(Latest 2027 Update
Which of the following is a requirement for drivers with a diabetes exemption?
, , , , , , , , , , , ,
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
, , , , , , , , , , , ,
hours while driving
, , ,
C) Plan to submit blood glucose monitoring logs every 6 months
, , , , , , , , ,
D) Maintain a Hemoglobin A1C value less than 7 - correct answers ✅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:
, , , ,
A) May be certified for a maximum of 6 months
, , , , , , , ,
B) Must maintain a hemoglobin A1C level of less than 7 to qualify for certification
, , , , , , , , , , , , ,
C) Cannot be certified if they have a history of myocardial infarction
, , , , , , , , , ,
D) May be eligible for a diabetes exemption - correct answers ✅D) Drivers with
, , , , , , , , , , , ,
insulin dependent diabetes cannot be certified but may be eligible for a diabetes
, , , , , , , , , , , , ,
exemption
,
, NRCME Test Bank Questions with Verified Solutions
(Latest 2027 Update
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 answers ✅C) Drivers with non-insulin dependent diabetes
, , , , , , , , , ,
should be certified for a maximum of one year
, , , , , , , , ,
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
, , , , , ,
B) The most important concert related to medication use for treating diabetes is
, , , , , , , , , , ,
hyperglycemia
,
C) Peripheral neuropathy is not a disqualifying condition , , , , , ,
, NRCME Test Bank Questions with Verified Solutions
(Latest 2027 Update
D) Diabetes is not a coronary heart disease (CHD) equivalent condition - correct
, , , , , , , , , , ,
, answers ✅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.
, , , , , ,
A diabetes exemption may be issued by:
, , , , , ,
A) An endocrinologist
,
B) The Medical Examiner
, ,
C) The driver's personal physician
, , ,
D) The FMCSA - correct answers ✅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 :
, , , , ,
, NRCME Test Bank Questions with Verified Solutions
(Latest 2027 Update
A) Medical Examination Report status section and Medical Examiners Certificate
, , , , , , , ,
B) Letter to the FMCSA , , ,
C) Employer authorization form , ,
D) Endocrinology consultation form - correct answers ✅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:
, , ,
A) Endocrinology consultation ,
B) One year clearance and recommendation to see personal physician
, , , , , , , ,
C) Fingerstick or blood glucose determination , , , ,
D) Temporary disqualification - correct answers ✅C) The medical examiner
, , , , , , , ,
should first determine blood glucose and then make an appropriate certification
, , , , , , , , , , ,
determination and referral
, , ,