DOT Exam Study Guide, 236 Questions and Correct
Answers, With Complete Solution, Updated 2024.
Actual Exam Questions included.
5 Feet
A CMV driver must perceive a forced whispered voice in the better eat at not less than
___ with or w/o a hearing aid
Audiogram
This test is performed only when the Forced Whisper Test is failed in both ears
40 decibels
If tested by the use of an audiometric device, they must not have an AVERAGE hearing
loss in the better ear greater than ____ at 500Hz, 1000Hz, and 2000Hz
One
___ ear and two eyes certifies!
Audiologist
A driver with a hearing aid usually must go to an ____ or a hearing aid center for
audiometry testing
2 Years
How long can a driver who meets the hearing requirements in one ear be certified?
Acute and Peripheral Vesitbulopathy
Inflammation of the inner ear that causes a sudden onset of vertigo. This requires a 2
month waiting period.
Benign Positional Vertigo
This occurs when a small piece of bone-like calcium breaks free and floats inside the
Eustachian tube sending confusing messages to your brain about your body's position.
This requires a 2-month waiting period.
False
T/F It is OK to certify someone with Uncontrolled Vertigo, Meniere's Disease, Labrythine
Fistula, or Non-Functioning Labryinthes
Meniere's Disease
An inner ear disorder that affects balance and hearing.
Labrythine Fistula
An abnormal opening in the bony capsule of the inner ear resulting in the leakage of the
peri lymph from the semicircular canals of the middle ear.
Non-Functioning Labryinths
Loss of vestibular function in both Labryinths leading to characteristic dysfunction in
vision and balance. These symptoms reflect how crucial our Labryinth sense is for
generating proper reflexes so that we can see clearly when we are moving and not lose
our balance when we are standing or walking.
Inner Ear
Another name for the Labryinth
Elevated Blood Pressure
1 or 2 readings greater than or equal to 140/90 on the same day
,Hypertension
Two readings greater than or equal to 140/90 on consecutive exams on two different
days
The examiner
Who should remeasure abnormal BP and or pulse rate or rhythm, especially if they are
significant factors in determining certification?
Even with the Sternum or right atrium of the driver
When measuring a driver's BP they should sit in the chair for at least 5 min, back is
supported, legs are uncrossed, and feet are touching the ground. Support the drivers
arm at the elbow so the midpoint of the BP cuff is...
140-159/90-99
Stage 1 HTN
1 year
How long can you certify someone who comes in for certification for the first time and
has Stage 1 HTN?
1 year on BP meds
If someone with Stage 1 HTN comes into the clinic for recertification how long can you
certify them for if they are on BP meds and their BP is less than 140/90?
1-2 years if not on any BP meds
If someone with Stage 1 HTN comes into the clinic for recertification how long can you
certify them for if they are not on any BP meds?
1 time, 3 month certification card
If a patient with Stage 1 HTN comes in for recertification and their BP is 140-159/90-99
what type of certification would they receive?
1 year from the date of the of the complete exam
If a patient with Stage one HTN who comes back in for a 3-month recheck and their BP
is <140/90 how long can they be certified for?
160-179/100-109
What is Stage 2 HTN?
3 months
When does a person need to come back to be seen with Stage 2 HTN after their first
exam for recertification?
1 year from the date of the complete exam
A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can
they be certified if their BP is <140/90 and they are on BP meds?
1-2 years from the date of the complete exam
A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can
they be certified if their BP is <140/90 and they are not on BP meds?
Providers discretion
A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can
they be certified if their BP is >140/90?
> 180/11
Stage 3 HTN
Disqualified
If a person comes in for an exam and their BP is 180/110 then they should be ...?
Certify for 6 months with recertification every six months
, Stage 3 HTN patient returns for a recheck. How long can they be certified and how
often should they be recertified?
The patient should be disqualified.
What should happen if a Stage 3 HTN patient comes in for a recheck and their BP is
greater than 140/90??
One Time 3 month card
This certificate is included in the annual certification interval and is not an extension of
the certification period. It can not be used in consecutive increments.
Drivers who must be tested for drugs and alcohol
Drivers who operate CMVs of 26,001 pounds or more, transport 16 or more
passengers, or who carry placarded hazardous material on the public roadway -- All
drivers operating CMVs in interstate commerce --- All drivers required to have a CDL
If they were in a testing program within the last 30 days and was tested within the
last 6 months or a was a program for the previous 12 months
When is a driver exempt from Pre-Employment testing?
8 hours for ETOH and 32 hours for drugs
What is the time frames for ETOH and drug testing after a crash?
Post-Accident Testing
Testing that has to occur when the crash involves the loss of human life, the driver
receives a citation within 8 hours of the accident, there is bodily injury to a person who
immediately received medical treatment away from the scene, or if 1 or more MVs must
be transported away by tow truck
6 drug tests within the first year
When a driver returns to duty after violating drug and ETOH standards, how many f/u
drug and ETOH tests would they need in the first year of returning to driving?
Directly Observed Testing
Employee must raise shirt and lower underpants to mid-thigh to show no device is being
worn during what kind of urine testing?
>2 drinks/day for men
>1 drink/day for women
Heavy drinking average for men and women?
Binge Drinking
A pattern of ETOH consumption that brings the Blood Alcohol Concentration (BAC)
level to 0.08% or more in a 2-hour period - Men 5 or more drinks and Women 4 or more
drinks
Alcohol Abuse
A pattern of drinking that results in harm to one's health, interpersonal relationships, or
ability to work. Long term use can turn into dependence.
Alcohol Dependence
A chronic disease that includes a strong craving for ETOH despite repeated physical,
psychological, or intepersonal problems; An inability to limit drinking
SAP (Substance Abuse Professional)
Evaluates employees who have violated DOT drug and ETOH regulations and makes
recommendations concerning education, treatment, F/U testing, and aftercare
MRO (Medical Review Officer)
Answers, With Complete Solution, Updated 2024.
Actual Exam Questions included.
5 Feet
A CMV driver must perceive a forced whispered voice in the better eat at not less than
___ with or w/o a hearing aid
Audiogram
This test is performed only when the Forced Whisper Test is failed in both ears
40 decibels
If tested by the use of an audiometric device, they must not have an AVERAGE hearing
loss in the better ear greater than ____ at 500Hz, 1000Hz, and 2000Hz
One
___ ear and two eyes certifies!
Audiologist
A driver with a hearing aid usually must go to an ____ or a hearing aid center for
audiometry testing
2 Years
How long can a driver who meets the hearing requirements in one ear be certified?
Acute and Peripheral Vesitbulopathy
Inflammation of the inner ear that causes a sudden onset of vertigo. This requires a 2
month waiting period.
Benign Positional Vertigo
This occurs when a small piece of bone-like calcium breaks free and floats inside the
Eustachian tube sending confusing messages to your brain about your body's position.
This requires a 2-month waiting period.
False
T/F It is OK to certify someone with Uncontrolled Vertigo, Meniere's Disease, Labrythine
Fistula, or Non-Functioning Labryinthes
Meniere's Disease
An inner ear disorder that affects balance and hearing.
Labrythine Fistula
An abnormal opening in the bony capsule of the inner ear resulting in the leakage of the
peri lymph from the semicircular canals of the middle ear.
Non-Functioning Labryinths
Loss of vestibular function in both Labryinths leading to characteristic dysfunction in
vision and balance. These symptoms reflect how crucial our Labryinth sense is for
generating proper reflexes so that we can see clearly when we are moving and not lose
our balance when we are standing or walking.
Inner Ear
Another name for the Labryinth
Elevated Blood Pressure
1 or 2 readings greater than or equal to 140/90 on the same day
,Hypertension
Two readings greater than or equal to 140/90 on consecutive exams on two different
days
The examiner
Who should remeasure abnormal BP and or pulse rate or rhythm, especially if they are
significant factors in determining certification?
Even with the Sternum or right atrium of the driver
When measuring a driver's BP they should sit in the chair for at least 5 min, back is
supported, legs are uncrossed, and feet are touching the ground. Support the drivers
arm at the elbow so the midpoint of the BP cuff is...
140-159/90-99
Stage 1 HTN
1 year
How long can you certify someone who comes in for certification for the first time and
has Stage 1 HTN?
1 year on BP meds
If someone with Stage 1 HTN comes into the clinic for recertification how long can you
certify them for if they are on BP meds and their BP is less than 140/90?
1-2 years if not on any BP meds
If someone with Stage 1 HTN comes into the clinic for recertification how long can you
certify them for if they are not on any BP meds?
1 time, 3 month certification card
If a patient with Stage 1 HTN comes in for recertification and their BP is 140-159/90-99
what type of certification would they receive?
1 year from the date of the of the complete exam
If a patient with Stage one HTN who comes back in for a 3-month recheck and their BP
is <140/90 how long can they be certified for?
160-179/100-109
What is Stage 2 HTN?
3 months
When does a person need to come back to be seen with Stage 2 HTN after their first
exam for recertification?
1 year from the date of the complete exam
A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can
they be certified if their BP is <140/90 and they are on BP meds?
1-2 years from the date of the complete exam
A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can
they be certified if their BP is <140/90 and they are not on BP meds?
Providers discretion
A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can
they be certified if their BP is >140/90?
> 180/11
Stage 3 HTN
Disqualified
If a person comes in for an exam and their BP is 180/110 then they should be ...?
Certify for 6 months with recertification every six months
, Stage 3 HTN patient returns for a recheck. How long can they be certified and how
often should they be recertified?
The patient should be disqualified.
What should happen if a Stage 3 HTN patient comes in for a recheck and their BP is
greater than 140/90??
One Time 3 month card
This certificate is included in the annual certification interval and is not an extension of
the certification period. It can not be used in consecutive increments.
Drivers who must be tested for drugs and alcohol
Drivers who operate CMVs of 26,001 pounds or more, transport 16 or more
passengers, or who carry placarded hazardous material on the public roadway -- All
drivers operating CMVs in interstate commerce --- All drivers required to have a CDL
If they were in a testing program within the last 30 days and was tested within the
last 6 months or a was a program for the previous 12 months
When is a driver exempt from Pre-Employment testing?
8 hours for ETOH and 32 hours for drugs
What is the time frames for ETOH and drug testing after a crash?
Post-Accident Testing
Testing that has to occur when the crash involves the loss of human life, the driver
receives a citation within 8 hours of the accident, there is bodily injury to a person who
immediately received medical treatment away from the scene, or if 1 or more MVs must
be transported away by tow truck
6 drug tests within the first year
When a driver returns to duty after violating drug and ETOH standards, how many f/u
drug and ETOH tests would they need in the first year of returning to driving?
Directly Observed Testing
Employee must raise shirt and lower underpants to mid-thigh to show no device is being
worn during what kind of urine testing?
>2 drinks/day for men
>1 drink/day for women
Heavy drinking average for men and women?
Binge Drinking
A pattern of ETOH consumption that brings the Blood Alcohol Concentration (BAC)
level to 0.08% or more in a 2-hour period - Men 5 or more drinks and Women 4 or more
drinks
Alcohol Abuse
A pattern of drinking that results in harm to one's health, interpersonal relationships, or
ability to work. Long term use can turn into dependence.
Alcohol Dependence
A chronic disease that includes a strong craving for ETOH despite repeated physical,
psychological, or intepersonal problems; An inability to limit drinking
SAP (Substance Abuse Professional)
Evaluates employees who have violated DOT drug and ETOH regulations and makes
recommendations concerning education, treatment, F/U testing, and aftercare
MRO (Medical Review Officer)
