Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
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1. Which cardiac condition is disqualifying?
a- ebstein anomaly
b- hocm
c- mitral valve prolapse
d- aortic valve repair for aortic stenosis 4 months prior - Correct
Answer: B
2. Central vision loss is a finding suggestive of
a- macular degeneration
b- cataracts
c- glaucoma
d- all of the above - Correct Answer: A
3. A driver was discharged from the hospital 10 weeks ago after an MI. He is
asymptomatic and has a note from the cardiologist that he had a
satisfactory in office ETT the week prior to your examination and that he
may drive. His pre discharge echo shows an EF of 45%. His exam is nml. Your
determination:
a- disqualified until satisfied 3 month waiting period, follow up in 3-4
weeks, certify for 1 year if remains stable.
b- disqualified due to EF <60%
c- qualified for 1 year
, d- qualified for 2 years after follow up in one month to satisfy the 3
month waiting period - Correct Answer: C
4. Concerning the medical certificate, which is true?
a- you may provide a copy to the drivers employer
b- retain a copy for at least 3 years
c- the driver must carry the original certificate during operation of a
CMV
d- all - Correct Answer: D
5. Which of the following is an assessment of L4 nerve root pathology?
a- plantar flexion
b- patellar reflex
c- hip extension
d- big toe extension - Correct Answer: B
6. Indicators for referring a driver for pulmonary function testing include:
a- history of copd
b- sx of wheezing
c- cigarette smoking in drivers >35 yo
d- all - Correct Answer: D
7. How soon may a driver be certified after coronary artery bypass grafting
(CABG) surgery?
a- 1 month if the cabg was less than 5 vessels
b- 3 months with clearance by cardiology, resting echo with EF >40%
after fang and asx with no angina
c- 6 mo but only after he is cleared by cardio
, d- not sooner than 1 year regardless of how many vessels were
bypassed - Correct Answer: B
8. A driver presents for his DOT. He notes occasional lower back pain. A lateral
pulsation is palpated approx 2 in superior of the umbilicus. Auscultation in
this area reveals an obvious bruit. What's the most important next step?
a- schedule an US
b- arrange for transport to the ED
c- refer to general surgeon
d- refer to vascular surgeon - Correct Answer: B
9. Arriving for a recertification exam, a 48 y/o male non-smoker is 5'4", 275lbs.
His supervisor calls you ahead of time stating he recently went off the side
of the road crashing into a guard rail. There were no injuries and the truck
sustained only minor damage. When the medical assistant goes to bring
him back, he is found asleep, snoring in the waiting room and she needs to
wake him by gently shaking him by the shoulder. She reports this to you.
When you arrive in the exam room the patient appears to be nodding off
while sitting on the exam table. Upon further questioning, he admits that
his wife frequently elbows him because of his snoring and that he gasps and
snorts in his sleep. When asked, he denies nodding off while driving. His
exam is notable for obesity, Mallampati 4 oropharynx, HTN controlled with
2 medications, otherwise normal. Appropriate next steps:
Disqualify, order sleep study - Correct Answer: Disqualify, order sleep
study
10.Physical qualifications for vision regulations include all EXCEPT
A Distant visual acuity of at least 20/40 (Snellen) in each eye without
corrective lenses or visual acuity separately corrected to 20/40 (Snellen) or
better with corrective lenses.
, B Distant binocular acuity of at least 20/40 (Snellen) in both eyes with or
without corrective lenses.
C Field of vision of at least 85 degrees in the horizontal meridian in each
eye.
D The ability to recognize the colors of traffic signals and devices showing
standard red, green and amber. - Correct Answer: C
11.A 69 year-old male driver had a femoral-popliteal bypass 4 months ago with
resolution of chronic leg pain due to claudication. His surgeon clears him for
driving. He is on coumadin with INRs consistently in the therapeutic range
since discharge. The correct determination is:
A Meets standards, qualified for 2 year certificate.
B Meets standards, qualified for one year.
C Disqualify due to coumadin usage.
D Temporarily certify 3 months to evaluate INRs while back at work, then
certify for one year if stable - Correct Answer: B
12.Drivers must have the following physical abilities except:
a Grip strength.
B Upper body strength.
C Ability to lift 70 lbs. frequently.
D Balance and flexibility. - Correct Answer: c
13.A driver returns to work after a two week absence due to a respiratory
illness. He presents a note from his physician that he was unable to work as
a truck driver because of the illness and is now cleared for returning to
work. His medical certificate expires in 3 months. The driver:
a Should be allowed to return to work based on his physician's note.
B Should undergo a new commercial driver examination.
C May only be qualified for one year.