DOT + Questions & Answers| Grade A| 100%
Correct (Verified Solutions)
How often is a driver with stage 3 hypertension recertified? a. Every 3 months.
b. Every 6 months.
c. Every 12 months.
d. Every 2 years.
b. Every 6 months.
A driver with a history of stage 3 hypertension may be certified for a maximum of 6 months.
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory
disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mmHg
Correct answer is "D". To be qualified, the driver should meet a minimum arterial blood gas
(PaO2) greater than 65.
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 within 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 echocardiogram showed an ejection fraction of 65%. The examination of the driver is
unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina.
Correct answer is "A". The driver has not completed the required 2-month waiting period, but
all other requirements for medical clearance and required testing have been met. The driver
would be certified for 1 year at the completion of the waiting period. The date of the
certification would be from the date of the original examination.
,A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Leftear
3. 2000 HZ: 40 Right ear; 45 Leftear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examinershould:
a. Disqualify the driver because he does not meet minimum hearing requirementsto drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption.
Correct answer is "B". The examiner would average the results from 500 Hz, 1000 Hz and 2000
Hz. This average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an average
hearing loss of less than or equal to 40 in the better ear. This does not have to be met in both
ears.
During the examination of a commercial driver, the examiner notices that the driver's
peripheral vision is 70 degrees to the left and 80 degrees to the right. The examiner should:
a. Qualify the driver for 2years.
b. Require the driver to obtain a vision exemption because of the limitation in the driver's left
peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's peripheral
vision meets minimum standards.
Correct answer is "A". A driver must exhibit a minimum peripheral vision of 70 degrees
bilaterally.
During examination, the medical examiner 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:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from alcoholism.
b. Disqualify the driver and refer him to a mental health professional prior to consideration
for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is any effect on
the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any limitations with
driving.
,Correct answer is "B". The driver exhibits what may be considered a "flat affect" which is seen in
schizophrenia and in severe depression. The driver should be evaluated by a mental health
expert to make a diagnosis prior to certification.
A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in
the State in which he lives. He provides medical documentation for the glaucoma indicating
he is able to drive a truck. He began using the marijuana about three months ago. His current
medical card has no limitations listed and is for 2 years. His certification examination is within
normal limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
Correct answer is "A". Use of marijuana is prohibited by Federal law while driving a CMV and
trumps State law in this matter.
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
d. Stage 3Hypertension.
Correct answer is "B". This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
A driver is taking Celexa for the treatment of what he calls a "mild depression." He reports he
has not considered or attempted suicide. The examiner should?
a. Certify only after obtaining written clearance for the depression and the medication from
the treating provider.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the treatment of
depression.
Correct answer is "A". Medical clearance is recommended for all mental health disorders. Celexa
is an SSRI or 2nd Generation anti-depressant and is acceptable.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only accept Form
MCSA-5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
, c. 45 days.
d. 60 days.
Correct answer is "C". The medical examiner must receive the form and begin the medical
examination no later than 45 days after the date signed on the form; however, the medical
certification determination does not need to be completed within 45 days.
BG logs should be 3 month periods
What minimum PaO2 level on an ABG performed for a chronic respiratory disorder is
necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg
Correct answer is "C". Blood oxygen saturation must be a minimum of 65 mm Hg for the driver
to certify.
A driver is taking Topamax for the treatment of migraine headaches. He reports good
management of his headaches and they never seem to interfere with his driving ability with
the medication. The medical examiner should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
Correct answer is "A". Topamax is a medication that is used for seizure control. The examiner
should confirm with the prescribing provider that the driver does not take it to control seizures,
and he is capable of driving a CMV.
A 26 year-old driver presents for a first-time certification. He has a long-standing history of
ADHD and is taking methylphenidate. You have verified his diagnosis and obtained clearance
from his treating psychiatrist. As the certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is cause for
disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
d. May certify for a maximum of 2 years.
certify for maximum 1 year
Correct (Verified Solutions)
How often is a driver with stage 3 hypertension recertified? a. Every 3 months.
b. Every 6 months.
c. Every 12 months.
d. Every 2 years.
b. Every 6 months.
A driver with a history of stage 3 hypertension may be certified for a maximum of 6 months.
What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory
disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mmHg
Correct answer is "D". To be qualified, the driver should meet a minimum arterial blood gas
(PaO2) greater than 65.
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 within 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 echocardiogram showed an ejection fraction of 65%. The examination of the driver is
unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina.
Correct answer is "A". The driver has not completed the required 2-month waiting period, but
all other requirements for medical clearance and required testing have been met. The driver
would be certified for 1 year at the completion of the waiting period. The date of the
certification would be from the date of the original examination.
,A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Leftear
3. 2000 HZ: 40 Right ear; 45 Leftear
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examinershould:
a. Disqualify the driver because he does not meet minimum hearing requirementsto drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption.
Correct answer is "B". The examiner would average the results from 500 Hz, 1000 Hz and 2000
Hz. This average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an average
hearing loss of less than or equal to 40 in the better ear. This does not have to be met in both
ears.
During the examination of a commercial driver, the examiner notices that the driver's
peripheral vision is 70 degrees to the left and 80 degrees to the right. The examiner should:
a. Qualify the driver for 2years.
b. Require the driver to obtain a vision exemption because of the limitation in the driver's left
peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's peripheral
vision meets minimum standards.
Correct answer is "A". A driver must exhibit a minimum peripheral vision of 70 degrees
bilaterally.
During examination, the medical examiner 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:
a. Provide the driver with a "CAGE" questionnaire to determine if he suffers from alcoholism.
b. Disqualify the driver and refer him to a mental health professional prior to consideration
for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is any effect on
the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any limitations with
driving.
,Correct answer is "B". The driver exhibits what may be considered a "flat affect" which is seen in
schizophrenia and in severe depression. The driver should be evaluated by a mental health
expert to make a diagnosis prior to certification.
A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in
the State in which he lives. He provides medical documentation for the glaucoma indicating
he is able to drive a truck. He began using the marijuana about three months ago. His current
medical card has no limitations listed and is for 2 years. His certification examination is within
normal limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
Correct answer is "A". Use of marijuana is prohibited by Federal law while driving a CMV and
trumps State law in this matter.
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
d. Stage 3Hypertension.
Correct answer is "B". This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
A driver is taking Celexa for the treatment of what he calls a "mild depression." He reports he
has not considered or attempted suicide. The examiner should?
a. Certify only after obtaining written clearance for the depression and the medication from
the treating provider.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the treatment of
depression.
Correct answer is "A". Medical clearance is recommended for all mental health disorders. Celexa
is an SSRI or 2nd Generation anti-depressant and is acceptable.
For a driver with insulin-treated diabetes mellitus, the medical examiner can only accept Form
MCSA-5870 if it has been properly completed within the last:
a. 25 days.
b. 30 days.
, c. 45 days.
d. 60 days.
Correct answer is "C". The medical examiner must receive the form and begin the medical
examination no later than 45 days after the date signed on the form; however, the medical
certification determination does not need to be completed within 45 days.
BG logs should be 3 month periods
What minimum PaO2 level on an ABG performed for a chronic respiratory disorder is
necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg
Correct answer is "C". Blood oxygen saturation must be a minimum of 65 mm Hg for the driver
to certify.
A driver is taking Topamax for the treatment of migraine headaches. He reports good
management of his headaches and they never seem to interfere with his driving ability with
the medication. The medical examiner should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years.
Correct answer is "A". Topamax is a medication that is used for seizure control. The examiner
should confirm with the prescribing provider that the driver does not take it to control seizures,
and he is capable of driving a CMV.
A 26 year-old driver presents for a first-time certification. He has a long-standing history of
ADHD and is taking methylphenidate. You have verified his diagnosis and obtained clearance
from his treating psychiatrist. As the certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is cause for
disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
d. May certify for a maximum of 2 years.
certify for maximum 1 year
