{"id":114961,"date":"2023-08-23T10:48:48","date_gmt":"2023-08-23T10:48:48","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=114961"},"modified":"2023-08-23T10:48:50","modified_gmt":"2023-08-23T10:48:50","slug":"nrcme-dot-exam-test-bank-questions-with-100-correct-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/nrcme-dot-exam-test-bank-questions-with-100-correct-answers\/","title":{"rendered":"NRCME DOT EXAM TEST BANK QUESTIONS WITH 100% CORRECT ANSWERS."},"content":{"rendered":"\n

NRCME Test Bank Questions<\/p>\n\n\n\n

    \n
  1. 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\u2014monitor 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
    Answer Explained:
    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.<\/li>\n\n\n\n
  2. 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
    Answer Explained:
    D) Drivers with insulin dependent diabetes cannot be certified but may be eligible for a
    diabetes exemption<\/li>\n\n\n\n
  3. 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
    Answer Explained:
    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.<\/li>\n\n\n\n
  4. 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
    Answer Explained:
    C) Drivers with non-insulin dependent diabetes should be certified for a maximum of
    one year<\/li>\n\n\n\n
  5. A diabetes exemption may be issued by:
    A) An endocrinologist
    B) The Medical Examiner
    C) The driver’s personal physician
    D) The FMCSA
    Answer Explained:
    D) Only the FMCSA can grant exemptions<\/li>\n\n\n\n
  6. 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
    Answer Explained:
    A) Exemption requirements must be noted on the Medical Examination Report status
    section and the Medical Examiners Certificate<\/li>\n\n\n\n
  7. If glucose is detected on urinalysis in a driver with no history of diabetes, an
    appropriate next step is:<\/li>\n<\/ol>\n\n\n\n

    A) Endocrinology consultation
    B) One year clearance and recommendation to see personal physician
    C) Finger stick or blood glucose determination
    D) Temporary disqualification
    Answer Explained:
    C) The medical examiner should first determine blood glucose and then make an
    appropriate certification determination and referral<\/p>\n\n\n\n

      \n
    1. Drivers with a history of _<\/em><\/strong><\/em><\/strong> severe hypoglycemic reactions in the past
      year or _<\/em><\/strong><\/em><\/strong> severe hypoglycemic reactions in the past five years should not
      be certifed.
      A) one, three
      B) one, two
      C) two, three
      D) two, five
      Answer Explained
      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.<\/li>\n\n\n\n
    2. Which of the following is NOT a criterion 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
      Answer Explained:
      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
      cognitive function that occurred without warning<\/li>\n\n\n\n
    3. Which diabetes mellitus risk poses the greatest threat to public safety
      A) Hyperglycemia
      B) Peripheral neuropathy<\/li>\n<\/ol>\n\n\n\n

      C) Hypoglycemia
      D) Metabolic Encephalopathy
      Answer Explained:
      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.<\/p>\n\n\n\n

        \n
      1. 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
        Answer Explained:
        A) Driver’s with diabetes exemption should check glucose values one hour before
        driving and once every four hours while driving<\/li>\n\n\n\n
      2. 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
        Answer Explained:
        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.<\/li>\n\n\n\n
      3. Which of the following is true of nephropathy?
        A) Nephropathy is a disqualifying condition
        <\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

        NRCME Test Bank Questions A) Endocrinology consultationB) One year clearance and recommendation to see personal physicianC) Finger stick or blood glucose determinationD) Temporary disqualificationAnswer Explained:C) The medical examiner should first determine blood glucose and then make anappropriate certification determination and referral C) HypoglycemiaD) Metabolic EncephalopathyAnswer Explained:C) Although hyperglycemia, peripheral neuropathy, and metabolic encephalopathy allpose significant […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-114961","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114961","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=114961"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114961\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=114961"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=114961"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=114961"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}