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,1. Which of the following is a requirement for drivers with a diabetes exemp- tion?
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A) Possess a rapidly absorbable form of glucose while driving
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B) Self—monitor blood glucose one hour before driving and at least once every 2 hours while driving v v v v v v v v v v v v v v v
C) Plan to submit blood glucose monitoring logs every 6 months
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D) Maintain a Hemoglobin A1C value less than 7 v v v v v v v
...ANS>> A. Drivers with diabetes should self monitor blood glucose before driving and every 4 hours while driving. Blood glucose monitoring logs should be
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submitted annually. There is no specific requirement for HgA1C level.
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2. Drivers with insulin dependent diabetes: v v v v
A) Maybe certified for a maximum of 6 months
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B) Must maintain a hemoglobin A1C level of less than 7 to qualify
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C) Cannot be certified if they have a history of myocardial infarction
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D) May be eligible for a diabetes exemption.
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..ANS>> D) Drivers with insulin dependent diabetes cannot be certified but may be eligible for a diabetes exemption
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3. Which of the following is true? v v v v v
A) A driver with diabetes who uses insulin does not meet the minimum require- ments of 49 CFR Part 391.41
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B) The most important concert related to medication use for treating diabetes is hyperglycemia
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C) Peripheral neuropathy is not a disqualifying condition v v v v v v
D) Diabetes is not a coronary heart disease (CHD) equivalent condition.
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..ANS>> A) The greatest risk for medication use for drivers with diabetes in hypoglycemia, not hyperglycemia. Peripheral neuropathy is disqualifying condition.
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vDiabetes is a CHD equivalent condition.
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4. What is the recommended certification interval for a driver with diabetes mellituse who does not use
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v insulin?
A) Three months v
B) Six months v
C) Oneyear v
D) Two years. v
..ANS>> C) Drivers with non-insulin dependent diabetes should be certified for a maximum of one year
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,5. A diabetes exemption may be issued by:
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A) Anendocrinologist
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B) The Medical Examiner
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C) The driver's personal physician
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D) The FMCSA.
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..ANS>> D) Only the FMCSA can grant exemptions
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6. A driver with diabetes mellliktus who uses insulin is determined to be other- wise medically qualified. The
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v medical examiner must indicate that a diabetes exemption is required on the :
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A) Medical Examination Report status section and Medical Examiners Certifi- cate
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B) Letter to the FMCSA v v v
C) Employer authorization form v v
D) Endocrinology consultation form. v v
..ANS>> A) Exemption requirements must be noted onthe Medical Examination Report status section and the Medical Examiners Certificate
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7. If glucose is detected on urinalysis in a driver with no history of diabetes,
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A) Endocrinology consultation v
B) One year clearance and recommendation to see personal physician
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C) Fingerstick or blood glucose determination v v v v
D) Temporary disqualification v
...ANS>> C) The medical examiner should first determine blood glucose and then make an appropriate certification determination and referral
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8.Drivers with a history of v severe hypoglycemic reactions in the past year or
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reactions in the past five years should not be certifed.
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A) one, three v
B) one, two v
C) two, three v
D) two, five.
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..ANS>> 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.
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, 9. Which of the following is not a criteria that the FMCSA uses to define a severe hypoglycemic reaction?
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A) Seizure
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