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NRCME Test Bank Questions 2025 Verified
Questions And 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. 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) 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:
condition has stabilized (there is no specified waiting period following hernia treatment, including surgery). Urinalysis is required for the driver physical examination and the results must include A) Specific gravity, creatinine, bilirubin, and glucose B) Creatinine, bilirubin, blood, and protein C) Specific gravity, protein, blood, and glucose D) Specific gravity, bilirubin, blood, and protein - correct answer>>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 - correct answer>>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 - correct answer>>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 - correct answer>>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 - correct answer>>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 - correct answer>>A) If a driver gives a history of recent marijuana use, the driver should be referred for substance abuse professional evaluation regardless of drug test result. Drivers with a history of marijuana use, or a drug test positive for marijuana, must undergo substance abuse professional assessment and complete any recommended rehabilitation prior to returning to driving. Marijuana is a Schedule I drug. Which of the following is a requirement for a driver with a history of alcoholism to be certified? A) No residual disqualifying physical impairment B) Successful treatment with naltrexone C) Currently in counseling and/or treatment
- 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 - correct answer>>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 - correct answer>>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 Part 40 drug and alcohol testing regulations, not under 49 CFR Part 391. driver qualification standards Which of the following is true? A) One of the requirements for the CMV drier physical examination is testing for controlled substances
B) A driver taking multiple medications reports daily, regular or moderate use of alcohol. The Medical Examiner should evaluate the possibility of medication interactions with alcohol that may cause impairment C) Even in remission, alcoholism is disabling for the CMV driver D) Use of Schedule I drugs is not disqualifying - correct answer>>B) Testing for controlled substances if not required for the CMV driver examination. Alcoholism in remission is not a disqualifying condition. Use of Schedule I drugs is disqualifying. Ongoing attendance at self-help groups A) Fulfills the requirement to complete a rehabilitation program B) Is not disqualifying when used for maintenance of recovery C) Eliminates the need for follow-up testing D) Is mandated by the FMCSA - correct answer>>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 - correct answer>>B) False, methadone is disqualifying Schedule I drugs, including marijuana or medical marijuana, are disqualifying A) True B) False - correct answer>>A) Driver's taking Schedule I drugs are disqualifying
B) 0.
C) 0.
D) 0.08 - correct answer>>C) FMCSA recommendations use the degree of imipairment produced by a 0.04 percent food alcohol concentration as a benchmark for impairment A driver with monocular vision who has been granted a federal vision exemption or who is qualified by operation of 49 CFR 391.64 must have an annual physical examination. A) True B) False - correct answer>>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 - correct answer>>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 - correct answer>>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 - correct answer>>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 B) Sufficiently recognize traffic signals and devices showing the standard red, amber and green traffic signal colors C) Be able to identify the different signs and traffic lights through shape and positional analysis D) Pass an Ishahara color vision test - correct answer>>B) Drivers must be able to recognize red, yellow, and green traffic signal colors
A) Under any conditions — lazy eye is not considered a visual impairment for CMV operators B) Only if the driver has a visual acuity of 20/70 or better, or a federal exemption C) Only if the driver has a visual acuity of 20/40 or better, or a federal exemption D) Only by federal exemptoin - correct answer>>C) Drivers with lazy eye must meet federal vision standards for certification (20/40 visual acuity in both eyes) or seek a federal exemption Medical examiners may grant vision exemptions for drivers that do not meet vision qualification standards A) True B) False - correct answer>>B) Only the FMCSA may grant exemptions of any type Under what circumstances is an ophthalmologist and only an ophthalmologist qualified to perform an examination? A) Under no conditions — optometrist and medical examiners are always qualified to perform vision testing B) Only when the driver is diagnosed with aphakia C) Only when specialized testing is required to resolve an inconclusive examination D) Under no conditions — ophthalmologists are not qualified to examine CMV drivers - correct answer>>C) The assistance of an ophthalmologist is only required if specialized testing is necessary Which of the following is considered grounds for additional testing? A) Blurry vision B) Presence of floaters
C) Distance vision uncorrected 20/35 in each eye D) Field of vision testing of 70 degrees in each eye - correct answer>>A) The presence of floaters is not in and of itself an indication for additional testing. Distance vision of 20/40 or better is considered acceptable, and field of vision of 70 degrees in each eye meets vision testing requirements. A driver with monocular vision who has been granted a federal vision exemption or who is qualified by operation of 49CFR391.64 must have a physical examination every ________________________? A) Six months B) Year C) Two years D) Within six onths of the date of renewal of the vision exemption - correct answer>>B) Although a federal vision exemption is usually granted for two years, the driver must be examined annually. To pass the interstate CMV driver vision exam, a visual acuity of ___________________ corrected or I corrected is required. A) 20/20 in each eye individually and both eye combined B) 20/40 in each eye individually and both eyes combined C) 20/20 in at least one eye D) 20/40 in at least one eye - correct answer>>B) Monocular vision is disqualifying. Drivers must be able to see at least 20/40 in each eye and both eyes combined. What eye conditions must the medical examiner ask the driver about? A) Cataracts, color deficiencies, retinitis pigmentosa, aphasia, glaucoma
C) Two years D) Five years - correct answer>>C) Drivers requiring vision correction may be certified for up to two years. A driver may use telescopic lenses that redirect peripheral vision to compensate for loss of central vision as corrective lenses for meeting CMV qualification requirements A) True B) False - correct answer>>B) Use of such lenses is prohibited Required vision testing does not include: A) Distance visual acuity B) Near visual acuity C) Peripheral horizontal visual fields D) Color - correct answer>>B) Near vision testing is not required. Conditions which are usually disqualifying, but which qualification can be considered ona case-by-case basis include:
- Autonomic neuropathy
- Congenital myopathy
- Neuromuscular disorders
- Carpal tunnel syndrome A) 1, 2, and 3 only B) 1 and 3 only C) 2 and 4 only
D) 4 only E) all of the above - correct answer>>A) Carpal tunnel syndrome is not usually disqualifying Only ___________________ can grant drivers a Skill Performance Evaluation (SPE) certificate A) The FMCSA B) The Department of Transportation C) A certified medical examiner D) A physiatrist or orthopedic specialist - correct answer>>A) Only the FMCSA can grant waivers/exemptions and SPE certificates The maximum certification period for Skill Performance Evaluation (SPE) certificate is ____________ A) six months B) one year C) two years D) determined on a case-by-case basis - correct answer>>C) A SPE certificate is granted for a maximum of two years A driver presents for clearance to return to driving a CMV four weeks after arthroscopic carpal tunnel repair to his left hand. The certification decision should be: A) The driver must complete a two-month waiting period for carpal tunnel surgery B) The driver may be certified if he completes a functional capacity evaluation
