NRCME Test Bank Questions exam with ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
correct answers ||\\||\\
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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔D) Drivers with insulin dependent diabetes cannot ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
be certified but may be eligible for a diabetes exemption
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D) Diabetes is not a coronary heart disease (CHD) equivalent
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
condition - correct answer✔✔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.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
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 answer✔✔C) Drivers with non-insulin
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
dependent diabetes should be certified for a maximum of one ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
year
A diabetes exemption may be issued by:
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) An endocrinologist
||\\||\\ ||\\||\\
B) The Medical Examiner
||\\||\\ ||\\||\\ ||\\||\\
C) The driver's personal physician
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D) The FMCSA - correct answer✔✔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 : ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) Medical Examination Report status section and Medical
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Examiners Certificate ||\\||\\
B) Letter to the FMCSA
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C) Employer authorization form
||\\||\\ ||\\||\\ ||\\||\\
D) Endocrinology consultation form - correct answer✔✔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 answer✔✔C) The
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
medical examiner should first determine blood glucose and then ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
make an appropriate certification determination and referral
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Drivers with a history of _____________ severe hypoglycemic
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
reactions in the past year or _____________ severe ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
hypoglycemic reactions in the past five years should not be ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
certifed.
A) one, three ||\\||\\ ||\\||\\
B) one, two ||\\||\\ ||\\||\\
C) two, three ||\\||\\ ||\\||\\
correct answers ||\\||\\
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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
answer✔✔D) Drivers with insulin dependent diabetes cannot ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
be certified but may be eligible for a diabetes exemption
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
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
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D) Diabetes is not a coronary heart disease (CHD) equivalent
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
condition - correct answer✔✔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.
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
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 answer✔✔C) Drivers with non-insulin
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
dependent diabetes should be certified for a maximum of one ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
year
A diabetes exemption may be issued by:
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) An endocrinologist
||\\||\\ ||\\||\\
B) The Medical Examiner
||\\||\\ ||\\||\\ ||\\||\\
C) The driver's personal physician
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D) The FMCSA - correct answer✔✔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 : ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A) Medical Examination Report status section and Medical
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Examiners Certificate ||\\||\\
B) Letter to the FMCSA
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C) Employer authorization form
||\\||\\ ||\\||\\ ||\\||\\
D) Endocrinology consultation form - correct answer✔✔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 answer✔✔C) The
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
medical examiner should first determine blood glucose and then ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
make an appropriate certification determination and referral
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Drivers with a history of _____________ severe hypoglycemic
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
reactions in the past year or _____________ severe ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
hypoglycemic reactions in the past five years should not be ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
certifed.
A) one, three ||\\||\\ ||\\||\\
B) one, two ||\\||\\ ||\\||\\
C) two, three ||\\||\\ ||\\||\\
