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DOT EXAM STUDY GUIDE NEWEST EXAM 200 QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+ GUARANTEED PASS
REVEISED VERSION
Upon examination of a 46 y/o male smoker, you detect an irregularly
irregular heart rythm. The rate is 140 bpm. This is unknown to the driver and
he denies any symptoms of lightheadedness, shortness of breath, dizziness,
palpitations, nor any cardiac history. You would: - CORRECT ANSWER
>>>Disqualify and refer to his PMD or cardiologist for further evaluation.
Concerning the medical certificate, which is false? - CORRECT ANSWER
>>>Provide the original to the driver being examined. Retain a copy for at
least 3 years.
You may not provide a copy to the current or prospective employer, they
must get it from the driver. The driver must carry the original certificate
during operation of a CMV.
How soon may a driver be certified after coronary artery bypass grafting
(CABG) surgery? - CORRECT ANSWER >>>3 months with clearance by
cardiologist, resting echocardiogram with an LVEF >40% after CABG, and
asymptomatic status with no angina.
FMCSA defines a severe hypoglycemic reaction as one that results in: -
CORRECT ANSWER >>>Need of assistance from another person, loss of
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consciousness, any period of impaired cognitive function that occurs
without warning, or seizure
Medical fitness for duty includes the ability to perform strenuous labor and
to have good judgment, impulse control, and _____________________. -
CORRECT ANSWER >>>Problem solving skills
All of the following may perform and certify vision test results except: -
CORRECT ANSWER >>>A chiropractor
Ophthalmologist
Optometrist
or Registered Nurse
The grace period for the expiration of a Medical Examiner's Certification is -
CORRECT ANSWER >>>There is no grace period, the certification expires at
midnight on the date listed
A 28 year old female presents for her CDL physical exam. She indicates she
has been enrolled in a Methadone program for three months secondary to a
previous substance abuse issue in the recent past. She presents a letter from
the administrator of the program documenting her compliance with the
program and absence of any history of prior violations of their agreement.
According to medical guidance, can a driver be certified while taking
methadone. - CORRECT ANSWER >>>No, since Methadone is a habit-forming
narcotic that can produce drug dependence. Methadone is not an allowable
drug for CMV operators.
Arriving for a recertification exam, a 48 y/o male non-smoker is 5'4", 275lbs.
His supervisor calls you ahead of time stating he recently went off the side
of the road crashing into a guard rail. There were no injuries and the truck
sustained only minor damage. When the medical assistant goes to bring him
back, he is found asleep, snoring in the waiting room and she needs to wake
him by gently shaking him by the shoulder. She reports this to you. When
you arrive in the exam room the patient appears to be nodding off while
sitting on the exam table. Upon further questioning, he admits that his wife
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frequently elbows him because of his snoring and that he gasps and snorts
in his sleep. When asked, he denies nodding off while driving. His exam is
notable for obesity, Mallampati 4 oropharynx, HTN controlled with 2
medications, otherwise normal. Appropriate next steps: - CORRECT ANSWER
>>>Disqualify and refer to PMD for sleep study.
You examine a 37 male driver with missing fingers on his left hand, you must
evaluate and do all of the following, - CORRECT ANSWER >>>Document the
effect that the deficit has on the ability of the driver to safely operate a CMV
Provide a copy of the Medical Examination Report form and medical
examiner's certificate for an SPE initial or renewal application Ensure that
the driver with an existing SPE certificate is complying with medical
requirements
You examine a 37 male driver with missing fingers on his left hand, you must
evaluate and obtained
Obtain approval from the primary care doctor - CORRECT ANSWER >>>no
When you perform a urinalysis (dip stick) test, you are to test for what? -
CORRECT ANSWER >>>Specific gravity, protein (proteinuria), blood
(hematuria) and glucose (glycosuria)
Commercial drivers have a greater propensity to develop hypertension than
their peers in other professions. - CORRECT ANSWER >>>true
The percentage of drivers with hypertension increases with years of driving,
from 29% in drivers with fewer than 10 years driving experience to 39% in
drivers with over 20 years of experience. - CORRECT ANSWER >>>true
Effective hypertension management reduces overall cardiac morbidity and
mortality. - CORRECT ANSWER >>>true
The rise in hypertension prevalence is unrelated to age, increase in body
mass or physical inactivity. - CORRECT ANSWER >>>false
DOT EXAM STUDY GUIDE NEWEST EXAM 200 QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+ GUARANTEED PASS
REVEISED VERSION
Upon examination of a 46 y/o male smoker, you detect an irregularly
irregular heart rythm. The rate is 140 bpm. This is unknown to the driver and
he denies any symptoms of lightheadedness, shortness of breath, dizziness,
palpitations, nor any cardiac history. You would: - CORRECT ANSWER
>>>Disqualify and refer to his PMD or cardiologist for further evaluation.
Concerning the medical certificate, which is false? - CORRECT ANSWER
>>>Provide the original to the driver being examined. Retain a copy for at
least 3 years.
You may not provide a copy to the current or prospective employer, they
must get it from the driver. The driver must carry the original certificate
during operation of a CMV.
How soon may a driver be certified after coronary artery bypass grafting
(CABG) surgery? - CORRECT ANSWER >>>3 months with clearance by
cardiologist, resting echocardiogram with an LVEF >40% after CABG, and
asymptomatic status with no angina.
FMCSA defines a severe hypoglycemic reaction as one that results in: -
CORRECT ANSWER >>>Need of assistance from another person, loss of
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consciousness, any period of impaired cognitive function that occurs
without warning, or seizure
Medical fitness for duty includes the ability to perform strenuous labor and
to have good judgment, impulse control, and _____________________. -
CORRECT ANSWER >>>Problem solving skills
All of the following may perform and certify vision test results except: -
CORRECT ANSWER >>>A chiropractor
Ophthalmologist
Optometrist
or Registered Nurse
The grace period for the expiration of a Medical Examiner's Certification is -
CORRECT ANSWER >>>There is no grace period, the certification expires at
midnight on the date listed
A 28 year old female presents for her CDL physical exam. She indicates she
has been enrolled in a Methadone program for three months secondary to a
previous substance abuse issue in the recent past. She presents a letter from
the administrator of the program documenting her compliance with the
program and absence of any history of prior violations of their agreement.
According to medical guidance, can a driver be certified while taking
methadone. - CORRECT ANSWER >>>No, since Methadone is a habit-forming
narcotic that can produce drug dependence. Methadone is not an allowable
drug for CMV operators.
Arriving for a recertification exam, a 48 y/o male non-smoker is 5'4", 275lbs.
His supervisor calls you ahead of time stating he recently went off the side
of the road crashing into a guard rail. There were no injuries and the truck
sustained only minor damage. When the medical assistant goes to bring him
back, he is found asleep, snoring in the waiting room and she needs to wake
him by gently shaking him by the shoulder. She reports this to you. When
you arrive in the exam room the patient appears to be nodding off while
sitting on the exam table. Upon further questioning, he admits that his wife
, 3|Page
frequently elbows him because of his snoring and that he gasps and snorts
in his sleep. When asked, he denies nodding off while driving. His exam is
notable for obesity, Mallampati 4 oropharynx, HTN controlled with 2
medications, otherwise normal. Appropriate next steps: - CORRECT ANSWER
>>>Disqualify and refer to PMD for sleep study.
You examine a 37 male driver with missing fingers on his left hand, you must
evaluate and do all of the following, - CORRECT ANSWER >>>Document the
effect that the deficit has on the ability of the driver to safely operate a CMV
Provide a copy of the Medical Examination Report form and medical
examiner's certificate for an SPE initial or renewal application Ensure that
the driver with an existing SPE certificate is complying with medical
requirements
You examine a 37 male driver with missing fingers on his left hand, you must
evaluate and obtained
Obtain approval from the primary care doctor - CORRECT ANSWER >>>no
When you perform a urinalysis (dip stick) test, you are to test for what? -
CORRECT ANSWER >>>Specific gravity, protein (proteinuria), blood
(hematuria) and glucose (glycosuria)
Commercial drivers have a greater propensity to develop hypertension than
their peers in other professions. - CORRECT ANSWER >>>true
The percentage of drivers with hypertension increases with years of driving,
from 29% in drivers with fewer than 10 years driving experience to 39% in
drivers with over 20 years of experience. - CORRECT ANSWER >>>true
Effective hypertension management reduces overall cardiac morbidity and
mortality. - CORRECT ANSWER >>>true
The rise in hypertension prevalence is unrelated to age, increase in body
mass or physical inactivity. - CORRECT ANSWER >>>false
