NRCME Test Bank Questions and
answers rated a+
Whichgofgthegfollowinggisgagrequirementgforgdriversgwithgagdiabetesgexemption?
A)gPossessgagrapidlygabsorbablegformgofgglucosegwhilegdriving
B)gSelf—
monitorgbloodgglucosegoneghourgbeforegdrivinggandgatgleastgoncegeveryg2ghoursgwhilegdriving
C)gPlangtogsubmitgbloodgglucosegmonitoringglogsgeveryg6gmonths
D)gMaintaingagHemoglobingA1Cgvalueglessgthang7g-
gCORRECTgANSWERSgA.gDriversgwithgdiabetesgshouldgselfgmonitorgbloodgglucosegbeforegdrivinggan
dgeveryg4ghoursgwhilegdriving.gBloodgglucosegmonitoringglogsgshouldgbegsubmittedgannually.gThere
gisgnogspecificgrequirementgforgHgA1Cglevel.
Driversgwithginsulingdependentgdiabetes:
A)gMaygbegcertifiedgforgagmaximumgofg6gmonths
B)gMustgmaintaingaghemoglobingA1Cglevelgofglessgthang7gtogqualifygforgcertification
C)gCannotgbegcertifiedgifgtheyghavegaghistorygofgmyocardialginfarction
D)gMaygbegeligiblegforgagdiabetesgexemptiong-
gCORRECTgANSWERSgD)gDriversgwithginsulingdependentgdiabetesgcannotgbegcertifiedgbutgmaygbegel
igiblegforgagdiabetesgexemption
Whichgofgthegfollowinggisgtrue?
A)gAgdrivergwithgdiabetesgwhogusesginsulingdoesgnotgmeetgthegminimumgrequirementsgofg49gCFRgP
artg391.41
B)gThegmostgimportantgconcertgrelatedgtogmedicationgusegforgtreatinggdiabetesgisghyperglycemia
C)gPeripheralgneuropathygisgnotgagdisqualifyinggcondition
D)gDiabetesgisgnotgagcoronarygheartgdiseaseg(CHD)gequivalentgconditiong-
gCORRECTgANSWERSgA)gTheggreatestgriskgforgmedicationgusegforgdriversgwithgdiabetesginghypoglyc
emia,gnotghyperglycemia.gPeripheralgneuropathygisgdisqualifyinggcondition.gDiabetesgisgagCHDgequ
ivalentgcondition.
,Whatgisgthegrecommendedgcertificationgintervalgforgagdrivergwithgdiabetesgmellitusegwhogdoesgnot
guseginsulin?
A)gThreegmonths
B)gSixgmonths
C)gOnegyear
D)gTwogyearsg-gCORRECTgANSWERSgC)gDriversgwithgnon-
insulingdependentgdiabetesgshouldgbegcertifiedgforgagmaximumgofgonegyear
Agdiabetesgexemptiongmaygbegissuedgby:
A)gAngendocrinologist
B)gThegMedicalgExaminer
C)gThegdriver'sgpersonalgphysician
D)gThegFMCSAg-gCORRECTgANSWERSgD)gOnlygthegFMCSAgcanggrantgexemptions
Agdrivergwithgdiabetesgmellliktusgwhogusesginsulingisgdeterminedgtogbegotherwisegmedicallygqualifi
ed.gThegmedicalgexaminergmustgindicategthatgagdiabetesgexemptiongisgrequiredgongtheg:
A)gMedicalgExaminationgReportgstatusgsectiongandgMedicalgExaminersgCertificate
B)gLettergtogthegFMCSA
C)gEmployergauthorizationgform
D)gEndocrinologygconsultationgformg-
gCORRECTgANSWERSgA)gExemptiongrequirementsgmustgbegnotedgongthegMedicalgExaminationgRep
ortgstatusgsectiongandgthegMedicalgExaminersgCertificate
Ifgglucosegisgdetectedgongurinalysisgingagdrivergwithgnoghistorygofgdiabetes,gangappropriategnextgste
pgis:
A)gEndocrinologygconsultation
B)gOnegyeargclearancegandgrecommendationgtogseegpersonalgphysician
,C)gFingerstickgorgbloodgglucosegdetermination
D)gTemporarygdisqualificationg-
gCORRECTgANSWERSgC)gThegmedicalgexaminergshouldgfirstgdeterminegbloodgglucosegandgthengmak
egangappropriategcertificationgdeterminationgandgreferral
Driversgwithgaghistorygofg_____________gsevereghypoglycemicgreactionsgingthegpastgyeargorg_____
________gsevereghypoglycemicgreactionsgingthegpastgfivegyearsgshouldgnotgbegcertifed.
A)gone,gthree
B)gone,gtwo
C)gtwo,gthree
D)gtwo,gfiveg-
gCORRECTgANSWERSgB)gAgdrivergshouldgnotgbegcertifiedgifgthegdriverghasghadgoneghypoglycemicgre
actiongingthegpastgyeargorgtwogingthegpastgfivegyears.
WhichgofgthegfollowinggisgnotgagcriteriagthatgthegFMCSAgusesgtogdefinegagsevereghypoglycemicgreac
tion?
A)gSeizure
B)gDizziness
C)gNeedgofgassistancegfromganothergperson
D)gPeriodgofgimpairedgcognitivegfunctiongthatgoccurredgwithoutgwarningg-
gCORRECTgANSWERSgB)gFMCSAgdefinesgsevereghypoglycemiagasgreactionsgthatgresultgingseizure,glo
ssgofgconsciousness,gneedgofgassistancegfromganothergperson,gandgagperiodgofgimpairedgcongitivegf
unctiongthatgoccurredgwithoutgwarning
Whichgdiabetesgmellitusgriskgposesgtheggreatestgthreatgtogpublicgsafety
A)gHyperglycemia
B)gPeripheralgneuropathy
C)gHypoglycemia
, D)gMetabolicgencephalopathyg-
gCORRECTgANSWERSgC)gAlthoughghyperglycemia,gperipheralgneuropathy,gandgmetabolicgencephal
opathygallgposegsignificantgrisksgforgsafegdriving,ghypoglycemiagposesgtheggreatestgrisk.gThegriskgisgp
articularlygpronouncedgingdriversgwhoguseginsulin.gFMCSAgdefinesgaghypoglycemiagepisodegasgoneg
thatgresultsgingseizure,glossgofgconsciousness,gneedgofgassistancegfromganothergperson,gorgagperiod
gofgimpairedgcognitivegfunctiongthatgoccursgwithoutgwarning.
Agdrivergwithgagdiabetesgexemptiongshouldgcheckgglucoseglevelsgwhen?
A)gOneghourgbeforegdrivinggandgatgleastgoncegeverygfourghoursgwhilegdriving
B)gOneghourgbeforegdrivinggandgatgleastgeverygeightghoursgwhilegdriving
C)gOncegaftergfourghoursgofgdriving
D)gOncegagdaygaftergdrivinggperiodghasgendedg-
gCORRECTgANSWERSgA)gDriver'sgwithgdiabetesgexemptiongshouldgcheckgglucosegvaluesgoneghourgb
eforegdrivinggandgoncegeverygfourghoursgwhilegdriving
Whichgofgthegfollowinggisgtruegforgdiagnosisgofgaghernia?
A)gThegdrivergshouldgbegreferredgtogagsurgeongtogdeterminegwhethergrepairgofgagherniagisgnecessar
y
B)gThegwaitinggperiodgfollowinggherniagsurgerygisgtwogweeks
C)gInguinalgherniasghavegbeengassociatedgwithgangincreasedgriskgforgCMVgaccidents
D)gThegmaximumgcertificationgintervalgforgagdrivergwithgagherniagisgtwogyearsg-
gCORRECTgANSWERSgD)gThegmedicalgexaminergcanguseghis/hergjudgmentgasgtogwhethergagdrivergsh
ouldgbegreferredgtogagsurgeongorgothergspecialist.gTheregisgnogspecifiedgwaitinggperiodgfollowingghe
rniagsurgeryg-
gthegdrivergshouldgnotgbegcertifiedguntilgthegmedicalgexaminergdeterminesgthatgtreatmentgisgsafega
ndgeffective,gandgthatgthegconditiongisgstable.gNogevidenceghasglinkedgherniasgofganygtypegtogincrea
sedgCMVgaccidentgrisk.
Whichgofgthegfollowinggisgtruegofgnephropathy?
A)gNephropathygisgagdisqualifyinggcondition
answers rated a+
Whichgofgthegfollowinggisgagrequirementgforgdriversgwithgagdiabetesgexemption?
A)gPossessgagrapidlygabsorbablegformgofgglucosegwhilegdriving
B)gSelf—
monitorgbloodgglucosegoneghourgbeforegdrivinggandgatgleastgoncegeveryg2ghoursgwhilegdriving
C)gPlangtogsubmitgbloodgglucosegmonitoringglogsgeveryg6gmonths
D)gMaintaingagHemoglobingA1Cgvalueglessgthang7g-
gCORRECTgANSWERSgA.gDriversgwithgdiabetesgshouldgselfgmonitorgbloodgglucosegbeforegdrivinggan
dgeveryg4ghoursgwhilegdriving.gBloodgglucosegmonitoringglogsgshouldgbegsubmittedgannually.gThere
gisgnogspecificgrequirementgforgHgA1Cglevel.
Driversgwithginsulingdependentgdiabetes:
A)gMaygbegcertifiedgforgagmaximumgofg6gmonths
B)gMustgmaintaingaghemoglobingA1Cglevelgofglessgthang7gtogqualifygforgcertification
C)gCannotgbegcertifiedgifgtheyghavegaghistorygofgmyocardialginfarction
D)gMaygbegeligiblegforgagdiabetesgexemptiong-
gCORRECTgANSWERSgD)gDriversgwithginsulingdependentgdiabetesgcannotgbegcertifiedgbutgmaygbegel
igiblegforgagdiabetesgexemption
Whichgofgthegfollowinggisgtrue?
A)gAgdrivergwithgdiabetesgwhogusesginsulingdoesgnotgmeetgthegminimumgrequirementsgofg49gCFRgP
artg391.41
B)gThegmostgimportantgconcertgrelatedgtogmedicationgusegforgtreatinggdiabetesgisghyperglycemia
C)gPeripheralgneuropathygisgnotgagdisqualifyinggcondition
D)gDiabetesgisgnotgagcoronarygheartgdiseaseg(CHD)gequivalentgconditiong-
gCORRECTgANSWERSgA)gTheggreatestgriskgforgmedicationgusegforgdriversgwithgdiabetesginghypoglyc
emia,gnotghyperglycemia.gPeripheralgneuropathygisgdisqualifyinggcondition.gDiabetesgisgagCHDgequ
ivalentgcondition.
,Whatgisgthegrecommendedgcertificationgintervalgforgagdrivergwithgdiabetesgmellitusegwhogdoesgnot
guseginsulin?
A)gThreegmonths
B)gSixgmonths
C)gOnegyear
D)gTwogyearsg-gCORRECTgANSWERSgC)gDriversgwithgnon-
insulingdependentgdiabetesgshouldgbegcertifiedgforgagmaximumgofgonegyear
Agdiabetesgexemptiongmaygbegissuedgby:
A)gAngendocrinologist
B)gThegMedicalgExaminer
C)gThegdriver'sgpersonalgphysician
D)gThegFMCSAg-gCORRECTgANSWERSgD)gOnlygthegFMCSAgcanggrantgexemptions
Agdrivergwithgdiabetesgmellliktusgwhogusesginsulingisgdeterminedgtogbegotherwisegmedicallygqualifi
ed.gThegmedicalgexaminergmustgindicategthatgagdiabetesgexemptiongisgrequiredgongtheg:
A)gMedicalgExaminationgReportgstatusgsectiongandgMedicalgExaminersgCertificate
B)gLettergtogthegFMCSA
C)gEmployergauthorizationgform
D)gEndocrinologygconsultationgformg-
gCORRECTgANSWERSgA)gExemptiongrequirementsgmustgbegnotedgongthegMedicalgExaminationgRep
ortgstatusgsectiongandgthegMedicalgExaminersgCertificate
Ifgglucosegisgdetectedgongurinalysisgingagdrivergwithgnoghistorygofgdiabetes,gangappropriategnextgste
pgis:
A)gEndocrinologygconsultation
B)gOnegyeargclearancegandgrecommendationgtogseegpersonalgphysician
,C)gFingerstickgorgbloodgglucosegdetermination
D)gTemporarygdisqualificationg-
gCORRECTgANSWERSgC)gThegmedicalgexaminergshouldgfirstgdeterminegbloodgglucosegandgthengmak
egangappropriategcertificationgdeterminationgandgreferral
Driversgwithgaghistorygofg_____________gsevereghypoglycemicgreactionsgingthegpastgyeargorg_____
________gsevereghypoglycemicgreactionsgingthegpastgfivegyearsgshouldgnotgbegcertifed.
A)gone,gthree
B)gone,gtwo
C)gtwo,gthree
D)gtwo,gfiveg-
gCORRECTgANSWERSgB)gAgdrivergshouldgnotgbegcertifiedgifgthegdriverghasghadgoneghypoglycemicgre
actiongingthegpastgyeargorgtwogingthegpastgfivegyears.
WhichgofgthegfollowinggisgnotgagcriteriagthatgthegFMCSAgusesgtogdefinegagsevereghypoglycemicgreac
tion?
A)gSeizure
B)gDizziness
C)gNeedgofgassistancegfromganothergperson
D)gPeriodgofgimpairedgcognitivegfunctiongthatgoccurredgwithoutgwarningg-
gCORRECTgANSWERSgB)gFMCSAgdefinesgsevereghypoglycemiagasgreactionsgthatgresultgingseizure,glo
ssgofgconsciousness,gneedgofgassistancegfromganothergperson,gandgagperiodgofgimpairedgcongitivegf
unctiongthatgoccurredgwithoutgwarning
Whichgdiabetesgmellitusgriskgposesgtheggreatestgthreatgtogpublicgsafety
A)gHyperglycemia
B)gPeripheralgneuropathy
C)gHypoglycemia
, D)gMetabolicgencephalopathyg-
gCORRECTgANSWERSgC)gAlthoughghyperglycemia,gperipheralgneuropathy,gandgmetabolicgencephal
opathygallgposegsignificantgrisksgforgsafegdriving,ghypoglycemiagposesgtheggreatestgrisk.gThegriskgisgp
articularlygpronouncedgingdriversgwhoguseginsulin.gFMCSAgdefinesgaghypoglycemiagepisodegasgoneg
thatgresultsgingseizure,glossgofgconsciousness,gneedgofgassistancegfromganothergperson,gorgagperiod
gofgimpairedgcognitivegfunctiongthatgoccursgwithoutgwarning.
Agdrivergwithgagdiabetesgexemptiongshouldgcheckgglucoseglevelsgwhen?
A)gOneghourgbeforegdrivinggandgatgleastgoncegeverygfourghoursgwhilegdriving
B)gOneghourgbeforegdrivinggandgatgleastgeverygeightghoursgwhilegdriving
C)gOncegaftergfourghoursgofgdriving
D)gOncegagdaygaftergdrivinggperiodghasgendedg-
gCORRECTgANSWERSgA)gDriver'sgwithgdiabetesgexemptiongshouldgcheckgglucosegvaluesgoneghourgb
eforegdrivinggandgoncegeverygfourghoursgwhilegdriving
Whichgofgthegfollowinggisgtruegforgdiagnosisgofgaghernia?
A)gThegdrivergshouldgbegreferredgtogagsurgeongtogdeterminegwhethergrepairgofgagherniagisgnecessar
y
B)gThegwaitinggperiodgfollowinggherniagsurgerygisgtwogweeks
C)gInguinalgherniasghavegbeengassociatedgwithgangincreasedgriskgforgCMVgaccidents
D)gThegmaximumgcertificationgintervalgforgagdrivergwithgagherniagisgtwogyearsg-
gCORRECTgANSWERSgD)gThegmedicalgexaminergcanguseghis/hergjudgmentgasgtogwhethergagdrivergsh
ouldgbegreferredgtogagsurgeongorgothergspecialist.gTheregisgnogspecifiedgwaitinggperiodgfollowingghe
rniagsurgeryg-
gthegdrivergshouldgnotgbegcertifiedguntilgthegmedicalgexaminergdeterminesgthatgtreatmentgisgsafega
ndgeffective,gandgthatgthegconditiongisgstable.gNogevidenceghasglinkedgherniasgofganygtypegtogincrea
sedgCMVgaccidentgrisk.
Whichgofgthegfollowinggisgtruegofgnephropathy?
A)gNephropathygisgagdisqualifyinggcondition