DOT Final Exam Questions and
Answers48
A 22 y/o male contracted meningococcal meningitis from his college roommate, discharged
from the hospital 3 months ago. He brings no records with him. He is on no medications, is
otherwise healthy, and his physical examination is entirely normal. The correct determination
would be:
A Get a note from the neurologist indicating he can drive a commercial vehicle, then certify for
2 years.
B Obtain hospital records. If there was no seizure activity, he must undergo a one year waiting
period before he can be qualified, if there was seizure activity, he must undergo a 2 year waiting
period seizure free and off anticonvulsant medication before he can be qualified.
C Obtain hospital records. If there was no seizure activity, he must undergo a one year waiting
period before he can be qualified, if there was seizure activity, he must undergo a 5 year waiting
period seizure free and off anticonvulsant medication before he can b - ANSWERS-C
Waiting period for seizures
- Bacterial meningitis without early seizures.
- Viral encephalitis without early seizures. - ANSWERS-Minimum - 1 year seizure free and off
anticonvulsant medication
Waiting period for seizures
- Bacterial meningitis with early seizures. - ANSWERS-Minimum - 5 years seizure free and off
anticonvulsant medication
Waiting period for seizures
- Viral encephalitis with early seizures - ANSWERS-Minimum - 10 years seizure free and off
anticonvulsant medication
,Which is the most accurate statement regarding a 3 month certification for hypertension:
A It is issued only once in a driver's lifetime
B It is issued in order to allow a driver who needs better control of hypertension to continue to
drive while taking steps to lower the BP. It may be issued consecutively but is not meant to
continue indefinitely.
C It is issued in order to allow a driver who needs better control of hypertension to continue to
drive while taking steps to lower the BP. It is meant to be issued consecutively as long as the
driver is not optimally controlled.
D It may be issued one per year for any driver with BP>140/90 - ANSWERS-B
Vision acuity is measured in
A In each eye only
B In each eye separately only with glasses if worn
C Binocular vision only
D In each eye separately, and together and if corrective lens are worn, both with and without
corrective lens - ANSWERS-D
Vision requirements - ANSWERS-Visual acuity is measured in each eye individually and both
eyes together. Distant visual acuity of at least 20/40 (Snellen) in each eye, with or without
corrective lenses. Distant binocular visual acuity of at least 20/40 (Snellen) in both eyes, with or
without corrective lenses.
Which is FALSE for drivers on anticonvulsant medications?
A All anticonvulsant medication use is disqualifying.
B Anticonvulsants used for seizure disorders are disqualifying.
C Anticonvulsants used for chronic pain and psychiatric disorders are allowable if the underlying
disease is controlled and does not interfere with safe operation of a commercial motor vehicle.
,D Anticonvulsant side effects may include sedation, cognitive defects and unsteadiness. -
ANSWERS-A
anticonvulsants - ANSWERS-Anticonvulsants are also prescribed for other conditions that do not
cause seizures, including some psychiatric disorders (for antimanic and mood-stabilizing effects)
and to lessen chonic pain. Small doses used for chronic pain are less likely to be associated with
side effects that can interfere with safe driving than the doses used to treat other disorders.
Waiting Period, no recommended time frame. You should not certify the driver until the
medication has been shown to be adequate/effective, safe, and stable.
maximum certification for people on anticonvulsants - ANSWERS-2 years
Recommend to certify if: As the medical examiner, you believe: Nature and severity of the
underlying condition does not interfere with safe driving. Effects of medication used while
operating a commercial motor vehicle does not endanger the safety of the driver and the
public.
A 48 year old driver presents for a physical exam. He was diagnosed with DM, non insulin
dependent 3 years ago. The Medical Examiner Evaluation Guidelines stipulate that the medical
examiner should review the medical history of the driver for
A 1 year
B 3 years since he was diagnosed with DM
C 5 years
D there is no specific requirement for period of review - ANSWERS-C
Recommend not to certify if: The driver with diabetes mellitus has: In the last 5 years, has had
recurring (two or more) disqualifying severe hypoglycemic reactions.
What is the most common cause of retinopathy?
A Glaucoma
B Hypoglycemia
C Diabetes Mellitus
, D Cataracts - ANSWERS-C
Based on the history you have obtained, plus results from additional testing with tools such as
CAGE, AUDIT, and/ or TWEAK on a 55 year old male presenting for his CDL PE, you decide he
may have alcohol dependence. The next step you take is
A You must base any decision on the data and examine results at the time of the exam. As the
examiner you are not permitted to order any additional assessments or other testing due to
HIPPA.
B You must fail him because even the suspicion of alcohol is sufficient grounds upon which you
may disqualify an applicant
C Unless the applicant is under the influence at the time of the exam, you have to pass him
unless there are other medical contraindications that would cause him to fail
D As the medical examiner, and based on the medical history and or findings, you should use
whatever tools or additional assessments you feel are necessary. This may include referring the
patient to a subs - ANSWERS-D
Use whatever tools or additional assessments you feel are necessary. If the driver shows signs of
alcoholism, have the driver consult a specialist for further evaluation.
Required cognitive skills include:
A Problem solving, communication, judgment, and appropriate behavior in both normal and
emergency situations.
B Problem solving, communication, ability to use a GPS, and appropriate behavior in both
normal and emergency situations.
C Problem solving, communication, judgment, and ability to use a GPS.
D Abilty to use a GPS, communication, judgment, and appropriate behavior in both normal and
emergency situations. - ANSWERS-A
A mild form of bipolar disorder that causes brief episodes of depression or elevated mood, but
typically does not cause marked impairment -
Answers48
A 22 y/o male contracted meningococcal meningitis from his college roommate, discharged
from the hospital 3 months ago. He brings no records with him. He is on no medications, is
otherwise healthy, and his physical examination is entirely normal. The correct determination
would be:
A Get a note from the neurologist indicating he can drive a commercial vehicle, then certify for
2 years.
B Obtain hospital records. If there was no seizure activity, he must undergo a one year waiting
period before he can be qualified, if there was seizure activity, he must undergo a 2 year waiting
period seizure free and off anticonvulsant medication before he can be qualified.
C Obtain hospital records. If there was no seizure activity, he must undergo a one year waiting
period before he can be qualified, if there was seizure activity, he must undergo a 5 year waiting
period seizure free and off anticonvulsant medication before he can b - ANSWERS-C
Waiting period for seizures
- Bacterial meningitis without early seizures.
- Viral encephalitis without early seizures. - ANSWERS-Minimum - 1 year seizure free and off
anticonvulsant medication
Waiting period for seizures
- Bacterial meningitis with early seizures. - ANSWERS-Minimum - 5 years seizure free and off
anticonvulsant medication
Waiting period for seizures
- Viral encephalitis with early seizures - ANSWERS-Minimum - 10 years seizure free and off
anticonvulsant medication
,Which is the most accurate statement regarding a 3 month certification for hypertension:
A It is issued only once in a driver's lifetime
B It is issued in order to allow a driver who needs better control of hypertension to continue to
drive while taking steps to lower the BP. It may be issued consecutively but is not meant to
continue indefinitely.
C It is issued in order to allow a driver who needs better control of hypertension to continue to
drive while taking steps to lower the BP. It is meant to be issued consecutively as long as the
driver is not optimally controlled.
D It may be issued one per year for any driver with BP>140/90 - ANSWERS-B
Vision acuity is measured in
A In each eye only
B In each eye separately only with glasses if worn
C Binocular vision only
D In each eye separately, and together and if corrective lens are worn, both with and without
corrective lens - ANSWERS-D
Vision requirements - ANSWERS-Visual acuity is measured in each eye individually and both
eyes together. Distant visual acuity of at least 20/40 (Snellen) in each eye, with or without
corrective lenses. Distant binocular visual acuity of at least 20/40 (Snellen) in both eyes, with or
without corrective lenses.
Which is FALSE for drivers on anticonvulsant medications?
A All anticonvulsant medication use is disqualifying.
B Anticonvulsants used for seizure disorders are disqualifying.
C Anticonvulsants used for chronic pain and psychiatric disorders are allowable if the underlying
disease is controlled and does not interfere with safe operation of a commercial motor vehicle.
,D Anticonvulsant side effects may include sedation, cognitive defects and unsteadiness. -
ANSWERS-A
anticonvulsants - ANSWERS-Anticonvulsants are also prescribed for other conditions that do not
cause seizures, including some psychiatric disorders (for antimanic and mood-stabilizing effects)
and to lessen chonic pain. Small doses used for chronic pain are less likely to be associated with
side effects that can interfere with safe driving than the doses used to treat other disorders.
Waiting Period, no recommended time frame. You should not certify the driver until the
medication has been shown to be adequate/effective, safe, and stable.
maximum certification for people on anticonvulsants - ANSWERS-2 years
Recommend to certify if: As the medical examiner, you believe: Nature and severity of the
underlying condition does not interfere with safe driving. Effects of medication used while
operating a commercial motor vehicle does not endanger the safety of the driver and the
public.
A 48 year old driver presents for a physical exam. He was diagnosed with DM, non insulin
dependent 3 years ago. The Medical Examiner Evaluation Guidelines stipulate that the medical
examiner should review the medical history of the driver for
A 1 year
B 3 years since he was diagnosed with DM
C 5 years
D there is no specific requirement for period of review - ANSWERS-C
Recommend not to certify if: The driver with diabetes mellitus has: In the last 5 years, has had
recurring (two or more) disqualifying severe hypoglycemic reactions.
What is the most common cause of retinopathy?
A Glaucoma
B Hypoglycemia
C Diabetes Mellitus
, D Cataracts - ANSWERS-C
Based on the history you have obtained, plus results from additional testing with tools such as
CAGE, AUDIT, and/ or TWEAK on a 55 year old male presenting for his CDL PE, you decide he
may have alcohol dependence. The next step you take is
A You must base any decision on the data and examine results at the time of the exam. As the
examiner you are not permitted to order any additional assessments or other testing due to
HIPPA.
B You must fail him because even the suspicion of alcohol is sufficient grounds upon which you
may disqualify an applicant
C Unless the applicant is under the influence at the time of the exam, you have to pass him
unless there are other medical contraindications that would cause him to fail
D As the medical examiner, and based on the medical history and or findings, you should use
whatever tools or additional assessments you feel are necessary. This may include referring the
patient to a subs - ANSWERS-D
Use whatever tools or additional assessments you feel are necessary. If the driver shows signs of
alcoholism, have the driver consult a specialist for further evaluation.
Required cognitive skills include:
A Problem solving, communication, judgment, and appropriate behavior in both normal and
emergency situations.
B Problem solving, communication, ability to use a GPS, and appropriate behavior in both
normal and emergency situations.
C Problem solving, communication, judgment, and ability to use a GPS.
D Abilty to use a GPS, communication, judgment, and appropriate behavior in both normal and
emergency situations. - ANSWERS-A
A mild form of bipolar disorder that causes brief episodes of depression or elevated mood, but
typically does not cause marked impairment -
