DOT EXAM WITH CORRECT QUESTIONS
AND ANSWERS
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 ANSWERS-Disqualify and refer to his PMD or cardiologist for
further evaluation.
Concerning the medical certificate, which is false? - CORRECT ANSWERS-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 ANSWERS-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
ANSWERS-Need of assistance from another person, loss of 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 ANSWERS-
Problem solving skills
All of the following may perform and certify vision test results except: - CORRECT
ANSWERS-A chiropractor
Ophthalmologist
Optometrist
or Registered Nurse
The grace period for the expiration of a Medical Examiner's Certification is - CORRECT
ANSWERS-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 ANSWERS-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 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 ANSWERS-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 ANSWERS-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 ANSWERS-no
When you perform a urinalysis (dip stick) test, you are to test for what? - CORRECT
ANSWERS-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 ANSWERS-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 ANSWERS-true
Effective hypertension management reduces overall cardiac morbidity and mortality. -
CORRECT ANSWERS-true
The rise in hypertension prevalence is unrelated to age, increase in body mass or
physical inactivity. - CORRECT ANSWERS-false
The FMCSA Medical Examination Report includes: - CORRECT ANSWERS-Health
questionnaire and Physical examination
, For CMV drivers, "Medical fitness for duty" - CORRECT ANSWERS-includes the ability
to perform the specific tasks related to driving the vehicle and strenuous labor
Drivers with hearing aids: - CORRECT ANSWERS-May use hearing aids to undergo the
forced whisper test.
Vision acuity is measured in - CORRECT ANSWERS-In each eye separately, and
together and if corrective lens are worn, both with and without corrective lens
Periodic monitoring can only be for either 3, 6 or 12 months. - CORRECT ANSWERS-
false
You must write the reason for periodic monitoring on the certification section of the
examination form.The expiration date is calculated from the original exam date, not any
follow up exam dates. You are never required to certify for an interval longer than would
be necessary to adequately monitor a driver's medical fitness for duty. - CORRECT
ANSWERS-true
A 50 y/o male smoker had a percutaneous coronary intervention procedure 2 weeks
ago after an abnormal stress test. He is asymptomatic, stage 2 HTN controlled on
ramapril and labetolol. You determine: - CORRECT ANSWERS-Certify six months.
Advise to have ETT before 6 month follow up. If he remains stable with a normal ETT,
certify for one year.
Is kidney dialysis is disqualifying - CORRECT ANSWERS-true
Exercise stress tests after CABG should be obtained: - CORRECT ANSWERS-In 5
years, then annually thereafter.
Which of the following is true regarding the Medical Examination Certificate? -
CORRECT ANSWERS-The medical examiner completes the certificate and provides a
copy to the driver and a copy to the employer.
A driver with insulin dependent diabetes must do - CORRECT ANSWERS-Obtain an
assessment by his/her treating physician, who will complete form MCSA-58870.
Produce a 3 month electronic report from their blood glucose device. The driver must
not have the complication of severe non-proliferative diabetic retinopathy or proliferative
diabetic retinopathy.
regarding retinopathy - CORRECT ANSWERS-Carcinoma-associated retinopathy is
characterized by slow onset of blindness caused by retinal degeneration, usually of
photoreceptors.
The most common cause of retinopathy is diabetes mellitus.
Guidelines for diabetics include an annual optometrist or ophthalmologist examination.
AND ANSWERS
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 ANSWERS-Disqualify and refer to his PMD or cardiologist for
further evaluation.
Concerning the medical certificate, which is false? - CORRECT ANSWERS-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 ANSWERS-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
ANSWERS-Need of assistance from another person, loss of 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 ANSWERS-
Problem solving skills
All of the following may perform and certify vision test results except: - CORRECT
ANSWERS-A chiropractor
Ophthalmologist
Optometrist
or Registered Nurse
The grace period for the expiration of a Medical Examiner's Certification is - CORRECT
ANSWERS-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 ANSWERS-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 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 ANSWERS-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 ANSWERS-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 ANSWERS-no
When you perform a urinalysis (dip stick) test, you are to test for what? - CORRECT
ANSWERS-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 ANSWERS-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 ANSWERS-true
Effective hypertension management reduces overall cardiac morbidity and mortality. -
CORRECT ANSWERS-true
The rise in hypertension prevalence is unrelated to age, increase in body mass or
physical inactivity. - CORRECT ANSWERS-false
The FMCSA Medical Examination Report includes: - CORRECT ANSWERS-Health
questionnaire and Physical examination
, For CMV drivers, "Medical fitness for duty" - CORRECT ANSWERS-includes the ability
to perform the specific tasks related to driving the vehicle and strenuous labor
Drivers with hearing aids: - CORRECT ANSWERS-May use hearing aids to undergo the
forced whisper test.
Vision acuity is measured in - CORRECT ANSWERS-In each eye separately, and
together and if corrective lens are worn, both with and without corrective lens
Periodic monitoring can only be for either 3, 6 or 12 months. - CORRECT ANSWERS-
false
You must write the reason for periodic monitoring on the certification section of the
examination form.The expiration date is calculated from the original exam date, not any
follow up exam dates. You are never required to certify for an interval longer than would
be necessary to adequately monitor a driver's medical fitness for duty. - CORRECT
ANSWERS-true
A 50 y/o male smoker had a percutaneous coronary intervention procedure 2 weeks
ago after an abnormal stress test. He is asymptomatic, stage 2 HTN controlled on
ramapril and labetolol. You determine: - CORRECT ANSWERS-Certify six months.
Advise to have ETT before 6 month follow up. If he remains stable with a normal ETT,
certify for one year.
Is kidney dialysis is disqualifying - CORRECT ANSWERS-true
Exercise stress tests after CABG should be obtained: - CORRECT ANSWERS-In 5
years, then annually thereafter.
Which of the following is true regarding the Medical Examination Certificate? -
CORRECT ANSWERS-The medical examiner completes the certificate and provides a
copy to the driver and a copy to the employer.
A driver with insulin dependent diabetes must do - CORRECT ANSWERS-Obtain an
assessment by his/her treating physician, who will complete form MCSA-58870.
Produce a 3 month electronic report from their blood glucose device. The driver must
not have the complication of severe non-proliferative diabetic retinopathy or proliferative
diabetic retinopathy.
regarding retinopathy - CORRECT ANSWERS-Carcinoma-associated retinopathy is
characterized by slow onset of blindness caused by retinal degeneration, usually of
photoreceptors.
The most common cause of retinopathy is diabetes mellitus.
Guidelines for diabetics include an annual optometrist or ophthalmologist examination.
