NCRME exam 2025
NCRME exam 2025, NCRME practice test,
test bank questions, certified medical
examiner prep, NCRME answers, 2025
medical exam, NCRME study material
Which of the following is true?
A. The FMCSA does not consider feasibility or impact in the rule-making process.
B. Only the Medical Review Board can provide advice and opinions on FMCSA rulemaking.
C. FMCSA medical standards and guidelines are subject to public notice and comment
rulemaking.
D. The Code of Federal Regulations provide guidance that the medical examiner may or may
not follow. –
ANS :Correct Answer: FMCSA medical standards and guidelines are subject to public notice
and comment rulemaking.
Explanation: The FMCSA must consider feasibility and impact in rulemaking. Members of the
public are allowed to comment on FMCSA rulemaking. The Code of Federal Regulations are
laws that must be followed.
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
A BOMB 1
, NCRME exam 2025
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.
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
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.
A BOMB 2
, NCRME exam 2025
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
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
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
A BOMB 3
, NCRME exam 2025
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
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.
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 –
A BOMB 4
NCRME exam 2025, NCRME practice test,
test bank questions, certified medical
examiner prep, NCRME answers, 2025
medical exam, NCRME study material
Which of the following is true?
A. The FMCSA does not consider feasibility or impact in the rule-making process.
B. Only the Medical Review Board can provide advice and opinions on FMCSA rulemaking.
C. FMCSA medical standards and guidelines are subject to public notice and comment
rulemaking.
D. The Code of Federal Regulations provide guidance that the medical examiner may or may
not follow. –
ANS :Correct Answer: FMCSA medical standards and guidelines are subject to public notice
and comment rulemaking.
Explanation: The FMCSA must consider feasibility and impact in rulemaking. Members of the
public are allowed to comment on FMCSA rulemaking. The Code of Federal Regulations are
laws that must be followed.
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
A BOMB 1
, NCRME exam 2025
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.
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
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.
A BOMB 2
, NCRME exam 2025
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
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
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
A BOMB 3
, NCRME exam 2025
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
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.
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 –
A BOMB 4
