation
B) One year clearance and rec-
ommendation to see personal
physician
C) Fingerstick or blood glucose
determination
D) Temporary disqualification
7. Drivers with a history of B) A driver should not be certified if the driver has had one
severe hypo- hypoglycemic reaction in the past year or two in the past
glycemic reactions in the past five years.
year or severe hy-
poglycemic reactions in the past
five years should not be cer-
tifed.
A) one, three
B) one, two
, NRCME Test Bank Questions LATEST VERSION 175 QUESTIONS AND
ANSWERS WITH STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED
PASS, LATEST UPDATE 2025
C) two, three
D) two, five
8. Which of the following is not B) FMCSA defines severe hypoglycemia as reactions that
a criteria that the FMCSA uses result in seizure, loss of consciousness, need of assistance
to define a severe hypoglycemic from another person, and a period of impaired congitive
reaction? function that occurred without warning
A) Seizure
B) Dizziness
C) Need of assistance from an-
other person
D) Period of impaired cognitive
function that occurred without
warning
9. Which diabetes mellitus risk C) Although hyperglycemia, peripheral neuropathy, and
poses the greatest threat to metabolic encephalopathy all pose significant risks for safe
public safety driving, hypoglycemia poses the greatest risk. The risk is
A) Hyperglycemia particularly pronounced in drivers who use insulin. FM-
B) Peripheral neuropathy CSA defines a hypoglycemia episode as one that results
C) Hypoglycemia in seizure, loss of consciousness, need of assistance from
D) Metabolic encephalopathy another person, or a period of impaired cognitive function
that occurs without warning.
10. A driver with a diabetes exemp- A) Driver's with diabetes exemption should check glucose
tion should check glucose levels values one hour before driving and once every four hours
when? 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
ANSWERS WITH STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED
PASS, LATEST UPDATE 2025
1. Drivers with insulin dependent
diabetes:
A) May be certified for a maxi-
mum of 6 months
B) Must maintain a hemoglobin
A1C level of less than 7 to qualify D) Drivers with insulin dependent diabetes cannot be cer-
for certification tified but may be eligible for a diabetes exemption
C) Cannot be certified if they
have a history of myocardial in-
farction
D) May be eligible for a diabetes
exemption
2. Which of the following is true?
A) A driver with diabetes who
uses insulin does not meet the
minimum requirements of 49
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 LATEST VERSION 175 QUESTIONS AND
ANSWERS WITH STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED
PASS, LATEST UPDATE 2025
CFR Part 391.41
B) The most important con-
cert related to medication use
for treating diabetes is hyper-
glycemia
C) Peripheral neuropathy is not
a disqualifying condition
D) Diabetes is not a coronary
heart disease (CHD) equivalent
condition
3. What is the recommended certi- C) Drivers with non-insulin dependent diabetes should be
fication interval for a driver with certified for a maximum of one year
diabetes mellituse who does
not use insulin?
A) Three months
B) Six months
C) One year
D) Two years
4. A diabetes exemption may be is- D) Only the FMCSA can grant exemptions
sued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physi-
cian
D) The FMCSA
5. A driver with diabetes melllik- A) Exemption requirements must be noted on the Medical
tus who uses insulin is deter- Examination Report status section and the Medical Exam-
mined to be otherwise medical- iners Certificate
ly qualified. The medical exam-
, NRCME Test Bank Questions LATEST VERSION 175 QUESTIONS AND
ANSWERS WITH STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED
PASS, LATEST UPDATE 2025
iner must indicate that a dia-
betes exemption is required on
the :
A) Medical Examination Report
status section and Medical Ex-
aminers Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation
form
6. If glucose is detected on urinal- C) The medical examiner should first determine blood glu-
ysis in a driver with no history cose and then make an appropriate certification determi-
of diabetes, an appropriate next nation and referral
step is:
A) Endocrinology consultation
B) One year clearance and rec-
ommendation to see personal
physician
C) Fingerstick or blood glucose
determination
D) Temporary disqualification
7. Drivers with a history of B) A driver should not be certified if the driver has had one
severe hypo- hypoglycemic reaction in the past year or two in the past
glycemic reactions in the past five years.
year or severe hy-
poglycemic reactions in the past
five years should not be cer-
tifed.
A) one, three
B) one, two
, NRCME Test Bank Questions LATEST VERSION 175 QUESTIONS AND
ANSWERS WITH STUDY GUIDE DETAILED AND VERIFIED FOR GUARANTEED
PASS, LATEST UPDATE 2025
C) two, three
D) two, five
8. Which of the following is not B) FMCSA defines severe hypoglycemia as reactions that
a criteria that the FMCSA uses result in seizure, loss of consciousness, need of assistance
to define a severe hypoglycemic from another person, and a period of impaired congitive
reaction? function that occurred without warning
A) Seizure
B) Dizziness
C) Need of assistance from an-
other person
D) Period of impaired cognitive
function that occurred without
warning
9. Which diabetes mellitus risk C) Although hyperglycemia, peripheral neuropathy, and
poses the greatest threat to metabolic encephalopathy all pose significant risks for safe
public safety driving, hypoglycemia poses the greatest risk. The risk is
A) Hyperglycemia particularly pronounced in drivers who use insulin. FM-
B) Peripheral neuropathy CSA defines a hypoglycemia episode as one that results
C) Hypoglycemia in seizure, loss of consciousness, need of assistance from
D) Metabolic encephalopathy another person, or a period of impaired cognitive function
that occurs without warning.
10. A driver with a diabetes exemp- A) Driver's with diabetes exemption should check glucose
tion should check glucose levels values one hour before driving and once every four hours
when? 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
