DOT Certification Exam Questions and Correct Answers
(Complete Solution)
What are the differences between the
medical standards and the medical
guidelines? ✔✔ Standards/regulations are law. Guidelines are best practices.
In which regulation(s) are the driver
physical qualification standards cited? ✔✔ 49 CFR 391.41
In which regulation(s) are the medical examiners responsibilities cited? ✔✔ 49
CFR 391.43
What objective tests and measurements are
required as part of the driver physical
examination? ✔✔ - 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? ✔✔ Certification or disqualification
To pass the interstate CMV driver
vision exam, a visual acuity of
corrected or uncorrected is required. ✔✔ 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? ✔✔ 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 ✔✔ Pupil reactivity
Purpose of the Vision Exemption? ✔✔ To certify some drivers with monocular vision.
Where is Federal Vision Examination Program cited? ✔✔ 49 DFR 391.41(b)(10)
Minimum standard for hearing evaluation via audiometry? ✔✔ </= 40 dB hearing loss
in at least one ear
Is audiometry required? ✔✔ No, not if forced whisper test passed in at least one ear.
Mandatory waiting period after
diagnosis of DM? ✔✔ None
Highest acceptable A1c? ✔✔ 10%
Maximum certification time for someone with DM? ✔✔ 1 year
Define epilepsy according to FMCSA. ✔✔ 2 or more unprovoked seizures.
Wait period for a single unprovoked seizure? ✔✔ 5 years (Must also be off
all medication)
Waiting period for acute MI? ✔✔ 2
months Minimum required LVEF? ✔✔
40%
When is a follow-up ETT required following PCI? ✔✔ 3-6
months Maximum allowable AAA size? ✔✔ 5 cm
Minimum requirement for peripheral vision? ✔✔ 70 degrees
Maximum certification period for an asymptomatic patient 45 years or older with multiple
CHD risk factors? ✔✔ 1 year
Highest gender risk for CHD? ✔✔ Male or postmenopausal female
Modifiable risk factors for CHD? ✔✔ HTN, tobacco, HLP, low HDL, DM,
overweight, physical inactivity
Which pulmonary conditions are disqualifying? ✔✔ 1. Bronchiectasis w/
hemoptysis 2. Chronic TB
(Complete Solution)
What are the differences between the
medical standards and the medical
guidelines? ✔✔ Standards/regulations are law. Guidelines are best practices.
In which regulation(s) are the driver
physical qualification standards cited? ✔✔ 49 CFR 391.41
In which regulation(s) are the medical examiners responsibilities cited? ✔✔ 49
CFR 391.43
What objective tests and measurements are
required as part of the driver physical
examination? ✔✔ - 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? ✔✔ Certification or disqualification
To pass the interstate CMV driver
vision exam, a visual acuity of
corrected or uncorrected is required. ✔✔ 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? ✔✔ 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 ✔✔ Pupil reactivity
Purpose of the Vision Exemption? ✔✔ To certify some drivers with monocular vision.
Where is Federal Vision Examination Program cited? ✔✔ 49 DFR 391.41(b)(10)
Minimum standard for hearing evaluation via audiometry? ✔✔ </= 40 dB hearing loss
in at least one ear
Is audiometry required? ✔✔ No, not if forced whisper test passed in at least one ear.
Mandatory waiting period after
diagnosis of DM? ✔✔ None
Highest acceptable A1c? ✔✔ 10%
Maximum certification time for someone with DM? ✔✔ 1 year
Define epilepsy according to FMCSA. ✔✔ 2 or more unprovoked seizures.
Wait period for a single unprovoked seizure? ✔✔ 5 years (Must also be off
all medication)
Waiting period for acute MI? ✔✔ 2
months Minimum required LVEF? ✔✔
40%
When is a follow-up ETT required following PCI? ✔✔ 3-6
months Maximum allowable AAA size? ✔✔ 5 cm
Minimum requirement for peripheral vision? ✔✔ 70 degrees
Maximum certification period for an asymptomatic patient 45 years or older with multiple
CHD risk factors? ✔✔ 1 year
Highest gender risk for CHD? ✔✔ Male or postmenopausal female
Modifiable risk factors for CHD? ✔✔ HTN, tobacco, HLP, low HDL, DM,
overweight, physical inactivity
Which pulmonary conditions are disqualifying? ✔✔ 1. Bronchiectasis w/
hemoptysis 2. Chronic TB
