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NRCME TESTBANK LATEST VERSION EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES.
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NRCME TESTBANK LATEST VERSION EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES.
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NRCME Test Bank Questions WithVerified Answers
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 .- .(correct .answer) .-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 .- .(correct .answer) .-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 .- .(correct .answer) .-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.
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 .- .(correct .answer) .-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 .- .(correct .answer) .-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 .- .(correct .answer) .-A) .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:
A) .Endocrinology .consultation
B) .One .year .clearance .and .recommendation .to .see .personal .physician
C) .Fingerstick .or .blood .glucose .determination
D) .Temporary .disqualification .- .(correct .answer) .-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 .- .(correct .answer) .-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 .- .(correct .answer) .-B)
.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
Which .diabetes .mellitus .risk .poses .the .greatest .threat .to .public .safety
A) .Hyperglycemia
B) .Peripheral .neuropathy
C) .Hypoglycemia
D) .Metabolic .encephalopathy .- .(correct .answer) .-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 .without .warning.
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 .- .(correct .answer) .-A) .Driver's .with .diabetes
.exemption .should .check .glucose .values .one .hour .before .driving .and .once .every .four .hours .while
.driving
Which .of .the .following .is .true .for .diagnosis .of .a .hernia?
A) .The .driver .should .be .referred .to .a .surgeon .to .determine .whether .repair .of .a .hernia .is .necessary
B) .The .waiting .period .following .hernia .surgery .is .two .weeks
C) .Inguinal .hernias .have .been .associated .with .an .increased .risk .for .CMV .accidents
D) .The .maximum .certification .interval .for .a .driver .with .a .hernia .is .two .years .- .(correct .answer) .-D)
.The .medical .examiner .can .use .his/her .judgment .as .to .whether .a .driver .should .be .referred .to .a
.surgeon .or .other .specialist. .There .is .no .specified .waiting .period .following .hernia .surgery .- .the .driver
.should .not .be .certified .until .the .medical .examiner .determines .that .treatment .is .safe .and .effective,
.and .that .the .condition .is .stable. .No .evidence .has .linked .hernias .of .any .type .to .increased .CMV
.accident .risk.
Which .of .the .following .is .true .of .nephropathy?
A) .Nephropathy .is .a .disqualifying .condition
B) .The .maximum .certification .interval .for .nephropathy .is .two .years
C) .A .driver .with .3+ .proteinuria .should .not .be .certified
D) .A .renal .specialist .should .make .the .certification .determination .for .a .driver .with .nephropathy .-
.(correct .answer) .-B) .Nephropathy .is .considered .on .a .case-by-case .basis. .The .medical .examiner
.determines .what .evaluation .or .monitoring .is .necessary .for .a .driver .with .3+ .proteinuria .and .may
.disqualify .the .driver. .The .certification .is .always .made .by .the .medical .examiner .and .cannot .be
.deferred .to .a .specialist.
Drivers .with .which .of .the .following .conditions .should .be .disqualified?
A) .Cancer .requiring .chemotherapy .treatment
B) .Umbilical .hernia .not .surgically .repaired
C) .Renal .failure .on .peritoneal .dialysis
D) .Hemochromatosis .- .(correct .answer) .-C) .Dialysis .of .any .type .is .disqualifying
If .a .significant .abnormal .finding .for .urinalysis .specific .gravity, .protein, .or .blood .is .found, .the .medical
.examiner .should:
A) .Disqualify .the .driver
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