NRCME ALL UPDATED EXAM TEST PAPER QUESTIONS
AND ANSWERS SURE A+
✔✔Which of the following is disqualifying?
PaCO2 less than 45 mm Hg.
PaO2 less than 70 mm Hg at altitudes less than 5000 feet.
PaO2 less than 65 mm Hg at altitudes above 5000 feet.
PaCO2 greater than 45 mm Hg. - ✔✔PaCO2 greater than 45 mm Hg.
✔✔is epilepsy a disqualifying condition? - ✔✔yes
✔✔What is the waiting period for hx of epilepsy who is seizure free off medication? -
✔✔10 years
✔✔What is the wait period for a single unprovoked seizure? - ✔✔5 year off medication
✔✔What is considered a severe hypoglycemic reaction? - ✔✔Requires the assistance
of another person, or
Is accompanied by seizure, or
Is accompanied by loss of consciousness, or
Is accompanied by coma.
✔✔is dialysis disqualifying? - ✔✔yes
✔✔Which of the following is a requirement for drivers with insulin-treated diabetes
mellitus (ITDM) evaluated according to 49 CFR Part 391.46?
Possess a rapidly absorbable form of glucose while driving.
Maintain a hemoglobin A1c value below 7.
Submit blood glucose monitoring logs for each certification examination.
Check blood glucose 1 hour prior to driving and at least every 2 hours while driving. -
✔✔Submit blood glucose monitoring logs for each annual certification.
✔✔Which of the following is true?
A driver with diabetes who uses insulin must be evaluated according to the procedures
specified in 49 CFR Part 391.46.
The most important concern related to medication use for treating diabetes is
hyperglycemia.
Peripheral neuropathy is not a disqualifying condition.
Diabetes is not a coronary heart disease (CHD) equivalent condition. - ✔✔A driver with
diabetes who uses insulin must be evaluated according to 49 CFR Part 391.46.
✔✔What is the recommended certification interval for a driver with diabetes mellitus
who does not use insulin? - ✔✔1 year
, ✔✔If glucose is detected on urinalysis in a driver with no history of diabetes, an
appropriate next step is __________. - ✔✔Fingerstick or blood glucose determination.
✔✔Which of the following is not a criteria that the FMCSA uses to define a severe
hypoglycemic reaction?
Seizure.
Dizziness.
Need of assistance from another person.
Coma. - ✔✔dizziness
✔✔Which of the following is true of nephropathy?
Nephropathy is a disqualifying condition.
The maximum certification interval for nephropathy is two years.
A driver with 3+ proteinuria should not be certified.
A renal specialist should make the certification determination for a driver with
nephropathy. - ✔✔The maximum certification interval for nephropathy is two years.
✔✔Drivers with which of the following conditions should be disqualified?
Cancer requiring chemotherapy treatment.
Umbilical hernia not surgically repaired.
Renal failure on peritoneal dialysis.
Hemochromatosis. - ✔✔Renal failure on peritoneal dialysis
✔✔If a significant abnormal finding for urinalysis specific gravity, protein, or blood is
found, the medical examiner should __________. - ✔✔Use clinical expertise to
determine if the driver is medically qualified.
✔✔A driver with a history of kidney disease with or without transplant __________. -
✔✔Must be assessed regarding severity, stability, medication use and medication side
effects/adverse reactions.
✔✔Which of the following is not a disqualifying condition?
Peritoneal dialysis.
Hemodialysis.
Hypertension controlled with medication
Peripheral neuropathy. - ✔✔Hypertension controlled with medication
✔✔driver with an impairment of an arm, leg, hand, or foot who is otherwise medically
qualified, may be certified if the driver applies for - ✔✔SPE certificate
✔✔Do you need SPE for loss of toe(s) or finger(s).? - ✔✔no
✔✔What are some do not certify muscular conditions? - ✔✔Congenital myopathies
-Central core disease.
AND ANSWERS SURE A+
✔✔Which of the following is disqualifying?
PaCO2 less than 45 mm Hg.
PaO2 less than 70 mm Hg at altitudes less than 5000 feet.
PaO2 less than 65 mm Hg at altitudes above 5000 feet.
PaCO2 greater than 45 mm Hg. - ✔✔PaCO2 greater than 45 mm Hg.
✔✔is epilepsy a disqualifying condition? - ✔✔yes
✔✔What is the waiting period for hx of epilepsy who is seizure free off medication? -
✔✔10 years
✔✔What is the wait period for a single unprovoked seizure? - ✔✔5 year off medication
✔✔What is considered a severe hypoglycemic reaction? - ✔✔Requires the assistance
of another person, or
Is accompanied by seizure, or
Is accompanied by loss of consciousness, or
Is accompanied by coma.
✔✔is dialysis disqualifying? - ✔✔yes
✔✔Which of the following is a requirement for drivers with insulin-treated diabetes
mellitus (ITDM) evaluated according to 49 CFR Part 391.46?
Possess a rapidly absorbable form of glucose while driving.
Maintain a hemoglobin A1c value below 7.
Submit blood glucose monitoring logs for each certification examination.
Check blood glucose 1 hour prior to driving and at least every 2 hours while driving. -
✔✔Submit blood glucose monitoring logs for each annual certification.
✔✔Which of the following is true?
A driver with diabetes who uses insulin must be evaluated according to the procedures
specified in 49 CFR Part 391.46.
The most important concern related to medication use for treating diabetes is
hyperglycemia.
Peripheral neuropathy is not a disqualifying condition.
Diabetes is not a coronary heart disease (CHD) equivalent condition. - ✔✔A driver with
diabetes who uses insulin must be evaluated according to 49 CFR Part 391.46.
✔✔What is the recommended certification interval for a driver with diabetes mellitus
who does not use insulin? - ✔✔1 year
, ✔✔If glucose is detected on urinalysis in a driver with no history of diabetes, an
appropriate next step is __________. - ✔✔Fingerstick or blood glucose determination.
✔✔Which of the following is not a criteria that the FMCSA uses to define a severe
hypoglycemic reaction?
Seizure.
Dizziness.
Need of assistance from another person.
Coma. - ✔✔dizziness
✔✔Which of the following is true of nephropathy?
Nephropathy is a disqualifying condition.
The maximum certification interval for nephropathy is two years.
A driver with 3+ proteinuria should not be certified.
A renal specialist should make the certification determination for a driver with
nephropathy. - ✔✔The maximum certification interval for nephropathy is two years.
✔✔Drivers with which of the following conditions should be disqualified?
Cancer requiring chemotherapy treatment.
Umbilical hernia not surgically repaired.
Renal failure on peritoneal dialysis.
Hemochromatosis. - ✔✔Renal failure on peritoneal dialysis
✔✔If a significant abnormal finding for urinalysis specific gravity, protein, or blood is
found, the medical examiner should __________. - ✔✔Use clinical expertise to
determine if the driver is medically qualified.
✔✔A driver with a history of kidney disease with or without transplant __________. -
✔✔Must be assessed regarding severity, stability, medication use and medication side
effects/adverse reactions.
✔✔Which of the following is not a disqualifying condition?
Peritoneal dialysis.
Hemodialysis.
Hypertension controlled with medication
Peripheral neuropathy. - ✔✔Hypertension controlled with medication
✔✔driver with an impairment of an arm, leg, hand, or foot who is otherwise medically
qualified, may be certified if the driver applies for - ✔✔SPE certificate
✔✔Do you need SPE for loss of toe(s) or finger(s).? - ✔✔no
✔✔What are some do not certify muscular conditions? - ✔✔Congenital myopathies
-Central core disease.
