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NRCME TEST BANK QUESTIONS WITH 100% CORRECT ANSWERS A GRADED
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NRCME TEST BANK QUESTIONS WITH100% CORRECT ANSWERS A GRADED
Whichsofsthesfollowingsissasrequirementsforsdriversswithsasdiabetessexemption?
A)sPossesssasrapidlysabsorbablesformsofsglucoseswhilesdriving
B)sSelf—
monitorsbloodsglucosesoneshoursbeforesdrivingsandsatsleastsonceseverys2shoursswhilesdrivi
ng
C)sPlanstossubmitsbloodsglucosesmonitoringslogsseverys6smonths
D)sMaintainsasHemoglobinsA1Csvalueslesssthans7s-
sans✔✔A.sDriversswithsdiabetessshouldsselfsmonitorsbloodsglucosesbeforesdrivingsandsev
erys4shoursswhilesdriving.sBloodsglucosesmonitoringslogssshouldsbessubmittedsannually.sT
heresissnosspecificsrequirementsforsHgA1Cslevel.
Driversswithsinsulinsdependentsdiabetes:
A)sMaysbescertifiedsforsasmaximumsofs6smonths
B)sMustsmaintainsashemoglobinsA1Cslevelsofslesssthans7stosqualifysforscertification
C)sCannotsbescertifiedsifstheyshavesashistorysofsmyocardialsinfarction
D)sMaysbeseligiblesforsasdiabetessexemptions-
sans✔✔D)sDriversswithsinsulinsdependentsdiabetesscannotsbescertifiedsbutsmaysbeseligibl
esforsasdiabetessexemption
Whichsofsthesfollowingsisstrue?
A)sAsdriverswithsdiabetesswhosusessinsulinsdoessnotsmeetsthesminimumsrequirementssofs4
9sCFRsParts391.41
B)sThesmostsimportantsconcertsrelatedstosmedicationsusesforstreatingsdiabetessisshypergly
cemia
C)sPeripheralsneuropathysissnotsasdisqualifyingscondition
D)sDiabetessissnotsascoronarysheartsdiseases(CHD)sequivalentsconditions-
sans✔✔A)sThesgreatestsrisksforsmedicationsusesforsdriversswithsdiabetessinshypoglycemia,
snotshyperglycemia.sPeripheralsneuropathysissdisqualifyingscondition.sDiabetessissasCHDs
equivalentscondition.
Whatsissthesrecommendedscertificationsintervalsforsasdriverswithsdiabetessmellituseswhosd
oessnotsusesinsulin?
A)sThreesmonths
B)sSixsmonths
C)sOnesyear
,D)sTwosyearss-sans✔✔C)sDriversswithsnon-
insulinsdependentsdiabetessshouldsbescertifiedsforsasmaximumsofsonesyear
Asdiabetessexemptionsmaysbesissuedsby:
A)sAnsendocrinologist
B)sThesMedicalsExaminer
C)sThesdriver'sspersonalsphysician
D)sThesFMCSAs-sans✔✔D)sOnlysthesFMCSAscansgrantsexemptions
Asdriverswithsdiabetessmellliktusswhosusessinsulinsissdeterminedstosbesotherwisesmedically
squalified.sThesmedicalsexaminersmustsindicatesthatsasdiabetessexemptionsissrequiredsonst
hes:
A)sMedicalsExaminationsReportsstatusssectionsandsMedicalsExaminerssCertificate
B)sLetterstosthesFMCSA
C)sEmployersauthorizationsform
D)sEndocrinologysconsultationsforms-
sans✔✔A)sExemptionsrequirementssmustsbesnotedsonsthesMedicalsExaminationsReportsst
atusssectionsandsthesMedicalsExaminerssCertificate
Ifsglucosesissdetectedsonsurinalysissinsasdriverswithsnoshistorysofsdiabetes,sansappropriates
nextsstepsis:
A)sEndocrinologysconsultation
B)sOnesyearsclearancesandsrecommendationstosseespersonalsphysician
C)sFingersticksorsbloodsglucosesdetermination
D)sTemporarysdisqualifications-
sans✔✔C)sThesmedicalsexaminersshouldsfirstsdeterminesbloodsglucosesandsthensmakesan
sappropriate scertificationsdeterminationsandsreferral
Driversswithsashistorysofs_____________ssevereshypoglycemicsreactionssinsthespastsyears
ors_____________ssevereshypoglycemicsreactionssinsthespastsfivesyearssshouldsnotsbesc
ertifed.
A)sone,sthree
B)sone,stwo
C)stwo,sthree
D)stwo,sfives-
sans✔✔B)sAsdriversshouldsnotsbescertifiedsifsthesdrivershasshadsoneshypoglycemicsreactio
nsinsthespastsyearsorstwosinsthespastsfivesyears.
WhichsofsthesfollowingsissnotsascriteriasthatsthesFMCSAsusesstosdefinesassevereshypoglyce
micsreaction?
A)sSeizure
B)sDizziness
C)sNeedsofsassistancesfromsanothersperson
D)sPeriodsofsimpairedscognitivesfunctionsthatsoccurredswithoutswarnings-
sans✔✔B)sFMCSAsdefinesssevereshypoglycemiasassreactionssthatsresultsinsseizure,slosss
,ofsconsciousness,sneedsofsassistancesfromsanothersperson,sandsasperiodsofsimpairedscon
gitivesfunctionsthatsoccurredswithoutswarning
Whichsdiabetessmellitussrisksposessthesgreateststhreatstospublicssafety
A)sHyperglycemia
B)sPeripheralsneuropathy
C)sHypoglycemia
D)sMetabolicsencephalopathys-
sans✔✔C)sAlthoughshyperglycemia,speripheralsneuropathy,sandsmetabolicsencephalopat
hysallsposessignificantsriskssforssafesdriving,shypoglycemiasposessthesgreatestsrisk.sThesris
ksissparticularlyspronouncedsinsdriversswhosusesinsulin.sFMCSAsdefinessashypoglycemiase
pisodesassonesthatsresultssinsseizure,slosssofsconsciousness,sneedsofsassistancesfromsano
thersperson,sorsasperiodsofsimpairedscognitivesfunctionsthatsoccursswithoutswarning.
Asdriverswithsasdiabetessexemptionsshouldschecksglucoseslevelsswhen?
A)sOneshoursbeforesdrivingsandsatsleastsonceseverysfourshoursswhilesdriving
B)sOneshoursbeforesdrivingsandsatsleastseveryseightshoursswhilesdriving
C)sOncesaftersfourshourssofsdriving
D)sOncesasdaysaftersdrivingsperiodshassendeds-
sans✔✔A)sDriver'sswithsdiabetessexemptionsshouldschecksglucosesvaluessoneshoursbefor
esdrivingsandsonceseverysfourshoursswhilesdriving
Whichsofsthesfollowingsisstruesforsdiagnosissofsashernia?
A)sThesdriversshouldsbesreferredstosassurgeonstosdetermineswhethersrepairsofsasherniasissn
ecessary
B)sTheswaitingsperiodsfollowingsherniassurgerysisstwosweeks
C)sInguinalsherniasshavesbeensassociatedswithsansincreasedsrisksforsCMVsaccidents
D)sThesmaximumscertificationsintervalsforsasdriverswithsasherniasisstwosyearss-
sans✔✔D)sThesmedicalsexaminerscansuseshis/
hersjudgmentsasstoswhethersasdriversshouldsbesreferredstosassurgeonsorsothersspecialist.sT
heresissnosspecifiedswaitingsperiodsfollowingsherniassurgerys-
sthesdriversshouldsnotsbescertifiedsuntilsthesmedicalsexaminersdeterminessthatstreatmentsiss
safesandseffective,sandsthatsthesconditionsissstable.sNosevidenceshasslinkedsherniassofsany
stypestosincreasedsCMVsaccidentsrisk.
Whichsofsthesfollowingsisstruesofsnephropathy?
A)sNephropathysissasdisqualifyingscondition
B)sThesmaximumscertificationsintervalsforsnephropathysisstwosyears
C)sAsdriverswiths3+sproteinuriasshouldsnotsbescertified
D)sAsrenalsspecialistsshouldsmakesthescertificationsdeterminationsforsasdriverswithsnephrop
athys-sans✔✔B)sNephropathysissconsideredsonsascase-by-
casesbasis.sThesmedicalsexaminersdeterminesswhatsevaluationsorsmonitoringsissnecessar
ysforsasdriverswiths3+sproteinuriasandsmaysdisqualifysthesdriver.sThescertificationsissalwayss
madesbysthesmedicalsexaminersandscannotsbesdeferredstosasspecialist.
Driversswithswhichsofsthesfollowingsconditionssshouldsbesdisqualified?
, A)sCancersrequiringschemotherapystreatment
B)sUmbilicalsherniasnotssurgicallysrepaired
C)sRenalsfailuresonsperitonealsdialysis
D)sHemochromatosiss-sans✔✔C)sDialysissofsanystypesissdisqualifying
Ifsassignificantsabnormalsfindingsforsurinalysissspecificsgravity,sprotein,sorsbloodsissfound,st
hesmedicalsexaminersshould:
A)sDisqualifysthesdriver
B)sRequeststhatsasrenalsspecialistsdeterminesifsthesdriversissmedicallysqualified
C)sUsesclinicalsexpertisestosdeterminesascertificationsdecisionsandstosdeterminesifsaddition
alsevaluationsissrequiredsorsrecommended
D)sObtainsbloodschemistriessforsrenalsfunctions-
sans✔✔C)sThesmedicalsexaminersmustsdetermineswhethersadditionalsevaluationsissneede
dsandswhethersthescertificationsdecisionsshouldsbespostponedsorslimited
Asdriverswithsashistorysofskidneysdiseaseswithsorswithoutstransplant:
A)sIssmedicallysdisqualified
B)sMustsbesassessedsregardingsthesseverity,sstability,smedicationssused,sandsmedications
sideseffects/adversesreactions
C)sShouldsnotsbesassessedsforsfunctionalsabilitystosoperatesasCMVssafely
D)sShouldshavesthesmedicalscertificatonsdeterminationsmadesbysasrenalsspecialists-
sans✔✔B)sASsessmentsforskidneysdiseasesmustsbesadesonsascase-by-
casesbasis.sDialysissofsanyskindsissdisqualifying.sThesmedicalsexaminersmayschoosestoste
ststhesdriversforsfunctionalsabilitystosoperatesasCMVssafely.sThesmedicalscertificationsdecisi
onsmustsbesmadesbysthesmedicalsexaminer.
Whichsofsthesfollowingsissnotsasdisqualifyingscondition?
A)sPeritonealsdialysis
B)sHemodialysis
C)sHernia
D)sPeripheralsneuropathys-
sans✔✔Anystypesofsdialysississasdisqualifyingscondition.sPeripheralsneuropathysissusuallys
disqualifying.sAlthoughsasherniasmaysbesdisqualifying,softensasdriverscansbescertifiedsifsthe
ssymptomssand/
orsexaminationsfindingssaresmildsorsifsthesherniashassbeenssurgicallysrepairedsandsthescon
ditionshassstabilizeds(theresissnosspecifiedswaitingsperiodsfollowingsherniastreatment,sinclu
dingssurgery).
Urinalysississrequiredsforsthesdriversphysicalsexaminationsandsthesresultssmustsinclude
A)sSpecificsgravity,screatinine,sbilirubin,sandsglucose
B)sCreatinine,sbilirubin,sblood,sandsprotein
C)sSpecificsgravity,sprotein,sblood,sandsglucose
D)sSpecificsgravity,sbilirubin,sblood,sandsproteins-
sans✔✔C)sSpecificsgravity,sprotein,sblood,sandsglucosesshouldsbescheckedsatseverysdrive
rsexamination
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