Download NRCME TEST BANK QUESTIONS AND ANSWERS|UPDATED 2025|A+ RATED and more Exams Health sciences in PDF only on Docsity!
NRCME TEST BANK QUESTIONS AND ANSWERS|
UPDATED 2025|A+ RATED
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 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
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. 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 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
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 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 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 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 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
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 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 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 B) Request that a renal specialist determine if the driver is medically qualified C) Use clinical expertise to determine a certification decision and to determine if additional evaluation is required or recommended D) Obtain blood chemistries for renal function C) The medical examiner must determine whether additional evaluation is needed and whether the certification decision should be postponed or limited A driver with a history of kidney disease with or without transplant: A) Is medically disqualified B) Must be assessed regarding the severity, stability, medications used, and medication side effects/adverse reactions C) Should not be assessed for functional ability to operate a CMV safely
B) Creatinine, bilirubin, blood, and protein C) Specific gravity, protein, blood, and glucose D) Specific gravity, bilirubin, blood, and protein C) Specific gravity, protein, blood, and glucose should be checked at every driver examination Disqualifying conditions include: A) Chronic constipation B) Obesity C) Cystitis D) Dialysis D) Dialysis of any type of disqualifying A driver who has Hepatitis C who is stable and whose condition does not represent a safety risk may be certified A) True B) False A) Hepatitis C is not disqualifying
A driver with a history of acute bleeding ulcer may be certified if: A) Pain has subsided B) Driver tolerates food without nausea and vomiting C) Bleeding has subsided D) The underlying cause has been identified and recurrence risk is low following treatment D) Drivers with bleeding ulcers should not be certified until the underlying cause has been identified and the recurrence risk is low A driver with a successful kidney transplant can be certified A) True B) False A) Kidney transplants are not disqualifying Which of the following is true? A) Medical marijuana use if disqualifying B) The medical examiner should drug test the driver for marijuana if the driver gives a history of recent marijuana's C) A driver with a history of only occasional marijuana may not have to complete a substance abuse professional assessment D) Marijuana is a Schedule II drug
C) An alcohol-related stable physical condition, regardless of the time element D) Use of methadone D) A current diagnosis of alcoholism is disqualifying. A breath alcohol result of 0.02% or higher renders the driver unqualified to drive. An alcohol-related unstable physical condition is disqualifying. Ongoing voluntary attendance at self-help groups (e.g. 12 step programs) for maintenance of recovery from alcoholism: A) Is required for all drivers recovering from alcoholism B) Is disqualifying C) Is allowed but not required for drivers recovering from alcoholism D) Fulfills the requirement for rehabilitation following a violation of alcohol rules. C) 12-step or similar programs do not fulfill rehabiliation requirements for drivers with a violation of alcohol (or drug) regulations. Participation in such programs is allowed, but not required, and is not disqualifying. Which of the following is a mental health professional that the medial examiner may refer to or consult with?
- Breath alcohol technician (BAT)
- Designated employer representative (DER)
- Medical review officer (MRO)
- Substance abuse professional (SAP) A) 1, 2, and 3 B) 1 and 3 only C) 2 and 4 only D) 4 only E) all of the above According to the FMCSA, all of these are defined as mental health professionals The maximal certification internal for a driver with a history of drug abuse or alcoholism is A) Six months B) One year C) Two years D) Do not certify C) Drivers with a history of drug abuse or alcoholism may be certified forup to two years. Drivers may be subject to drug and/or alcohol testing more frequently, but such testing is performed under 49 CFR
B) Attendance at self-help groups is to disqualifying but does not fulfill the requirement for participation ina rehabilitation program. Follow-up testing must be performed according to FMCSA guidelines, regardless of participation in a self-help group. The Substance Abuse Professional (SAP) determines the need for attendance at self-help groups as a condition of return to work as a CMV driver. A driver taking methadone for substance abuse treatment may be certified for three months. A) True B) False B) False, methadone is disqualifying Schedule I drugs, including marijuana or medical marijuana, are disqualifying A) True B) False A) Driver's taking Schedule I drugs are disqualifying Recertification o the driver disqualifying for alcohol abuse requires the driver to
A) Have an evaluation y a substance abuse professional (SAP) B) Have a referral by the driver's primary care physican stating the driver is attending a self-help group C) Have a complete physical examination D) Have a drug test A) A driver disqualified for alcohol abuse must be evaluated by a substance abuse professional prior to return to duty and complete any rehabilitation program recommended by the substance abuse professional. The driver also must undergo return to duty alcohol testing. The Medical Examiner should be familiar with DOT drug and alcohol testing requirements as outlined in: A) 49 CFR Part 40 B) 40 CFR Part 38 C) 49 CFR Part 66 D) 49 CFR Part 12 A) DOT drug and alcohol testing regulations are described in 49 CFR Part 40
A) Even though a vision exemption is provided for two years, the driver must undergo annual examinatin Who of the following is not qualified to perform the vision testing portion of the interstate CMV driver physical examination? A) An optometrist B) The medical examiner C) A licensed vision testing technician D) An ophthalmologist C) Vision testing must be performed by the medical examiner, an optometrist, or ophthalmology Which of the following is true with regard to horizontal field of vision testing include: A) Passing parameters are 75 degrees in left and right eye visual fields B) Medial examiners may use a variety of methods in the clinical setting to measure field of vision, including reasonably reliable and accurate tests C) Telescopic lenses that redirect peripheral vision to compensate for loss of central vision are acceptable corrective lenses for meeting commercial driving qualificatin requirements
D) Specialized ophthalmological equipment should not be used for precise measurement to determine if vision meets the 70 degree requirement B) Passing parapets for field of vision are 70 degrees in left and right visual fields. Telescopic lenses that redirect peripheral vision to compensate for loss of central vision are not acceptable. Specialized ophthalmological equipment may be used to measure vision parameters. Which of the following will always disqualify a driver from being certified without federal exemption? A) Abnormal reactivity to light B) 70 degrees horizontal field of vision in each eye C) Monocular vision D) Floaters C) Without a federal exemption or grandfathered status, monocular vision will always disqualify a driver from being certified. For a driver to be certified without a waiver for color recognition, they must ________________ A) Correctly identify the true colors of signs and traffic lights
