DOT EXAM.LATEST QUESTIONS AND ANSWERS FOR AN A+
A 55-year-old male driver has a history of cataract in the left eye. Visual acuity is
20/30 in the right eye and 20/200 in the left eye. The horizontal field of vision is 85
degrees bilaterally. The driver is otherwise qualified. What is the correct
certification determination?
A Qualify for 2 years; the driver has one good eye.
B Disqualify and refer to an ophthalmologist for cataract evaluation and
treatment.
C Disqualify and refer to an optometrist for evaluation and corrective lenses.
D Qualify for 6 months pending evaluation by an ophthalmologist.
Correct answer: B - Disqualify and refer to ophthalmologist for cataract evaluation and
treatment.
This driver does not meet the vision qualification standard. Ophthalmic diseases such
as cataracts should be evaluated by an ophthalmologist.
Which statement about retinopathy is false?
ACarcinoma-associated retinopathy is characterized by slow onset of blindness
caused by retinal degeneration, usually of photoreceptors.
BThe most common cause of retinopathy is diabetes mellitus.
CGuidelines for diabetics include an annual examination by an optometrist or
ophthalmologist.
DRetinopathy can cause visual disturbances in contract sensitivity and color
discrimination.
Correct answer: A - Carcinoma-associated retinopathy is characterized by slow onset of
blindness caused by retinal degeneration, usually of photorecepters.
Carcinoma-associated retinopathy involves retinal degeneration, usually of the
photorecepters, leading to rapid onset of blindness.
Choose a statement that is true concerning glaucoma.
,AGlaucoma is a progressive disease with no know treatment.
BA driver with glaucoma will generally complain of pain.
CGradual peripheral field deficits may be an early sign of glaucoma.
DThe Snellen chart exam will reveal signs of glaucoma.
Correct answer: C - Gradual peripheral field deficits may be an early sign of glaucoma.
Glaucoma can cause deficits in peripheral vision. The abnormal regulation of intraocular
pressure can result in gradual progressive atrophy of optic nerve cells. The
development of chronic elevated intraocular pressure is generally painless, and the
gradual loss of peripheral visual field can progress significantly before symptoms are
noticed.
After failing the vision exam, a 70-year-old driver sees his ophthalmologist and
returns to the medical examiner. He has been prescribed telescopic lenses, and
brings a note from the ophthalmologist clearing him to drive. What should the
medical examiner do?
ADisqualify the driver.
BCertify for 1 year, requiring an annual ophthalmology evaluation.
CCertify for 6 months, and then re-evaluate.
DRefer for a specialized visual field exam to assess redirection of peripheral
vision from the lenses.
Correct answer: A - Disqualify the driver.
FMCSA medical advisory criteria states that use of telescopic lenses in not acceptable
for commercial driving.
A driver has recently started wearing contact lenses. She passes the visual
acuity, visual field, and color vision tests with her contacts. She does not have a
pair of glasses. What is the correct certification decision?
ACertify the driver without qualifications.
BCertify the driver with contact lenses.
,CAdvise the driver to carry a spare pair of contact lenses.
DPrescribe an appropriate treatment for dry eyes.
Correct answer: B - Certify the driver with contact lenses.
The driver can be certified because she has been examined and meets the vision
qualification standard. A spare pair of contact lenses would not solve the issue;
however, a medical examiner would probably advise her to obtain prescription
eyeglasses to wear when her contact lenses become uncomfortable. A medical
examiner would not prescribe treatment.
A driver reports a hunting accident two years ago that resulted in a left orbital
fracture. His results on the vision test:
ADisqualify the driver.
BRefer the driver to a specialist for more precise visual field testing.
CRefer the driver for evaluation under the Alternative Vision Standard.
DQualify the driver for 1 year.
Correct answer: B - Refer the driver to a specialist for more precise visual field testing.
The medical examiner's first step would be to refer the driver for visual field testing.
Depending on the results of the visual field, the driver may be eligible for qualification
under the Alternative Vision Standard.
Which statement is true about the Vision Evaluation Report (Form MCSA-5871)?
AIt must be completed and signed by the driver within 45 days of the physical
exam.
BIt is an optional form used to gather more information about a driver's visual
status.
CA medical examiner must consider information on this form when making a
certification decision.
DThe FMCSA uses information on this form to grant an exemption to the vision
standard.
Correct answer: C - A medical examiner must consider information on this form when
making a certification decision.
, The Vision Evaluation Report is completed by a driver's ophthalmologist or optometrist
when the driver is being considered for evaluation under the Alternative Vision
Standard. Information on the Vision Evaluation Report helps the medical examiner
determine whether the driver is qualified under the Alternative Vision Standard.
A driver fails an Ishihara color test. What is the medical examiner's next step?
ADisqualify the driver.
BQualify the driver for one year.
CRefer the driver to an ophthalmologist.
DTest the driver for the ability to specifically recognize red, green, and amber.
Correct answer: D - Test the driver for the ability to specifically recognize red, green,
and amber.
The FMCSA requires commercial drivers to be able to distinguish traffic signals and
devices showing the colors of red, green, and amber. The Ishihara test is relatively
sophisticated. A driver who fails it may be able to distinguish among red, green, and
amber.
Which of the following conditions would automatically disqualify a driver?
ASubconjunctival hemorrhage.
BVision less than 20/40 Snellen in each eye and in both eyes, with or without
correction.
CStrabismus.
DAbnormal light sensivity.
Correct answer: B - Vision less than 20/40 Snellen in each eye and in both eyes, with or
without correction.
The federal vision standard requires drivers to have visual acuity of at least 20/40
(Snellen) in each eye, and at least 20/40 in both eyes, with or without correction, unless
the driver qualifies under the Alternative Vision Standard.
A driver who is being qualified under the Alternative Vision Standard must
provide the results of an ophthalmologist or optometrist evaluation to the medical
examiner within ___ days.
A 55-year-old male driver has a history of cataract in the left eye. Visual acuity is
20/30 in the right eye and 20/200 in the left eye. The horizontal field of vision is 85
degrees bilaterally. The driver is otherwise qualified. What is the correct
certification determination?
A Qualify for 2 years; the driver has one good eye.
B Disqualify and refer to an ophthalmologist for cataract evaluation and
treatment.
C Disqualify and refer to an optometrist for evaluation and corrective lenses.
D Qualify for 6 months pending evaluation by an ophthalmologist.
Correct answer: B - Disqualify and refer to ophthalmologist for cataract evaluation and
treatment.
This driver does not meet the vision qualification standard. Ophthalmic diseases such
as cataracts should be evaluated by an ophthalmologist.
Which statement about retinopathy is false?
ACarcinoma-associated retinopathy is characterized by slow onset of blindness
caused by retinal degeneration, usually of photoreceptors.
BThe most common cause of retinopathy is diabetes mellitus.
CGuidelines for diabetics include an annual examination by an optometrist or
ophthalmologist.
DRetinopathy can cause visual disturbances in contract sensitivity and color
discrimination.
Correct answer: A - Carcinoma-associated retinopathy is characterized by slow onset of
blindness caused by retinal degeneration, usually of photorecepters.
Carcinoma-associated retinopathy involves retinal degeneration, usually of the
photorecepters, leading to rapid onset of blindness.
Choose a statement that is true concerning glaucoma.
,AGlaucoma is a progressive disease with no know treatment.
BA driver with glaucoma will generally complain of pain.
CGradual peripheral field deficits may be an early sign of glaucoma.
DThe Snellen chart exam will reveal signs of glaucoma.
Correct answer: C - Gradual peripheral field deficits may be an early sign of glaucoma.
Glaucoma can cause deficits in peripheral vision. The abnormal regulation of intraocular
pressure can result in gradual progressive atrophy of optic nerve cells. The
development of chronic elevated intraocular pressure is generally painless, and the
gradual loss of peripheral visual field can progress significantly before symptoms are
noticed.
After failing the vision exam, a 70-year-old driver sees his ophthalmologist and
returns to the medical examiner. He has been prescribed telescopic lenses, and
brings a note from the ophthalmologist clearing him to drive. What should the
medical examiner do?
ADisqualify the driver.
BCertify for 1 year, requiring an annual ophthalmology evaluation.
CCertify for 6 months, and then re-evaluate.
DRefer for a specialized visual field exam to assess redirection of peripheral
vision from the lenses.
Correct answer: A - Disqualify the driver.
FMCSA medical advisory criteria states that use of telescopic lenses in not acceptable
for commercial driving.
A driver has recently started wearing contact lenses. She passes the visual
acuity, visual field, and color vision tests with her contacts. She does not have a
pair of glasses. What is the correct certification decision?
ACertify the driver without qualifications.
BCertify the driver with contact lenses.
,CAdvise the driver to carry a spare pair of contact lenses.
DPrescribe an appropriate treatment for dry eyes.
Correct answer: B - Certify the driver with contact lenses.
The driver can be certified because she has been examined and meets the vision
qualification standard. A spare pair of contact lenses would not solve the issue;
however, a medical examiner would probably advise her to obtain prescription
eyeglasses to wear when her contact lenses become uncomfortable. A medical
examiner would not prescribe treatment.
A driver reports a hunting accident two years ago that resulted in a left orbital
fracture. His results on the vision test:
ADisqualify the driver.
BRefer the driver to a specialist for more precise visual field testing.
CRefer the driver for evaluation under the Alternative Vision Standard.
DQualify the driver for 1 year.
Correct answer: B - Refer the driver to a specialist for more precise visual field testing.
The medical examiner's first step would be to refer the driver for visual field testing.
Depending on the results of the visual field, the driver may be eligible for qualification
under the Alternative Vision Standard.
Which statement is true about the Vision Evaluation Report (Form MCSA-5871)?
AIt must be completed and signed by the driver within 45 days of the physical
exam.
BIt is an optional form used to gather more information about a driver's visual
status.
CA medical examiner must consider information on this form when making a
certification decision.
DThe FMCSA uses information on this form to grant an exemption to the vision
standard.
Correct answer: C - A medical examiner must consider information on this form when
making a certification decision.
, The Vision Evaluation Report is completed by a driver's ophthalmologist or optometrist
when the driver is being considered for evaluation under the Alternative Vision
Standard. Information on the Vision Evaluation Report helps the medical examiner
determine whether the driver is qualified under the Alternative Vision Standard.
A driver fails an Ishihara color test. What is the medical examiner's next step?
ADisqualify the driver.
BQualify the driver for one year.
CRefer the driver to an ophthalmologist.
DTest the driver for the ability to specifically recognize red, green, and amber.
Correct answer: D - Test the driver for the ability to specifically recognize red, green,
and amber.
The FMCSA requires commercial drivers to be able to distinguish traffic signals and
devices showing the colors of red, green, and amber. The Ishihara test is relatively
sophisticated. A driver who fails it may be able to distinguish among red, green, and
amber.
Which of the following conditions would automatically disqualify a driver?
ASubconjunctival hemorrhage.
BVision less than 20/40 Snellen in each eye and in both eyes, with or without
correction.
CStrabismus.
DAbnormal light sensivity.
Correct answer: B - Vision less than 20/40 Snellen in each eye and in both eyes, with or
without correction.
The federal vision standard requires drivers to have visual acuity of at least 20/40
(Snellen) in each eye, and at least 20/40 in both eyes, with or without correction, unless
the driver qualifies under the Alternative Vision Standard.
A driver who is being qualified under the Alternative Vision Standard must
provide the results of an ophthalmologist or optometrist evaluation to the medical
examiner within ___ days.
