NRCME Diabetes Mellitus Standards 3

Question 1

The FMCSA Federal Diabetes Exemption Program requires that an insulin-treated applicant be evaluated by:

Accepted Answer

An endocrinologist or primary care physician familiar with their diabetes management

Answer

The treating endocrinologist or knowledgeable primary care physician must complete the required attestation forms.

Question 2

A driver with diabetes has a resting blood pressure of 160/100 mmHg at the examination. The examiner should:

Accepted Answer

Address hypertension per FMCSA standards, as comorbidities compound cardiovascular risk

Answer

Hypertension and diabetes together significantly elevate cardiovascular risk and must both be evaluated under FMCSA standards.

Question 3

What is the minimum pre-driving blood glucose level recommended for insulin-treated exempt CMV drivers before operating a CMV?

Accepted Answer

100 mg/dL

Answer

Insulin-treated exempt drivers are generally advised to confirm blood glucose is at least 100 mg/dL before driving.

Question 4

A CMV driver with diabetes develops diabetic nephropathy with creatinine of 3.5 mg/dL. The primary concern for certification is:

Accepted Answer

Cardiovascular risk and potential for uremic symptoms impairing alertness

Answer

Severely reduced kidney function elevates cardiovascular risk and may cause uremic symptoms that impair driving ability.

Question 5

Which piece of documentation is NOT typically required for the Federal Diabetes Exemption Program application?

Accepted Answer

Proof of automobile liability insurance

Answer

The exemption program requires medical and glycemic control documentation, not personal automobile insurance.

NRCME - National Registry of Certified Medical Examiners Practice Test