NRCME Psychology Test Bank With Answers (193 Solved Questions)

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lOMoAR cPSD| 3013804NRCME Test Bank Questions and answers1.Which of the following is a requirement for drivers with a diabetes exemption?A)Possess a rapidly absorbable form of glucose while drivingB)Self—monitor blood glucose one hour before driving and at least once every 2 hourswhile drivingC)Plan to submit blood glucose monitoring logs every 6 monthsD)Maintain a Hemoglobin A1C value less than 7 - A.Drivers with diabetes should selfmonitor blood glucose before driving and every 4 hourswhile driving. Blood glucosemonitoring logs should be submitted annually. There is nospecific requirement for HgA1C level.2.Drivers with insulin dependent diabetes:A)May be certified for a maximum of 6 monthsB)Must maintain a hemoglobin A1C level of less than 7 to qualify for certificationC)Cannot be certified if they have a history of myocardial infarctionD)May be eligible for a diabetes exemption - D) Drivers with insulin dependent diabetescannot be certified but may be eligible for a diabetes exemption3.Which of the following is true?A)A driver with diabetes who uses insulin does not meet the minimum requirements of49 CFR Part 391.41B)The most important concert related to medication use for treating diabetes ishyperglycemiaC)Peripheral neuropathy is not a disqualifying conditionD)Diabetes is not a coronary heart disease (CHD) equivalent condition - A) The greatestrisk for medication use for drivers with diabetes in hypoglycemia, not hyperglycemia.

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lOMoAR cPSD| 3013804Peripheral neuropathy is disqualifying condition. Diabetes is a CHD equivalentcondition.4.What is the recommended certification interval for a driver with diabetes mellituse who doesnot use insulin?A)Three monthsB)Six monthsC)One yearD)Two years - C) Drivers with non-insulin dependent diabetes should be certified for amaximum of one year5.A diabetes exemption may be issued by:A)An endocrinologistB)The Medical ExaminerC)The driver's personal physicianD)The FMCSA - D) Only the FMCSA can grant exemptions6.A driver with diabetes mellliktus who uses insulin is determined to be otherwise medicallyqualified. The medical examiner must indicate that a diabetes exemption is required on the :A)Medical Examination Report status section and Medical Examiners CertificateB)Letter to the FMCSAC)Employer authorization formD)Endocrinology consultation form - A) Exemption requirements must be noted on theMedical Examination Report status section and the Medical Examiners Certificate

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lOMoAR cPSD| 3013804step is:7.If glucose is detected on urinalysis in a driver with no history of diabetes, an appropriate nextA)B)One year clearance and recommendation to see personal physicianC)Fingerstick or blood glucose determinationD)Temporary disqualification - C) The medical examiner should first determine bloodglucose and then make an appropriate certification determination and referral8.severe hypoglycemic reactions in the past five years should not be certifed.A)one, threeB)one, twoC)two, threeD)two, five - B) A driver should not be certified if the driver has had one hypoglycemicreaction in the past year or two in the past five years.9.Which of the following is not a criteria that the FMCSA uses to define a severe hypoglycemicreaction?A)SeizureB)DizzinessC)Need of assistance from another personD)Period of impaired cognitive function that occurred without warning - B) FMCSAdefines severe hypoglycemia as reactions that result in seizure, loss ofDrivers with a history ofsevere hypoglycemic reactions in the past year orEndocrinology consultation

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lOMoAR cPSD| 3013804consciousness, need of assistance from another person, and a period of impairedcongitive function that occurred without warning10.Which diabetes mellitus risk poses the greatest threat to public safetyA)HyperglycemiaB)Peripheral neuropathyC)HypoglycemiaD)Metabolic encephalopathy - C) Although hyperglycemia, peripheral neuropathy, andmetabolic encephalopathy all pose significant risks for safe driving, hypoglycemiaposes the greatest risk.The risk is particularly pronounced in drivers who use insulin. FMCSA defines ahypoglycemia episode as one that results in seizure, loss of consciousness, need ofassistance from another person, or a period of impaired cognitive function that occurs withoutwarning.11.A driver with a diabetes exemption should check glucose levels when?A)One hour before driving and at least once every four hours while drivingB)One hour before driving and at least every eight hours while drivingC)Once after four hours of drivingD)Once a day after driving period has ended - A) Driver's with diabetes exemptionshould check glucose values one hour before driving and once every four hours whiledriving12.Which of the following is true for diagnosis of a hernia?

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lOMoAR cPSD| 3013804A)The driver should be referred to a surgeon to determine whether repair of a hernia isnecessaryB)The waiting period following hernia surgery is two weeksC)Inguinal hernias have been associated with an increased risk for CMV accidentsD)The maximum certification interval for a driver with a hernia is two years - D) Themedical examiner can use his/her judgment as to whether a driver should be referredto a surgeon or other specialist.There is no specified waiting period following hernia surgery - the driver should not becertified until the medical examiner determines that treatment is safe and effective, and thatthe condition is stable. No evidence has linked hernias of any type to increased CMVaccident risk.13.Which of the following is true of nephropathy?A)Nephropathy is a disqualifying conditionB)The maximum certification interval for nephropathy is two yearsC)A driver with 3+ proteinuria should not be certifiedD)A renal specialist should make the certification determination for a driver withnephropathy - B) Nephropathy is considered on a case-by-case basis. The medicalexaminer determines what evaluation or monitoring is necessary for a driver with 3+proteinuria and may disqualify the driver. The certification is always made by themedical examiner and cannot be deferred to a specialist.14.Drivers with which of the following conditions should be disqualified?A)Cancer requiring chemotherapy treatment

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lOMoAR cPSD| 3013804B)Umbilical hernia not surgically repairedC)Renal failure on peritoneal dialysisD)Hemochromatosis - C) Dialysis of any type is disqualifying15.If a significant abnormal finding for urinalysis specific gravity, protein, or blood is found, themedical examiner should:A)Disqualify the driverB)Request that a renal specialist determine if the driver is medically qualifiedC)Use clinical expertise to determine a certification decision and to determine ifadditional evaluation is required or recommendedD)Obtain blood chemistries for renal function - C) The medical examiner must determinewhether additional evaluation is needed and whether the certification decision shouldbe postponed or limited16.A driver with a history of kidney disease with or without transplant:A)Is medically disqualifiedB)Must be assessed regarding the severity, stability, medications used, and medicationside effects/adverse reactionsC)Should not be assessed for functional ability to operate a CMV safelyD)Should have the medical certificaton determination made by a renal specialist - B)ASsessment for kidney disease must be ade on a case-by-case basis. Dialysis of anykind is disqualifying. The medical examiner may choose to test the driver for functionalability to operate a CMV safely. The medical certification decision must be made bythe medical examiner.

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lOMoAR cPSD| 301380417.Which of the following is not a disqualifying condition?A)Peritoneal dialysisB)HemodialysisC)HerniaD)Peripheral neuropathy - Any type of dialysis is a disqualifying condition. Peripheralneuropathy is usually disqualifying. Although a hernia may be disqualifying, often adriver can be certified if the symptoms and/or examination findings are mild or if thehernia has been surgically repaired and the condition has stabilized (there is nospecified waiting period following hernia treatment, including surgery).18.Urinalysis is required for the driver physical examination and the results must includeA)Specific gravity, creatinine, bilirubin, and glucoseB)Creatinine, bilirubin, blood, and proteinC)Specific gravity, protein, blood, and glucoseD)Specific gravity, bilirubin, blood, and protein - C) Specific gravity, protein, blood, andglucose should be checked at every driver examination19.Disqualifying conditions include:A)Chronic constipationB)ObesityC)CystitisD)Dialysis - D) Dialysis of any type of disqualifying

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lOMoAR cPSD| 301380420.A driver who has Hepatitis C who is stable and whose condition does not represent a safetyrisk may be certifiedA)TrueB)False - A) HepatitisC)C is not disqualifying21.A driver with a history of acute bleeding ulcer may be certified if:A)Pain has subsidedB)Driver tolerates food without nausea and vomitingC)Bleeding has subsidedD)The underlying cause has been identified and recurrence risk is low followingtreatment - D) Drivers with bleeding ulcers should not be certified until the underlyingcause has been identified and the recurrence risk is low22.A driver with a successful kidney transplant can be certifiedA)TrueB)False - A) Kidney transplants are not disqualifying23.Which of the following is true?A)Medical marijuana use if disqualifyingB)The medical examiner should drug test the driver for marijuana if the driver gives ahistory of recent marijuana'sC)A driver with a history of only occasional marijuana may not have to complete asubstance abuse professional assessment

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lOMoAR cPSD| 3013804D)Marijuana is a Schedule II drug - A) If a driver gives a history of recent marijuana use,the driver should be referred for substance abuse professional evaluation regardlessof drug test result. Drivers with a history of marijuana use, or a drug test positive formarijuana, must undergo substance abuse professional assessment and completeany recommended rehabilitation prior to returning to driving. Marijuana is a Schedule Idrug.24.Which of the following is a requirement for a driver with a history of alcoholism to becertified?A)No residual disqualifying physical impairmentB)Successful treatment with naltrexoneC)Currently in counseling and/or treatmentD)No more than one current alcohol-related disorder - A) Treatment with naltrexone isnot required for driver certification for a driver with a history of alcoholism. A driver witha history of alcoholism must have completed counseling and/or treatment and mustnot have a current alcohol-related disorder in order to be certified.25.Which of the following is a disqualifying condition?A)A past clinical diagnosis of alcoholismB)A breath alcohol result of 0.019%C)An alcohol-related stable physical condition, regardless of the time elementD)Use of methadone - D) A current diagnosis of alcoholism is disqualifying. A breathalcohol result of 0.02% or higher renders the driver unqualified to drive. An alcohol-related unstable physical condition is disqualifying.

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lOMoAR cPSD| 3013804or consult with?26.Ongoing voluntary attendance at self-help groups (e.g. 12 step programs) for maintenance ofrecovery from alcoholism:A)Is required for all drivers recovering from alcoholismB)Is disqualifyingC)Is allowed but not required for drivers recovering from alcoholismD)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 aviolation of alcohol (or drug) regulations. Participation in such programs is allowed, butnot required, and is not disqualifying.27.Which of the following is a mental health professional that the medial examiner may refer to1)2)Designated employer representative (DER)3)Medical review officer (MRO)4)Substance abuse professional (SAP)A)1, 2, and 3B)1 and 3 onlyC)2 and 4 onlyD)4 onlyE)all of the above - According to the FMCSA, all of these are defined as mental healthprofessionalsBreath alcohol technician (BAT)

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lOMoAR cPSD| 301380428.The maximal certification internal for a driver with a history of drug abuse or alcoholism isA)Six monthsB)One yearC)Two yearsD)Do not certify - C) Drivers with a history of drug abuse or alcoholism may be certifiedforup to two years. Drivers may be subject to drug and/or alcohol testing morefrequently, but such testing is performed under 49 CFR Part 40 drug and alcoholtesting regulations, not under 49 CFR Part 391.41 driver qualification standards29.Which of the following is true?A)One of the requirements for the CMV drier physical examination is testing forcontrolled substancesB)A driver taking multiple medications reports daily, regular or moderate use of alcohol.The Medical Examiner should evaluate the possibility of medication interactions withalcohol that may cause impairmentC)Even in remission, alcoholism is disabling for the CMV driverD)Use of Schedule I drugs is not disqualifying - B) Testing for controlled substances ifnot required for the CMV driver examination. Alcoholism in remission is not adisqualifying condition. Use of Schedule I drugs is disqualifying.30.Ongoing attendance at self-help groupsA)Fulfills the requirement to complete a rehabilitation programB)Is not disqualifying when used for maintenance of recovery

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lOMoAR cPSD| 3013804C)Eliminates the need for follow-up testingD)Is mandated by the FMCSA - B) Attendance at self-help groups is to disqualifying butdoes not fulfill the requirement for participation ina rehabilitation program. Follow-uptesting must be performed according to FMCSA guidelines, regardless of participationin a self-help group. The Substance Abuse Professional (SAP) determines the needfor attendance at self-help groups as a condition of return to work as a CMV driver.31.A driver taking methadone for substance abuse treatment may be certified for three months.A)TrueB)False - B) False, methadone is disqualifying32.Schedule I drugs, including marijuana or medical marijuana, are disqualifyingA)TrueB)False - A) Driver's taking Schedule I drugs are disqualifying33.Recertification o the driver disqualifying for alcohol abuse requires the driver toA)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 aself-help groupC)Have a complete physical examinationD)Have a drug test - A) A driver disqualified for alcohol abuse must be evaluated by asubstance abuse professional prior to return to duty and complete any rehabilitationprogram recommended by the substance abuse professional. The driver also mustundergo return to duty alcohol testing.

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lOMoAR cPSD| 301380434.The Medical Examiner should be familiar with DOT drug and alcohol testing requirements asoutlined in:A)49 CFR Part 40B)40 CFR Part 38C)49 CFR Part 66D)49 CFR Part 12 - A) DOT drug and alcohol testing regulations are described in 49CFR Part 4035.If the Substance Abuse Professional determines that current alcoholism exists, the driver isnot qualified to drive a commercial motor vehicle in interstate commerceA)TrueB)False - A) Drivers with a current diagnosis of alcoholis are disqualified36.The impairment benchmark for FMCSA for alcohol isA) 0.01B) 0.03C) 0.04D) 0.08 - C) FMCSA recommendations use the degree of imipairment produced by a 0.04percent food alcohol concentration as a benchmark for impairment37.AA driver with monocular vision who has been granted a federal vision exemption or who isqualified by operation of 49 CFR 391.64 must have an annual physical examination.A)True

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lOMoAR cPSD| 3013804B)False - A) Even though a vision exemption is provided for two years, the driver mustundergo annual examinatin38.Who of the following is not qualified to perform the vision testing portion of the interstate CMVdriver physical examination?A)An optometristB)The medical examinerC)A licensed vision testing technicianD)An ophthalmologist - C) Vision testing must be performed by the medical examiner, anoptometrist, or ophthalmology39.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 fieldsB)Medial examiners may use a variety of methods in the clinical setting to measure fieldof vision, including reasonably reliable and accurate testsC)Telescopic lenses that redirect peripheral vision to compensate for loss of centralvision are acceptable corrective lenses for meeting commercial driving qualificatinrequirementsD)Specialized ophthalmological equipment should not be used for precise measurementto determine if vision meets the 70 degree requirement - B) Passing parapets for fieldof vision are 70 degrees in left and right visual fields. Telescopic lenses that redirectperipheral vision to compensate for loss of central vision are not acceptable.Specialized ophthalmological equipment may be used to measure vision parameters.

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lOMoAR cPSD| 301380440.Which of the following will always disqualify a driver from being certified without federalexemption?A)Abnormal reactivity to lightB)70 degrees horizontal field of vision in each eyeC)Monocular visionD)Floaters - C) Without a federal exemption or grandfathered status, monocular visionwill always disqualify a driver from being certified.41.For a driver to be certified without a waiver for color recognition, they mustA)Correctly identify the true colors of signs and traffic lightsB)Sufficiently recognize traffic signals and devices showing the standard red, amber andgreen traffic signal colorsC)Be able to identify the different signs and traffic lights through shape and positionalanalysisD)Pass an Ishahara color vision test - B) Drivers must be able to recognize red, yellow,and green traffic signal colors42.AA driver with monocular vision who has been grandfathered must provide proof ofgrandfathered status at what time?A)Within three oaths of certificationB)When the certification is issuedC)Before the certification process is complete

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