NRCME Test Bank Questions 2 Already Passed!!

Which of the following is a requirement for drivers with a diabetes exemption? A) Possess a rapidly absorbable form of glucose while driving - ANSWERSA. 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: D) May be eligible for a diabetes exemption - ANSWERSD) 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 - ANSWERSA) 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. What is the recommended certification interval for a driver with diabetes mellituse who does not use insulin? C) One year - ANSWERSC) Drivers with non-insulin dependent diabetes should be certified for a maximum of one year A diabetes exemption may be issued by: D) The FMCSA - ANSWERSD) 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 - ANSWERSA) Exemption requirements must be noted on the Medical Examination Report status section and the Medical Examiners Certificate If glucose is detected on urinalysis in a driver with no history of diabetes, an appropriate next step is: C) Fingerstick or blood glucose determination - ANSWERSC) The medical examiner should first determine blood glucose and then make an appropriate certification determination and referral Which of the following is not a criteria that the FMCSA uses to define a severe hypoglycemic reaction? - ANSWERSB) FMCSA defines severe hypoglycemia as reactions that result in seizure, loss of consciousness, need of assistance from another person, and a period of impaired congitive function that occurred without warning Drivers with a history of _____________ severe hypoglycemic reactions in the past year or _____________ severe hypoglycemic reactions in the past five years should not be certified. B) one, two - ANSWERSB) 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 diabetes mellitus risk poses the greatest threat to public safety C) Hypoglycemia - ANSWERSC) 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,