lOMoAR cPSD| 23589649
NRCME TEST BANK QUESTIONS WITH CORRECT ANSWERS
2023-2024 LATEST UPDATE GRADED A+
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 - A.
2. 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 - D) Drivers with insulin dependent diabetes
cannot be certified but may be eligible for a diabetes exemption
3. 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 - A) The greatest
risk for medication use for drivers with diabetes in hypoglycemia, not hyperglycemia.
, lOMoAR cPSD| 23589649
Peripheral neuropathy is disqualifying condition. Diabetes is a CHD equivalent
condition.
4. 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 - C) Drivers with non-insulin dependent diabetes should be certified for a
maximum of one year
5. A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - D) Only the FMCSA can grant exemptions
6. 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 - A) Exemption requirements must be noted on the
Medical Examination Report status section and the Medical Examiners Certificate
, lOMoAR cPSD| 23589649
7. 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 - C) The medical examiner should first determine blood
glucose and then make an appropriate certification determination and referral
8. 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 - 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.
9. 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
D) Period of impaired cognitive function that occurred without warning - B) FMCSA
defines severe hypoglycemia as reactions that result in seizure, loss of
, lOMoAR cPSD| 23589649
consciousness, need of assistance from another person, and a period of impaired
congitive function that occurred without warning
10. Which diabetes mellitus risk poses the greatest threat to public safety
A) Hyperglycemia
B) Peripheral neuropathy
C) Hypoglycemia
D) Metabolic encephalopathy - C) Although hyperglycemia, peripheral neuropathy, and
metabolic encephalopathy all pose significant risks for safe driving, hypoglycemia
poses the greatest risk.
The risk is particularly pronounced in drivers who use insulin. FMCSA defines a
hypoglycemia episode as one that results in seizure, loss of consciousness, need of
assistance from another person, or a period of impaired cognitive function that occurs withou
warning.
11. A driver with a diabetes exemption should check glucose levels when?
A) One hour before driving and at least once every four hours while driving
B) One hour before driving and at least every eight hours while driving
C) Once after four hours of driving
D) Once a day after driving period has ended - A) Driver's with diabetes exemption
should check glucose values one hour before driving and once every four hours while
driving
12. Which of the following is true for diagnosis of a hernia?
NRCME TEST BANK QUESTIONS WITH CORRECT ANSWERS
2023-2024 LATEST UPDATE GRADED A+
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 - A.
2. 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 - D) Drivers with insulin dependent diabetes
cannot be certified but may be eligible for a diabetes exemption
3. 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 - A) The greatest
risk for medication use for drivers with diabetes in hypoglycemia, not hyperglycemia.
, lOMoAR cPSD| 23589649
Peripheral neuropathy is disqualifying condition. Diabetes is a CHD equivalent
condition.
4. 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 - C) Drivers with non-insulin dependent diabetes should be certified for a
maximum of one year
5. A diabetes exemption may be issued by:
A) An endocrinologist
B) The Medical Examiner
C) The driver's personal physician
D) The FMCSA - D) Only the FMCSA can grant exemptions
6. 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 - A) Exemption requirements must be noted on the
Medical Examination Report status section and the Medical Examiners Certificate
, lOMoAR cPSD| 23589649
7. 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 - C) The medical examiner should first determine blood
glucose and then make an appropriate certification determination and referral
8. 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 - 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.
9. 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
D) Period of impaired cognitive function that occurred without warning - B) FMCSA
defines severe hypoglycemia as reactions that result in seizure, loss of
, lOMoAR cPSD| 23589649
consciousness, need of assistance from another person, and a period of impaired
congitive function that occurred without warning
10. Which diabetes mellitus risk poses the greatest threat to public safety
A) Hyperglycemia
B) Peripheral neuropathy
C) Hypoglycemia
D) Metabolic encephalopathy - C) Although hyperglycemia, peripheral neuropathy, and
metabolic encephalopathy all pose significant risks for safe driving, hypoglycemia
poses the greatest risk.
The risk is particularly pronounced in drivers who use insulin. FMCSA defines a
hypoglycemia episode as one that results in seizure, loss of consciousness, need of
assistance from another person, or a period of impaired cognitive function that occurs withou
warning.
11. A driver with a diabetes exemption should check glucose levels when?
A) One hour before driving and at least once every four hours while driving
B) One hour before driving and at least every eight hours while driving
C) Once after four hours of driving
D) Once a day after driving period has ended - A) Driver's with diabetes exemption
should check glucose values one hour before driving and once every four hours while
driving
12. Which of the following is true for diagnosis of a hernia?
