NRCME (DOT) TESTBAK LATEST VERSION EXAM
WITH ACTUAL QUESTION AND CORRECT
DETAILED ANSWERS WITH RATIONALES.
Which of the following is a requirement for drivers with a diabetes exemption?
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A) Possess a rapidly absorbable form of glucose while driving
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B) Self—monitor blood glucose one hour before driving and at least once every 2 hours
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b while driving b
C) Plan to submit blood glucose monitoring logs every 6 months
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D) Maintain a Hemoglobin A1C value less than 7 - answer-A. Drivers with diabetes should
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b self monitor blood glucose before driving and every 4 hours while driving. Blood glucose
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b monitoring logs should be submitted annually. There is no specific requirement for
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b HgA1C level. b
Drivers with insulin dependent diabetes:
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A) May be certified for a maximum of 6 months
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B) Must maintain a hemoglobin A1C level of less than 7 to qualify for certification
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C) Cannot be certified if they have a history of myocardial infarction
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D) May be eligible for a diabetes exemption - answer-D) Drivers with insulin dependent
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b diabetes cannot be certified but may be eligible for a diabetes exemption
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Which of the following is true?
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A) A driver with diabetes who uses insulin does not meet the minimum requirements of
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b 49 CFR Part 391.41
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,B) The most important concert related to medication use for treating diabetes is
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b hyperglycemia
C) Peripheral neuropathy is not a disqualifying condition
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D) Diabetes is not a coronary heart disease (CHD) equivalent condition - answer-A) The
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b greatest risk for medication use for drivers with diabetes in hypoglycemia, not
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b hyperglycemia. Peripheral neuropathy is disqualifying condition. Diabetes is a CHD
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b equivalent condition. b
What is the recommended certification interval for a driver with diabetes mellituse who
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b does not use insulin?
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A) Three months
b b
B) Six months
b b
C) One year
b b
D) Two years - answer-C) Drivers with non-insulin dependent diabetes should be certified
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b for a maximum of one year
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A diabetes exemption may be issued by:
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A) An endocrinologist
b b
B) The Medical Examiner
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C) The driver's personal physician
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D) The FMCSA - answer-D) Only the FMCSA can grant exemptions
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A driver with diabetes mellliktus who uses insulin is determined to be otherwise
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b medically qualified. The medical examiner must indicate that a diabetes exemption is
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b required on the : b b b
A) Medical Examination Report status section and Medical Examiners Certificate
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B) Letter to the FMCSA
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C) Employer authorization form
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D) Endocrinology consultation form - answer-A) Exemption requirements must be noted
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b on the Medical Examination Report status section and the Medical Examiners Certificate
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,If glucose is detected on urinalysis in a driver with no history of diabetes, an appropriate
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b next step is:
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A) Endocrinology consultation
b b
B) One year clearance and recommendation to see personal physician
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C) Fingerstick or blood glucose determination
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D) Temporary disqualification - answer-C) The medical examiner should first determine
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b blood glucose and then make an appropriate certification determination and referral
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Drivers with a history of _____________ severe hypoglycemic reactions in the past year or
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b _____________ severe hypoglycemic reactions in the past five years should not be certifed.
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A) one, three
b b
B) one, two
b b
C) two, three
b b
D) two, five - answer-B) A driver should not be certified if the driver has had one
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b hypoglycemic reaction in the past year or two in the past five years.
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Which of the following is not a criteria that the FMCSA uses to define a severe
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b hypoglycemic reaction? b
A) Seizure
b
B) Dizziness
b
C) Need of assistance from another person
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D) Period of impaired cognitive function that occurred without warning - answer-B)
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b FMCSA defines severe hypoglycemia as reactions that result in seizure, loss of
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b consciousness, need of assistance from another person, and a period of impaired
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b congitive function that occurred without warning
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Which diabetes mellitus risk poses the greatest threat to public safety
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A) Hyperglycemia
b
B) Peripheral neuropathy
b b
C) Hypoglycemia
b
, D) Metabolic encephalopathy - answer-C) Although hyperglycemia, peripheral
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b neuropathy, and metabolic encephalopathy all pose significant risks for safe driving,
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b hypoglycemia poses the greatest risk. The risk is particularly pronounced in drivers who
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b use insulin. FMCSA defines a hypoglycemia episode as one that results in seizure, loss of
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b consciousness, need of assistance from another person, or a period of impaired cognitive
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b function that occurs without warning.
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A driver with a diabetes exemption should check glucose levels when?
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A) One hour before driving and at least once every four hours while driving
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B) One hour before driving and at least every eight hours while driving
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C) Once after four hours of driving
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D) Once a day after driving period has ended - answer-A) Driver's with diabetes
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b exemption should check glucose values one hour before driving and once every four
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b hours while driving
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Which of the following is true for diagnosis of a hernia?
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A) The driver should be referred to a surgeon to determine whether repair of a hernia is
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b necessary
B) The waiting period following hernia surgery is two weeks
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C) Inguinal hernias have been associated with an increased risk for CMV accidents
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D) The maximum certification interval for a driver with a hernia is two years - answer-D)
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b The medical examiner can use his/her judgment as to whether a driver should be
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b referred to a surgeon or other specialist. There is no specified waiting period following
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b hernia surgery - the driver should not be certified until the medical examiner determines
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b that treatment is safe and effective, and that the condition is stable. No evidence has
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b linked hernias of any type to increased CMV accident risk.
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Which of the following is true of nephropathy?
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A) Nephropathy is a disqualifying condition
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B) The maximum certification interval for nephropathy is two years
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C) A driver with 3+ proteinuria should not be certified
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