DOT CERTIFICATION EXAM ACTUAL EXAM 250
QUESTIONS AND CORRECT ANSWERS|AGRADE
What are the differences between the
medical standards and the medical
guidelines? - ANSWER: Standards/regulations are law. Guidelines are best practices.
In which regulation(s) are the driver
physical qualification standards cited? - ANSWER: 49 CFR 391.41
In which regulation(s) are the medical examiners responsibilities cited? - ANSWER:
49 CFR 391.43
What objective tests and measurements are
required as part of the driver physical
examination? - ANSWER: - Height and weight
- Vision
- Hearing
- Blood pressure and pulse
- Urine dipstick for specific gravity, protein,
blood, and glucose
What are the possible outcomes of the driver
physical examination? - ANSWER: Certification or disqualification
To pass the interstate CMV driver
vision exam, a visual acuity of ______
corrected or uncorrected is required. - ANSWER: 20/40 or better in BOTH eyes
individually and combined
What eye conditions must the
medical examiner ask the driver
about and if indicated request
specialist evaluation? - ANSWER: Retinopathy, cataracts, aphakia (absence of the
lens),
glaucoma, and macular
degeneration
According to FMCSA regulations, which
of the following must the ME evaluate
when examining a driver's eyes?
A. Pupil reactivity
B. Iris symmetry
C. Conjunctiva injection
D. Corneal thickness - ANSWER: Pupil reactivity
, Purpose of the Vision Exemption? - ANSWER: To certify some drivers with monocular
vision.
Where is Federal Vision Examination Program cited? - ANSWER: 49 DFR 391.41(b)
(10)
Minimum standard for hearing evaluation via audiometry? - ANSWER: </= 40 dB
hearing loss in at least one ear
Is audiometry required? - ANSWER: No, not if forced whisper test passed in at least
one ear.
Mandatory waiting period after
diagnosis of DM? - ANSWER: None
Highest acceptable A1c? - ANSWER: 10%
Maximum certification time for someone with DM? - ANSWER: 1 year
Define epilepsy according to FMCSA. - ANSWER: 2 or more unprovoked seizures.
Wait period for a single unprovoked seizure? - ANSWER: 5 years (Must also be off all
medication)
Waiting period for acute MI? - ANSWER: 2 months
Minimum required LVEF? - ANSWER: 40%
When is a follow-up ETT required following PCI? - ANSWER: 3-6 months
Maximum allowable AAA size? - ANSWER: 5 cm
Minimum requirement for peripheral vision? - ANSWER: 70 degrees
Maximum certification period for an asymptomatic patient 45 years or older with
multiple CHD risk factors? - ANSWER: 1 year
Highest gender risk for CHD? - ANSWER: Male or postmenopausal female
Modifiable risk factors for CHD? - ANSWER: HTN, tobacco, HLP, low HDL, DM,
overweight, physical inactivity
Which pulmonary conditions are disqualifying? - ANSWER: 1. Bronchiectasis w/
hemoptysis
2. Chronic TB
3. COPD w/ severe cough
4. Asthma w/ frequent hospitalizations
QUESTIONS AND CORRECT ANSWERS|AGRADE
What are the differences between the
medical standards and the medical
guidelines? - ANSWER: Standards/regulations are law. Guidelines are best practices.
In which regulation(s) are the driver
physical qualification standards cited? - ANSWER: 49 CFR 391.41
In which regulation(s) are the medical examiners responsibilities cited? - ANSWER:
49 CFR 391.43
What objective tests and measurements are
required as part of the driver physical
examination? - ANSWER: - Height and weight
- Vision
- Hearing
- Blood pressure and pulse
- Urine dipstick for specific gravity, protein,
blood, and glucose
What are the possible outcomes of the driver
physical examination? - ANSWER: Certification or disqualification
To pass the interstate CMV driver
vision exam, a visual acuity of ______
corrected or uncorrected is required. - ANSWER: 20/40 or better in BOTH eyes
individually and combined
What eye conditions must the
medical examiner ask the driver
about and if indicated request
specialist evaluation? - ANSWER: Retinopathy, cataracts, aphakia (absence of the
lens),
glaucoma, and macular
degeneration
According to FMCSA regulations, which
of the following must the ME evaluate
when examining a driver's eyes?
A. Pupil reactivity
B. Iris symmetry
C. Conjunctiva injection
D. Corneal thickness - ANSWER: Pupil reactivity
, Purpose of the Vision Exemption? - ANSWER: To certify some drivers with monocular
vision.
Where is Federal Vision Examination Program cited? - ANSWER: 49 DFR 391.41(b)
(10)
Minimum standard for hearing evaluation via audiometry? - ANSWER: </= 40 dB
hearing loss in at least one ear
Is audiometry required? - ANSWER: No, not if forced whisper test passed in at least
one ear.
Mandatory waiting period after
diagnosis of DM? - ANSWER: None
Highest acceptable A1c? - ANSWER: 10%
Maximum certification time for someone with DM? - ANSWER: 1 year
Define epilepsy according to FMCSA. - ANSWER: 2 or more unprovoked seizures.
Wait period for a single unprovoked seizure? - ANSWER: 5 years (Must also be off all
medication)
Waiting period for acute MI? - ANSWER: 2 months
Minimum required LVEF? - ANSWER: 40%
When is a follow-up ETT required following PCI? - ANSWER: 3-6 months
Maximum allowable AAA size? - ANSWER: 5 cm
Minimum requirement for peripheral vision? - ANSWER: 70 degrees
Maximum certification period for an asymptomatic patient 45 years or older with
multiple CHD risk factors? - ANSWER: 1 year
Highest gender risk for CHD? - ANSWER: Male or postmenopausal female
Modifiable risk factors for CHD? - ANSWER: HTN, tobacco, HLP, low HDL, DM,
overweight, physical inactivity
Which pulmonary conditions are disqualifying? - ANSWER: 1. Bronchiectasis w/
hemoptysis
2. Chronic TB
3. COPD w/ severe cough
4. Asthma w/ frequent hospitalizations
