NRCME Test Bank Exam Questions With
100% Correct Answer
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
Ans:>> 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.
Quiz 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
,Ans:>> D) Drivers with insulin dependent diabetes cannot be certified but may be
eligible for a diabetes exemption
Quiz 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
Ans:>> 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.
Quiz 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
Ans:>> C) Drivers with non-insulin dependent diabetes should be certified for a
maximum of one year
,Quiz A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA
Ans:>> D) Only the FMCSA can grant exemptions
Quiz 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
Ans:>> A) Exemption requirements must be noted on the Medical Examination
Report status section and the Medical Examiners Certificate
Quiz 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
Ans:>> C) The medical examiner should first determine blood glucose and then
make an appropriate certification determination and referral
Quiz 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
D) two, five
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.
Quiz Which of the following is not a criteria that the FMCSA uses to define a
severe hypoglycemic reaction?
A) Seizure
B) Dizziness
C) Need of assistance from another person
100% Correct Answer
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
Ans:>> 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.
Quiz 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
,Ans:>> D) Drivers with insulin dependent diabetes cannot be certified but may be
eligible for a diabetes exemption
Quiz 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
Ans:>> 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.
Quiz 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
Ans:>> C) Drivers with non-insulin dependent diabetes should be certified for a
maximum of one year
,Quiz A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA
Ans:>> D) Only the FMCSA can grant exemptions
Quiz 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
Ans:>> A) Exemption requirements must be noted on the Medical Examination
Report status section and the Medical Examiners Certificate
Quiz 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
Ans:>> C) The medical examiner should first determine blood glucose and then
make an appropriate certification determination and referral
Quiz 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
D) two, five
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.
Quiz Which of the following is not a criteria that the FMCSA uses to define a
severe hypoglycemic reaction?
A) Seizure
B) Dizziness
C) Need of assistance from another person
