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DOT CERTIFICATION EXAM
QUESTIONS WITH ANSWERS|
UPDATED
A female driver has an aortic aneurysm. Medical examiner
obtained a copy of an abdominal sonogram, indicating that the
aneurysm is 5.3 cm in diameter. According to current
recommendations should the medical examiner certify this
individual. - correct answer -No. For a female driver the
abdominal aortic aneurysm should be less than 5 cm in diameter.
For a male driver upper limit for acceptable, abdominal aortic
aneurysm is 5.5 cm.
The driver gives the examiner a letter from his cardiovascular
surgeon, indicating that he had surgical repair of a 9 cm
abdominal aortic aneurysm, four months ago, and the driver is
now cleared to resume activities. Can the examiner certified his
drive? - correct answer -Yes. A successful repaired AAA can
return to driving 3 months post operative, must be rechecked
every year.
Spirometry testing is recommended for all drivers 35 years of age
and older who smoke. T/F - correct answer -True
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Using current guidelines, what is the maximum certification period
for a driver with hypertension with BP 148/98? - correct answer -
1 year
Using current guidelines, what is the proper determination for
driver, with a diagnosis of hypertension who presents with a
confirmed BP of 182/112? - correct answer -A driver with a
BP >= 170/110 should be immediately disqualified until the BP is
controlled below 170/110.
Using current guidelines, what is the maximum period of
certification for a driver disqualified for BP > 170/110 but who has
at the certification examination a BP less than 170/110? -
correct answer -6 months. If the driver also tolerates medication
with no side effects that interfere with driving ability.
Any pulmonary process that is likely to interfere with driver ability
to operate a vehicle safely either due to history or clinical
diagnosis is medically disqualifying. Examples include: - correct
answer -Bronchiectasis with hemoptysis or with episodes of life
threatening pulmonary infection. Chronic TB
COPD with a cough severe enough to induce syncope
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Asthma that requires frequent hospitalizations or that shows
severe enough pulmonary dysfunction to put the driver at risk for
loss of awareness or attention.
What conditions must a driver with acute or chronic cor pulmonale
meet to be certified to operate an interstate CMV? - correct
answer -To be qualified the driver should meet a minimum
arterial blood gas oxygen concentration (PaO2) greater than 65
mmHg.
Drivers with acute (reversible) cor pulmonale may be certified
after successful treatment when they can meet the above criteria.
Pulmonary function (forced expiratory volume FEV1) must be
above what % of predicted FEV1 to qualify? - correct answer -
Greater than 65% predicted FEV1 to qualify
A driver presents for examination with a history (3 months ago) of
a pneumothorax. The records provided by the driver indicate that
this is the second spontaneous pneumothorax on the same side.
The driver's forced vital capacity (FVC) to 68% of predicted forced
vital capacity is with no surgical intervention. Can this driver be
certified? - correct answer -No. Because no surgical procedure
has been done to prevent recurrence
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What 3 tests does medical guidance recommend for initial
pulmonary function testing? - correct answer -FEV1
FVC
FEV1/FVC%
Drivers taking amitriptyline should not be certified. - correct
answer -However, medication may be prescribed in small doses.
Some examiners, in consultation with appropriate mental health
professionals may determine that a driver is stable and no
adverse side effects that interfere with driving
Methadone is not allowed for drivers - correct answer -
The ME may require a driver to be evaluated by a SAP and
successfully complete a course of rehabilitation if the driver -
correct answer -Admits to alcohol or drug abuse
What are the weight, neck circumference and BMI requirements
listed for drivers with or suspected OSA? - correct answer -Do
not include physical qualification standards for weight, neck
circumference, or BMI for a driver diagnosed with or suspected
OSA.
DOT CERTIFICATION EXAM
QUESTIONS WITH ANSWERS|
UPDATED
A female driver has an aortic aneurysm. Medical examiner
obtained a copy of an abdominal sonogram, indicating that the
aneurysm is 5.3 cm in diameter. According to current
recommendations should the medical examiner certify this
individual. - correct answer -No. For a female driver the
abdominal aortic aneurysm should be less than 5 cm in diameter.
For a male driver upper limit for acceptable, abdominal aortic
aneurysm is 5.5 cm.
The driver gives the examiner a letter from his cardiovascular
surgeon, indicating that he had surgical repair of a 9 cm
abdominal aortic aneurysm, four months ago, and the driver is
now cleared to resume activities. Can the examiner certified his
drive? - correct answer -Yes. A successful repaired AAA can
return to driving 3 months post operative, must be rechecked
every year.
Spirometry testing is recommended for all drivers 35 years of age
and older who smoke. T/F - correct answer -True
, Page | 2
Using current guidelines, what is the maximum certification period
for a driver with hypertension with BP 148/98? - correct answer -
1 year
Using current guidelines, what is the proper determination for
driver, with a diagnosis of hypertension who presents with a
confirmed BP of 182/112? - correct answer -A driver with a
BP >= 170/110 should be immediately disqualified until the BP is
controlled below 170/110.
Using current guidelines, what is the maximum period of
certification for a driver disqualified for BP > 170/110 but who has
at the certification examination a BP less than 170/110? -
correct answer -6 months. If the driver also tolerates medication
with no side effects that interfere with driving ability.
Any pulmonary process that is likely to interfere with driver ability
to operate a vehicle safely either due to history or clinical
diagnosis is medically disqualifying. Examples include: - correct
answer -Bronchiectasis with hemoptysis or with episodes of life
threatening pulmonary infection. Chronic TB
COPD with a cough severe enough to induce syncope
, Page | 3
Asthma that requires frequent hospitalizations or that shows
severe enough pulmonary dysfunction to put the driver at risk for
loss of awareness or attention.
What conditions must a driver with acute or chronic cor pulmonale
meet to be certified to operate an interstate CMV? - correct
answer -To be qualified the driver should meet a minimum
arterial blood gas oxygen concentration (PaO2) greater than 65
mmHg.
Drivers with acute (reversible) cor pulmonale may be certified
after successful treatment when they can meet the above criteria.
Pulmonary function (forced expiratory volume FEV1) must be
above what % of predicted FEV1 to qualify? - correct answer -
Greater than 65% predicted FEV1 to qualify
A driver presents for examination with a history (3 months ago) of
a pneumothorax. The records provided by the driver indicate that
this is the second spontaneous pneumothorax on the same side.
The driver's forced vital capacity (FVC) to 68% of predicted forced
vital capacity is with no surgical intervention. Can this driver be
certified? - correct answer -No. Because no surgical procedure
has been done to prevent recurrence
, Page | 4
What 3 tests does medical guidance recommend for initial
pulmonary function testing? - correct answer -FEV1
FVC
FEV1/FVC%
Drivers taking amitriptyline should not be certified. - correct
answer -However, medication may be prescribed in small doses.
Some examiners, in consultation with appropriate mental health
professionals may determine that a driver is stable and no
adverse side effects that interfere with driving
Methadone is not allowed for drivers - correct answer -
The ME may require a driver to be evaluated by a SAP and
successfully complete a course of rehabilitation if the driver -
correct answer -Admits to alcohol or drug abuse
What are the weight, neck circumference and BMI requirements
listed for drivers with or suspected OSA? - correct answer -Do
not include physical qualification standards for weight, neck
circumference, or BMI for a driver diagnosed with or suspected
OSA.
