BNS 001 EXIT EMEDHOME EXAM 1
QUESTIONS WITH ANSWERS GRADED
A+2022
A driver is taking Celexa for the treatment of what he calls a "mild
depression." He reports he
has not considered or attempted suicide. The examiner should: - ANSWER-
Temporarily disqualify the driver until he obtains written clearance for the
depression and
the medication from the treating provider.
The following statements are true concerning hearing requirements of
commercial drivers
EXCEPT:
a. Hearing aids may not be worn during the forcedwhisper test.
b. Either the forced whisper or audiometry tests may be performedfirst.
c. The forced whisper test is passed if one ear perceives the forced
whisper at 5 feet. d. Administration of both tests is only necessary if the
first test is failed. - ANSWER- Hearing aids may not be worn during the
forcedwhisper test.
A driver with a history of diabetes, who is taking Metformin, provides a note
from his primary care provider that lists his A1c level as 10. His exam is
essentially normal including laboratory analysis, except he is very
overweight. The medical examiner should certify the driver for how long? -
ANSWER-Certify the driver for 1 year.
A driver has had his second spontaneous pneumothorax on the same side
3 months ago. There has
been no surgical intervention. The FVC is 68%. The correct determination in
thiscase is:
- ANSWER-Do not certify until the condition has been corrected surgically.
The driver reports a suicide attempt 6 months earlier, following the
break-up of his marriage. He noted
seeing a psychiatrist and he takes Citalopram daily and he reports he feels
fine now and is moving on with
his life. He provides a release from his doctor that he may return to work
without restrictions. The
medical examiner should? - ANSWER-Disqualify the driver.
A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: -
ANSWER-For 1 year if between 4 and 5 cm, asymptomatic, with a
recommendation from a cardiovascular
specialist who understands the functions and demands of commercial driving.
Which of the following is false concerning additional information the driver is
to provide for any "yes"
,BNS 001 EXIT EMEDHOME EXAM 1
QUESTIONS WITH ANSWERS GRADED
A+2022
responses on the history section of the examination form? - ANSWER-
Must list only prescription medications, not vitamins or supplements.
,BNS 001 EXIT EMEDHOME EXAM 1
QUESTIONS WITH ANSWERS GRADED
A+2022
Upon examination of a 46-year-old male smoker, you detect an
irregularly irregular heart rhythm.
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. What
would you do? - ANSWER-a. Disqualify and refer to his PMD or cardiologist
for further evaluation
Which 3 cardiac condition is disqualifying? - ANSWER-
HOCM Torsades
Brugada syndrome
You must review and discuss with the driver any "yes" answers to include
any illness or injury in
the last how many years. - ANSWER-years
A driver was discharged from the hospital 10 weeks ago, after an MI. He is
asymptomatic and has a
note from the cardiologist that he had a satisfactory in office ETT the week
prior to your examination
and that he may drive. His pre-discharge ECHO shows an EF of 45%. His
examination is normal.
What is the max certification period? - ANSWER-1 year
Concerning the medical certificate, can you give a copy to the current or
prospective employer? - ANSWER-No they must get it from the driver
Which of the following is an assessment of L4 nerve root pathology? -
ANSWER- Patellar reflex
What indicators will you need to refer a driver for PFT? - ANSWER-history
of COPD, symptoms of wheezing, cigarette smoking in drivers 35 years or
older
How soon may a driver be certified after coronary artery bypass grafting
(CABG) surgery? - ANSWER-.3 months with clearance by cardiologist,
resting echocardiogram with an LVEF >40% after
CABG, and asymptomatic status with no angina.
A driver presents for his DOT physical. He notes occasional lower back pain. A
lateral pulsation is
palpated approximately 2 inches superior of the umbilicus. Auscultation in this
area reveals an
obvious bruit. What is the most important next step? - ANSWER-.Arrange for
immediate transport to an Emergency Department
, BNS 001 EXIT EMEDHOME EXAM 1
QUESTIONS WITH ANSWERS GRADED
A+2022
Arriving for a recertification exam, a 48 year-old 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: - ANSWER-disqualify and refer to PMD for sleep
study
Physical qualifications for vision regulations include all but: - ANSWER-Field
of vision of at least 85 degrees in the horizontal meridian in each eye
A 69-year-old male driver had a femoral-popliteal bypass 4 months ago,
with resolution of chronic
leg pain due to claudication. His surgeon clears him for driving. He is on
coumadin with INRs
consistently in the therapeutic range since discharge. what is the max
certification? - ANSWER-meets standards, qualified for one year
Drivers must have the following physical abilities
except: a. Grip strength.
b. Upper body strength.
c. Ability to lift 70 lbs. frequently.
d. Balance and flexibility - ANSWER-ability to lift 70 pounds frequently
A driver returns to work after a two-week absence due to a respiratory
illness. He presents a note
from his physician that he was unable to work as a truck driver because of
the illness and is now
cleared for returning to work. His medical certificate expires in 3 months.
Thedriver: a. Should be allowed to return to work based on his physician's
note.
b. Should undergo a new commercial driver
examination. c. May only be qualified for one year.
d. Can return to work at the discretion of the motor carrier - ANSWER-.
QUESTIONS WITH ANSWERS GRADED
A+2022
A driver is taking Celexa for the treatment of what he calls a "mild
depression." He reports he
has not considered or attempted suicide. The examiner should: - ANSWER-
Temporarily disqualify the driver until he obtains written clearance for the
depression and
the medication from the treating provider.
The following statements are true concerning hearing requirements of
commercial drivers
EXCEPT:
a. Hearing aids may not be worn during the forcedwhisper test.
b. Either the forced whisper or audiometry tests may be performedfirst.
c. The forced whisper test is passed if one ear perceives the forced
whisper at 5 feet. d. Administration of both tests is only necessary if the
first test is failed. - ANSWER- Hearing aids may not be worn during the
forcedwhisper test.
A driver with a history of diabetes, who is taking Metformin, provides a note
from his primary care provider that lists his A1c level as 10. His exam is
essentially normal including laboratory analysis, except he is very
overweight. The medical examiner should certify the driver for how long? -
ANSWER-Certify the driver for 1 year.
A driver has had his second spontaneous pneumothorax on the same side
3 months ago. There has
been no surgical intervention. The FVC is 68%. The correct determination in
thiscase is:
- ANSWER-Do not certify until the condition has been corrected surgically.
The driver reports a suicide attempt 6 months earlier, following the
break-up of his marriage. He noted
seeing a psychiatrist and he takes Citalopram daily and he reports he feels
fine now and is moving on with
his life. He provides a release from his doctor that he may return to work
without restrictions. The
medical examiner should? - ANSWER-Disqualify the driver.
A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: -
ANSWER-For 1 year if between 4 and 5 cm, asymptomatic, with a
recommendation from a cardiovascular
specialist who understands the functions and demands of commercial driving.
Which of the following is false concerning additional information the driver is
to provide for any "yes"
,BNS 001 EXIT EMEDHOME EXAM 1
QUESTIONS WITH ANSWERS GRADED
A+2022
responses on the history section of the examination form? - ANSWER-
Must list only prescription medications, not vitamins or supplements.
,BNS 001 EXIT EMEDHOME EXAM 1
QUESTIONS WITH ANSWERS GRADED
A+2022
Upon examination of a 46-year-old male smoker, you detect an
irregularly irregular heart rhythm.
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. What
would you do? - ANSWER-a. Disqualify and refer to his PMD or cardiologist
for further evaluation
Which 3 cardiac condition is disqualifying? - ANSWER-
HOCM Torsades
Brugada syndrome
You must review and discuss with the driver any "yes" answers to include
any illness or injury in
the last how many years. - ANSWER-years
A driver was discharged from the hospital 10 weeks ago, after an MI. He is
asymptomatic and has a
note from the cardiologist that he had a satisfactory in office ETT the week
prior to your examination
and that he may drive. His pre-discharge ECHO shows an EF of 45%. His
examination is normal.
What is the max certification period? - ANSWER-1 year
Concerning the medical certificate, can you give a copy to the current or
prospective employer? - ANSWER-No they must get it from the driver
Which of the following is an assessment of L4 nerve root pathology? -
ANSWER- Patellar reflex
What indicators will you need to refer a driver for PFT? - ANSWER-history
of COPD, symptoms of wheezing, cigarette smoking in drivers 35 years or
older
How soon may a driver be certified after coronary artery bypass grafting
(CABG) surgery? - ANSWER-.3 months with clearance by cardiologist,
resting echocardiogram with an LVEF >40% after
CABG, and asymptomatic status with no angina.
A driver presents for his DOT physical. He notes occasional lower back pain. A
lateral pulsation is
palpated approximately 2 inches superior of the umbilicus. Auscultation in this
area reveals an
obvious bruit. What is the most important next step? - ANSWER-.Arrange for
immediate transport to an Emergency Department
, BNS 001 EXIT EMEDHOME EXAM 1
QUESTIONS WITH ANSWERS GRADED
A+2022
Arriving for a recertification exam, a 48 year-old 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: - ANSWER-disqualify and refer to PMD for sleep
study
Physical qualifications for vision regulations include all but: - ANSWER-Field
of vision of at least 85 degrees in the horizontal meridian in each eye
A 69-year-old male driver had a femoral-popliteal bypass 4 months ago,
with resolution of chronic
leg pain due to claudication. His surgeon clears him for driving. He is on
coumadin with INRs
consistently in the therapeutic range since discharge. what is the max
certification? - ANSWER-meets standards, qualified for one year
Drivers must have the following physical abilities
except: a. Grip strength.
b. Upper body strength.
c. Ability to lift 70 lbs. frequently.
d. Balance and flexibility - ANSWER-ability to lift 70 pounds frequently
A driver returns to work after a two-week absence due to a respiratory
illness. He presents a note
from his physician that he was unable to work as a truck driver because of
the illness and is now
cleared for returning to work. His medical certificate expires in 3 months.
Thedriver: a. Should be allowed to return to work based on his physician's
note.
b. Should undergo a new commercial driver
examination. c. May only be qualified for one year.
d. Can return to work at the discretion of the motor carrier - ANSWER-.
