Page 1 of 90
DOT CERTIFICATION PRACTICE EXAM
QUESTIONS WITH VERIFIED SOLUTIONS NEW
MODIFIED
The longest the medical examiner would certify a driver with a history of Stage
3 hypertension is:
a. 3 months
b. 6 months
c. 12 months
d. 24 months -- ANSWER--6 months
A driver is taking Wellbutrin to help him stop smoking, He has provided an
note from his PCP stating that he has no SE and confirms that he is taking the
medication for smoking cessation. The ME would -- ANSWER--Certify the
driver for 2 years
During the history, the driver admits to taking Benadryl for seasonal allergies.
The ME should -- ANSWER--Counsel the driver not to take the medication for
12 hours prior to driving
What minimum PaO2 level is necessary if the driver has an ABG due to a
chronic respiratory illness -- ANSWER--65 mm Hg
, Page 2 of 90
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in
his left ear.
All other aspects of his physical examination are unremarkable. The examiner
should: -- ANSWER--Certify the driver for 2 years
a driver reports for an examination 6 weeks after suffering a mild heart attack
and presents a note from his cardiologist stating that he is able to return to work
immediately without restriction. Included w/in the note, the cardiologist
provides recent testing information showing that the driver had an ETT that
showed he was able to reach 12 METS during the test. His echo showed an EF
of 65%. The examination of the driver is unremarkable. The ME should --
ANSWER--Disqualify the driver
A driver provides an audiometric test documenting the following:
500 Hz: 35 right ear, 40 left ear
1000Hz: 40 right ear, 45 left ear
2000Hz: 40 right ear, 45 left ear
4000 Hz: 50 right ear, 50 left ear
The ME should -- ANSWER--Certify the diver x 2 years
During the examination of a commercial driver, the ME notices that the driver's
peripheral vision is 70 degrees to the left and 80 degrees to the right. The ME
should -- ANSWER-Qualify the driver for 2 years
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During examination, the ME notices that the driver is distant, lacks eye contact
and shows absolutely no emotional response during the exam. The examiner's
best response should be -- ANSWER--Disqualify the driver and refer him to a
mental health professional prior to consideration for certification
A driver reports in his history that he was treated for epilepsy 14 years ago but
he stopped taking AEDs on his own since his move to your area 11 years ago.
He has not seen a neurologist nor a health care provider in over 10 years and
reports no seizures in this period. The ME should -- ANSWER--Disqualify the
driver
A driver reports for recertification examination 8 weeks after having a CABG x
3. He presents a note from his treating provider stating that he is able to return
to driving w/o restriction. Additionally the note mentions that the driver's results
of his ETT were normal, and his echo showed a LVEF of 75%. The ME should
-- ANSWER--Disqualify the driver until he has completed the required waiting
period.
3 months
What is the maximum number of hours a CMV driver can drive in 7
consecutive days? --
ANSWER--60
60/70 rule
A BP of 166/92 would be -- ANSWER--Stage 2 HTN
, Page 4 of 90
Lasegue's sign tests for -- ANSWER--Lumbosacral radicular irritation
The driver uses hearing aids during the whisper test. He is able to hear at 5 feet
on the right and 4 feet on the left.
a. Send the driver for an audiometric test.
b. Disqualify the driver.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. -- ANSWER--Certify the driver for 2 years
The minimal acceptable spirometry values required to certify a driver are --
ANSWER-FEV1 65%, FVC 60%, FEv1/FVC ratio 65%
A driver presenting to your office marks down that he is taking "nitroglycerin"
for angina and he has been doing so for a few years. Upon questioning he
indicates that he has needed more nitroglycerin recently because his episodes
have become more frequent. Your best course of action is to:
a. Council the driver to increase his dose of medication.
b. Certify the driver for 1 year.
c. Provide a 1-time, 3-month certificate to monitor his condition.
d. Disqualify the driver and refer him to his cardiologist for further
evaluation. -- ANSWER--
Disqualify the driver and refer him to his cardiologist for further evaluation
DOT CERTIFICATION PRACTICE EXAM
QUESTIONS WITH VERIFIED SOLUTIONS NEW
MODIFIED
The longest the medical examiner would certify a driver with a history of Stage
3 hypertension is:
a. 3 months
b. 6 months
c. 12 months
d. 24 months -- ANSWER--6 months
A driver is taking Wellbutrin to help him stop smoking, He has provided an
note from his PCP stating that he has no SE and confirms that he is taking the
medication for smoking cessation. The ME would -- ANSWER--Certify the
driver for 2 years
During the history, the driver admits to taking Benadryl for seasonal allergies.
The ME should -- ANSWER--Counsel the driver not to take the medication for
12 hours prior to driving
What minimum PaO2 level is necessary if the driver has an ABG due to a
chronic respiratory illness -- ANSWER--65 mm Hg
, Page 2 of 90
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in
his left ear.
All other aspects of his physical examination are unremarkable. The examiner
should: -- ANSWER--Certify the driver for 2 years
a driver reports for an examination 6 weeks after suffering a mild heart attack
and presents a note from his cardiologist stating that he is able to return to work
immediately without restriction. Included w/in the note, the cardiologist
provides recent testing information showing that the driver had an ETT that
showed he was able to reach 12 METS during the test. His echo showed an EF
of 65%. The examination of the driver is unremarkable. The ME should --
ANSWER--Disqualify the driver
A driver provides an audiometric test documenting the following:
500 Hz: 35 right ear, 40 left ear
1000Hz: 40 right ear, 45 left ear
2000Hz: 40 right ear, 45 left ear
4000 Hz: 50 right ear, 50 left ear
The ME should -- ANSWER--Certify the diver x 2 years
During the examination of a commercial driver, the ME notices that the driver's
peripheral vision is 70 degrees to the left and 80 degrees to the right. The ME
should -- ANSWER-Qualify the driver for 2 years
, Page 3 of 90
During examination, the ME notices that the driver is distant, lacks eye contact
and shows absolutely no emotional response during the exam. The examiner's
best response should be -- ANSWER--Disqualify the driver and refer him to a
mental health professional prior to consideration for certification
A driver reports in his history that he was treated for epilepsy 14 years ago but
he stopped taking AEDs on his own since his move to your area 11 years ago.
He has not seen a neurologist nor a health care provider in over 10 years and
reports no seizures in this period. The ME should -- ANSWER--Disqualify the
driver
A driver reports for recertification examination 8 weeks after having a CABG x
3. He presents a note from his treating provider stating that he is able to return
to driving w/o restriction. Additionally the note mentions that the driver's results
of his ETT were normal, and his echo showed a LVEF of 75%. The ME should
-- ANSWER--Disqualify the driver until he has completed the required waiting
period.
3 months
What is the maximum number of hours a CMV driver can drive in 7
consecutive days? --
ANSWER--60
60/70 rule
A BP of 166/92 would be -- ANSWER--Stage 2 HTN
, Page 4 of 90
Lasegue's sign tests for -- ANSWER--Lumbosacral radicular irritation
The driver uses hearing aids during the whisper test. He is able to hear at 5 feet
on the right and 4 feet on the left.
a. Send the driver for an audiometric test.
b. Disqualify the driver.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. -- ANSWER--Certify the driver for 2 years
The minimal acceptable spirometry values required to certify a driver are --
ANSWER-FEV1 65%, FVC 60%, FEv1/FVC ratio 65%
A driver presenting to your office marks down that he is taking "nitroglycerin"
for angina and he has been doing so for a few years. Upon questioning he
indicates that he has needed more nitroglycerin recently because his episodes
have become more frequent. Your best course of action is to:
a. Council the driver to increase his dose of medication.
b. Certify the driver for 1 year.
c. Provide a 1-time, 3-month certificate to monitor his condition.
d. Disqualify the driver and refer him to his cardiologist for further
evaluation. -- ANSWER--
Disqualify the driver and refer him to his cardiologist for further evaluation
