NRCME Diabetes Mellitus Standards 2

Question 1

Under FMCSA diabetes standards, a driver treated with insulin is generally:

Accepted Answer

Eligible for exemption through the Federal Diabetes Exemption Program

Answer

Insulin-treated drivers may operate CMVs under the Federal Diabetes Exemption Program if they meet specific criteria.

Question 2

Which HbA1c threshold most commonly raises concern for glycemic control when evaluating CMV drivers?

Accepted Answer

Above 10%

Answer

An HbA1c above 10% typically indicates poor glycemic control and raises significant safety concerns for CMV drivers.

Question 3

A CMV driver with Type 2 diabetes treated with metformin reports no hypoglycemic episodes. The examiner should:

Accepted Answer

Certify if otherwise qualified with no signs of end-organ complications

Answer

Drivers with well-controlled Type 2 diabetes on oral agents without hypoglycemia risk may be certified if they meet all other standards.

Question 4

Proliferative diabetic retinopathy in a CMV driver is significant because it may affect:

Accepted Answer

Visual acuity and field of vision

Answer

Proliferative retinopathy can impair visual acuity and peripheral vision, which are critical for safe CMV operation.

Question 5

Under the Federal Diabetes Exemption Program, drivers must submit what to maintain their exemption?

Accepted Answer

Annual physician attestation and driving record

Answer

Exemption holders must provide annual physician attestation confirming continued safe control and a clean driving record review.

NRCME - National Registry of Certified Medical Examiners Practice Test