NRCME Test Bank Exam Questions
Questions with Correct Answers
1. 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
Answer A) Possess a rapidly absorbable form of glucose while
driving
Rationale: Drivers with diabetes should have a rapidly absorbable
source of glucose available in case hypoglycemia occurs. Blood
glucose monitoring is generally required before driving and
periodically while driving, but the interval listed in option B is
incorrect in this question set. There is no specific required A1C
value of less than 7.
2. 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
Answer D) May be eligible for a diabetes exemption
Rationale: In this question set, drivers with insulin-dependent
diabetes are not automatically certified under the standard
requirements but may be eligible for a diabetes exemption through
the FMCSA.
3. Which of the following statements 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 concern 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 equivalent condition
Answer A) A driver with diabetes who uses insulin does not meet
the minimum requirements of 49 CFR Part 391.41
,Rationale: According to this study source, insulin use does not
meet the basic medical qualification standard without an
exemption. The greatest medication-related safety concern is
hypoglycemia, not hyperglycemia. Peripheral neuropathy may be
disqualifying if it impairs safe driving. Diabetes is considered a
coronary heart disease risk-equivalent condition.
4. What is the recommended certification interval for a driver with
diabetes mellitus who does not use insulin?
A) Three months
B) Six months
C) One year
D) Two years
Answer C) One year
Rationale: Drivers with non-insulin-dependent diabetes mellitus
should generally be certified for a maximum of one year, assuming
they are otherwise medically qualified and have no disqualifying
complications.
5. A diabetes exemption may be issued by:
A) An endocrinologist
,B) The Medical Examiner
C) The driver’s personal physician
D) The FMCSA
Answer D) The FMCSA
Rationale: Only the Federal Motor Carrier Safety Administration can
grant exemptions. A medical examiner, personal physician, or
endocrinologist may provide medical information, but they do not
issue the exemption.
6. A driver with diabetes mellitus 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
Examiner’s Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation form
Answer A) Medical Examination Report status section and Medical
Examiner’s Certificate
Questions with Correct Answers
1. 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
Answer A) Possess a rapidly absorbable form of glucose while
driving
Rationale: Drivers with diabetes should have a rapidly absorbable
source of glucose available in case hypoglycemia occurs. Blood
glucose monitoring is generally required before driving and
periodically while driving, but the interval listed in option B is
incorrect in this question set. There is no specific required A1C
value of less than 7.
2. 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
Answer D) May be eligible for a diabetes exemption
Rationale: In this question set, drivers with insulin-dependent
diabetes are not automatically certified under the standard
requirements but may be eligible for a diabetes exemption through
the FMCSA.
3. Which of the following statements 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 concern 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 equivalent condition
Answer A) A driver with diabetes who uses insulin does not meet
the minimum requirements of 49 CFR Part 391.41
,Rationale: According to this study source, insulin use does not
meet the basic medical qualification standard without an
exemption. The greatest medication-related safety concern is
hypoglycemia, not hyperglycemia. Peripheral neuropathy may be
disqualifying if it impairs safe driving. Diabetes is considered a
coronary heart disease risk-equivalent condition.
4. What is the recommended certification interval for a driver with
diabetes mellitus who does not use insulin?
A) Three months
B) Six months
C) One year
D) Two years
Answer C) One year
Rationale: Drivers with non-insulin-dependent diabetes mellitus
should generally be certified for a maximum of one year, assuming
they are otherwise medically qualified and have no disqualifying
complications.
5. A diabetes exemption may be issued by:
A) An endocrinologist
,B) The Medical Examiner
C) The driver’s personal physician
D) The FMCSA
Answer D) The FMCSA
Rationale: Only the Federal Motor Carrier Safety Administration can
grant exemptions. A medical examiner, personal physician, or
endocrinologist may provide medical information, but they do not
issue the exemption.
6. A driver with diabetes mellitus 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
Examiner’s Certificate
B) Letter to the FMCSA
C) Employer authorization form
D) Endocrinology consultation form
Answer A) Medical Examination Report status section and Medical
Examiner’s Certificate
