Exam (elaborations)
NRCME TEST BANK QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
NRCME TEST BANK QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NRCME TEST BANK QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
WhichYofYtheYfollowingYisYaYrequirementYforYdriversYwithYaYdiabetesYexemption?
A)YPossessYaYrapidlyYabsorbableYformYofYglucoseYwhileYdriving
B)YSelf—monitorYbloodYglucoseYoneYhourYbeforeYdrivingYandYatYleastYonceYeveryY2YhoursYwhileYdriving
C)YPlanYtoYsubmitYbloodYglucoseYmonitoringYlogsYeveryY6Ymonths
D)YMaintainYaYHemoglobinYA1CYvalueYlessYthanY7Y-
YANSWERYYA.YDriversYwithYdiabetesYshouldYselfYmonitorYbloodYglucoseYbeforeYdrivingYandYeveryY4YhoursYw
hileYdriving.YBloodYglucoseYmonitoringYlogsYshouldYbeYsubmittedYannually.YThereYisYnoYspecificYrequiremen
tYforYHgA1CYlevel.
DriversYwithYinsulinYdependentYdiabetes:
A)YMayYbeYcertifiedYforYaYmaximumYofY6Ymonths
B)YMustYmaintainYaYhemoglobinYA1CYlevelYofYlessYthanY7YtoYqualifyYforYcertification
C)YCannotYbeYcertifiedYifYtheyYhaveYaYhistoryYofYmyocardialYinfarction
D)YMayYbeYeligibleYforYaYdiabetesYexemptionY-
YANSWERYYD)YDriversYwithYinsulinYdependentYdiabetesYcannotYbeYcertifiedYbutYmayYbeYeligibleYforYaYdiabet
esYexemption
WhichYofYtheYfollowingYisYtrue?
A)YAYdriverYwithYdiabetesYwhoYusesYinsulinYdoesYnotYmeetYtheYminimumYrequirementsYofY49YCFRYPartY391.
41
B)YTheYmostYimportantYconcertYrelatedYtoYmedicationYuseYforYtreatingYdiabetesYisYhyperglycemia
C)YPeripheralYneuropathyYisYnotYaYdisqualifyingYcondition
D)YDiabetesYisYnotYaYcoronaryYheartYdiseaseY(CHD)YequivalentYconditionY-
YANSWERYYA)YTheYgreatestYriskYforYmedicationYuseYforYdriversYwithYdiabetesYinYhypoglycemia,YnotYhypergly
cemia.YPeripheralYneuropathyYisYdisqualifyingYcondition.YDiabetesYisYaYCHDYequivalentYcondition.
WhatYisYtheYrecommendedYcertificationYintervalYforYaYdriverYwithYdiabetesYmellituseYwhoYdoesYnotYuseYins
ulin?
A)YThreeYmonths
,B)YSixYmonths
C)YOneYyear
D)YTwoYyearsY-YANSWERYYC)YDriversYwithYnon-
insulinYdependentYdiabetesYshouldYbeYcertifiedYforYaYmaximumYofYoneYyear
AYdiabetesYexemptionYmayYbeYissuedYby:
A)YAnYendocrinologist
B)YTheYMedicalYExaminer
C)YTheYdriver'sYpersonalYphysician
D)YTheYFMCSAY-YANSWERYYD)YOnlyYtheYFMCSAYcanYgrantYexemptions
AYdriverYwithYdiabetesYmellliktusYwhoYusesYinsulinYisYdeterminedYtoYbeYotherwiseYmedicallyYqualified.YTheY
medicalYexaminerYmustYindicateYthatYaYdiabetesYexemptionYisYrequiredYonYtheY:
A)YMedicalYExaminationYReportYstatusYsectionYandYMedicalYExaminersYCertificate
B)YLetterYtoYtheYFMCSA
C)YEmployerYauthorizationYform
D)YEndocrinologyYconsultationYformY-
YANSWERYYA)YExemptionYrequirementsYmustYbeYnotedYonYtheYMedicalYExaminationYReportYstatusYsectionYa
ndYtheYMedicalYExaminersYCertificate
IfYglucoseYisYdetectedYonYurinalysisYinYaYdriverYwithYnoYhistoryYofYdiabetes,YanYappropriateYnextYstepYis:
A)YEndocrinologyYconsultation
B)YOneYyearYclearanceYandYrecommendationYtoYseeYpersonalYphysician
C)YFingerstickYorYbloodYglucoseYdetermination
D)YTemporaryYdisqualificationY-
YANSWERYYC)YTheYmedicalYexaminerYshouldYfirstYdetermineYbloodYglucoseYandYthenYmakeYanYappropriateYc
ertificationYdeterminationYandYreferral
DriversYwithYaYhistoryYofY_____________YsevereYhypoglycemicYreactionsYinYtheYpastYyearYorY___________
__YsevereYhypoglycemicYreactionsYinYtheYpastYfiveYyearsYshouldYnotYbeYcertifed.
A)Yone,Ythree
,B)Yone,Ytwo
C)Ytwo,Ythree
D)Ytwo,YfiveY-
YANSWERYYB)YAYdriverYshouldYnotYbeYcertifiedYifYtheYdriverYhasYhadYoneYhypoglycemicYreactionYinYtheYpastYy
earYorYtwoYinYtheYpastYfiveYyears.
WhichYofYtheYfollowingYisYnotYaYcriteriaYthatYtheYFMCSAYusesYtoYdefineYaYsevereYhypoglycemicYreaction?
A)YSeizure
B)YDizziness
C)YNeedYofYassistanceYfromYanotherYperson
D)YPeriodYofYimpairedYcognitiveYfunctionYthatYoccurredYwithoutYwarningY-
YANSWERYYB)YFMCSAYdefinesYsevereYhypoglycemiaYasYreactionsYthatYresultYinYseizure,YlossYofYconsciousnes
s,YneedYofYassistanceYfromYanotherYperson,YandYaYperiodYofYimpairedYcongitiveYfunctionYthatYoccurredYwit
houtYwarning
WhichYdiabetesYmellitusYriskYposesYtheYgreatestYthreatYtoYpublicYsafety
A)YHyperglycemia
B)YPeripheralYneuropathy
C)YHypoglycemia
D)YMetabolicYencephalopathyY-
YANSWERYYC)YAlthoughYhyperglycemia,YperipheralYneuropathy,YandYmetabolicYencephalopathyYallYposeYsig
nificantYrisksYforYsafeYdriving,YhypoglycemiaYposesYtheYgreatestYrisk.YTheYriskYisYparticularlyYpronouncedYinY
driversYwhoYuseYinsulin.YFMCSAYdefinesYaYhypoglycemiaYepisodeYasYoneYthatYresultsYinYseizure,YlossYofYcon
sciousness,YneedYofYassistanceYfromYanotherYperson,YorYaYperiodYofYimpairedYcognitiveYfunctionYthatYoccur
sYwithoutYwarning.
AYdriverYwithYaYdiabetesYexemptionYshouldYcheckYglucoseYlevelsYwhen?
A)YOneYhourYbeforeYdrivingYandYatYleastYonceYeveryYfourYhoursYwhileYdriving
B)YOneYhourYbeforeYdrivingYandYatYleastYeveryYeightYhoursYwhileYdriving
C)YOnceYafterYfourYhoursYofYdriving
D)YOnceYaYdayYafterYdrivingYperiodYhasYendedY-
YANSWERYYA)YDriver'sYwithYdiabetesYexemptionYshouldYcheckYglucoseYvaluesYoneYhourYbeforeYdrivingYandY
onceYeveryYfourYhoursYwhileYdriving
, WhichYofYtheYfollowingYisYtrueYforYdiagnosisYofYaYhernia?
A)YTheYdriverYshouldYbeYreferredYtoYaYsurgeonYtoYdetermineYwhetherYrepairYofYaYherniaYisYnecessary
B)YTheYwaitingYperiodYfollowingYherniaYsurgeryYisYtwoYweeks
C)YInguinalYherniasYhaveYbeenYassociatedYwithYanYincreasedYriskYforYCMVYaccidents
D)YTheYmaximumYcertificationYintervalYforYaYdriverYwithYaYherniaYisYtwoYyearsY-
YANSWERYYD)YTheYmedicalYexaminerYcanYuseYhis/herYjudgmentYasYtoYwhetherYaYdriverYshouldYbeYreferredYt
oYaYsurgeonYorYotherYspecialist.YThereYisYnoYspecifiedYwaitingYperiodYfollowingYherniaYsurgeryY-
YtheYdriverYshouldYnotYbeYcertifiedYuntilYtheYmedicalYexaminerYdeterminesYthatYtreatmentYisYsafeYandYeffec
tive,YandYthatYtheYconditionYisYstable.YNoYevidenceYhasYlinkedYherniasYofYanyYtypeYtoYincreasedYCMVYaccide
ntYrisk.
WhichYofYtheYfollowingYisYtrueYofYnephropathy?
A)YNephropathyYisYaYdisqualifyingYcondition
B)YTheYmaximumYcertificationYintervalYforYnephropathyYisYtwoYyears
C)YAYdriverYwithY3+YproteinuriaYshouldYnotYbeYcertified
D)YAYrenalYspecialistYshouldYmakeYtheYcertificationYdeterminationYforYaYdriverYwithYnephropathyY-
YANSWERYYB)YNephropathyYisYconsideredYonYaYcase-by-
caseYbasis.YTheYmedicalYexaminerYdeterminesYwhatYevaluationYorYmonitoringYisYnecessaryYforYaYdriverYwit
hY3+YproteinuriaYandYmayYdisqualifyYtheYdriver.YTheYcertificationYisYalwaysYmadeYbyYtheYmedicalYexaminerY
andYcannotYbeYdeferredYtoYaYspecialist.
DriversYwithYwhichYofYtheYfollowingYconditionsYshouldYbeYdisqualified?
A)YCancerYrequiringYchemotherapyYtreatment
B)YUmbilicalYherniaYnotYsurgicallyYrepaired
C)YRenalYfailureYonYperitonealYdialysis
D)YHemochromatosisY-YANSWERYYC)YDialysisYofYanyYtypeYisYdisqualifying
IfYaYsignificantYabnormalYfindingYforYurinalysisYspecificYgravity,Yprotein,YorYbloodYisYfound,YtheYmedicalYexa
minerYshould:
A)YDisqualifyYtheYdriver
B)YRequestYthatYaYrenalYspecialistYdetermineYifYtheYdriverYisYmedicallyYqualified