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Updated 2027
What is the driver required to sign for on MCSA-5875?
a. Health history.
b. Release of information.
c. Acknowledgement of testing results.
d. Acceptance of the Medical Examiner's certification determination - ANSWER -
Health history.
What is appropriate preparation for the physical examination?
a. Dress and stockings.
b. Examination gown and underwear.
c. Shorts and tennis shoes.
d. Loose fitting clothing. - ANSWER -Examination gown and underwear
The driver has a history of coronary artery bypass grafting (CABG) 3 years ago.
He is now describing shortness of breath. The Medical Examiner's next step is:
a. Refer the driver for cardiac stress testing.
b. Refer the driver for cardiology evaluation.
c. Disqualify the driver.
d. Assess cardiac risk factors and further characterize the driver's symptoms -
ANSWER -Assess cardiac risk factors and further characterize the driver's
symptoms
Which of the following should raise the greatest concern for the Medical
Examiner's assessment?
,a. History of lumbar fusion 2 years ago.
b. Grade 1 ankle sprain 1 month ago.
c. Prepatellar bursitis 3 months ago.
d. Rotator cuff injury 6 months ago. - ANSWER -Grade 1 ankle sprain 1 month
ago.
The driver smokes and describes long hours of prolonged driving. Which of the
following is the most important condition or symptom that the Medical Examiner
should discuss with the driver?
a. Fatigue.
b. COPD.
c. Deep vein thrombosis and possible pulmonary embolus.
d. Acute cardiac conditions - ANSWER -Deep vein thrombosis and possible
pulmonary embolus
The driver describes pain to the right of the thoracolumbar junction. What
condition would be of most concern for the Medical Examiner for risk of sudden
incapacitation?
a. Kidney stones.
b. Subluxations.
c. Low back pain.
d. Pancreatitis - ANSWER -Kidney stones.
The driver gives a recent history of a diagnosis of carpal tunnel syndrome (CTS).
What should the Medical Examiner do next?
a. Refer the driver for orthopedic evaluation.
b. Test grip strength and prehension.
c. Disqualify the driver.
,d. Advise the driver to apply for a SPE Certificate. - ANSWER -Test grip strength
and prehension.
The driver gives a history of a seizure 14 years ago due to an adverse medication
reaction. What is the next step for the Medical Examiner?
a. Disqualify the driver.
b. Indicate that the driver is only medically qualified with a seizure/epilepsy
exemption/waiver.
c. Check pharmacy records for anti-seizure medications.
d. Confirm the driver's medical history with the driver's primary care provider. -
ANSWER -Confirm the driver's medical history with the driver's primary care
provider
The driver has a BMI of 37 and 2+ edema in the lower extremities. The Medical
Examiner's next step is to:
a. Advise the driver to elevate legs above heart.
b. Assess cardiac risk factors.
c. Refer the driver for a cardiology evaluation.
d. Recommend a diuretic medication - ANSWER -Assess cardiac risk factors
The driver gives a history of a recent right shoulder injury. The following
measurements are described in the shoulders. Abduction R 90 L 160 IR R 40 L 50
Flexion R 100 L 170 ER R 30 L 50. The Medical Examiner should note which of
the following?
a. Instability.
b. Normal ROM.
c. Abnormal ROM.
d. Weakness - ANSWER -Abnormal ROM.
, Which conditions are disqualifying by regulation?
a. Hearing loss and seizures/epilepsy.
b. Seizures/epilepsy and insulin-dependent diabetes.
c. Insulin-dependent diabetes and monocular vision.
d. Hearing loss and insulin-dependent diabetes. - ANSWER -Hearing loss and
seizures/epilepsy.
Which conditions would be appropriate for the Medical Examiner to consider for
Determination Pending?
a. Urinalysis with 500 mg/dL of glucose.
b. Blood pressure of 175/80.
c. Hearing whisper test with first detected results at 3 feet R, 4 feet L.
d. Driver with history of myocardial infarction 3 weeks ago - ANSWER -
Urinalysis with 500 mg/dL of glucose
Which of the following are required testing by the Medical Examiner?
a. Height, weight, blood pressure, pulse oximetry.
b. Blood pressure sitting and standing, pulse.
c. BMI, blood pressure, pulse.
d. Height, weight, blood pressure, pulse - ANSWER -Height, weight, blood
pressure, pulse.
Who is responsible to maintain a copy of the Medical Examination form
MCSA5875?
a. The driver.
b. The employer.
c. The Medical Examiner.