DOT FINAL PAPER UPDATED COMPLETE
QUESTIONS AND CORRECT ANSWERS
BUNDLED REVIEW GUIDE
●● What is True about Hearing
Answer: Either whisper or auditory exam done first
Ear piece must be worn during whisper test
Whisper test passed then no need for auditory test
●● Driver with history of diabetes, taking Metformin, provides note
from primary lists
his A1c level at10. Exam is normal and lab analysis, except he is
overweight.
Medical examiner should
Answer: Certify for 1 year
●● Driver had 2nd spontaneous pneumothorax on same side 3 months
ago. No surgical
intervention. FVC is 68%. The correct determination in this case is
Answer: Dont certify until corrected surgically
●● Driver reports a suicide attempt 6 months earlier, following break up.
Saw
,Psychiatrist and takes Citalopram daily, feels fine now and moving on
with life. He
provides a release from his doctor that he may return to work without
restrictions.
The medical examiner should
Answer: Disqualify driver
●● A driver with AAA can be certified
Answer: For 1 year if between 4-5 cm, asymptomatic, cardio specialist
approves and
understands driver's work
●● Which is false concerning additional info. The driver is to provide
for any "Yes"
responses on the history section of the examination form? A) Any
limitations resulting from current and previous conditions
B) Must list diagnosis and date of onset of conditions
C) List treating provider contact info.
D) List only prescription meds, not vitamins or supplements.
Answer: D) List only prescription meds, not vitamins or supplements
●● Upon exam of 46 year old male smoker, you detect an irregularly
irregular heart
,rhythm. The rate is 140 bpm. This is unknown to driver and he denies
any
symptoms of light headedness, shortness of breath, dizziness,
palpitations, nor any
cardiac history. You would
Answer: Disqualify and refer to PMD or Cardiologist for further
evaluation
●● Which cardiac conditions is disqualifying? A) Ebstein anomaly
B) Hypertrophic cardiomyopathy
C) Mitral valve prolapse
D) Aortic valve repair for aortic stenosis 4 months prior to exam.
Answer: B) Hypertrophic cardiomyopathy
●● Which best describes length of time to certify driver who has non-
insulin diabetes
mellitus treated with oral meds. And no other medical issues.
Answer: Certify 2 years but FMCSA prefers re-certification evaluation
every year
●● Driver discharged from hospital 10 weeks ago after an MI. He is
asymptomatic and
has note from 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 normal.
Answer: Qualified for 1 year
●● Concerning the medical certificate, which is true? A) May provide
copy to driver's employer
B) Retain copy at least 3 years
C) Driver must carry original certificate during operation of a CMV
D) All above are true
Answer: D) All above are true
●● Which is assessment of L4 nerve root pathology?
Answer: Patellar reflex
●● Indicators for referring a driver for pulmonary function testing
includes: A) History of COPD
B) Symptoms of wheezing
C) Cigarette smoking 35 years old
D) All above
Answer: D) All above
QUESTIONS AND CORRECT ANSWERS
BUNDLED REVIEW GUIDE
●● What is True about Hearing
Answer: Either whisper or auditory exam done first
Ear piece must be worn during whisper test
Whisper test passed then no need for auditory test
●● Driver with history of diabetes, taking Metformin, provides note
from primary lists
his A1c level at10. Exam is normal and lab analysis, except he is
overweight.
Medical examiner should
Answer: Certify for 1 year
●● Driver had 2nd spontaneous pneumothorax on same side 3 months
ago. No surgical
intervention. FVC is 68%. The correct determination in this case is
Answer: Dont certify until corrected surgically
●● Driver reports a suicide attempt 6 months earlier, following break up.
Saw
,Psychiatrist and takes Citalopram daily, feels fine now and moving on
with life. He
provides a release from his doctor that he may return to work without
restrictions.
The medical examiner should
Answer: Disqualify driver
●● A driver with AAA can be certified
Answer: For 1 year if between 4-5 cm, asymptomatic, cardio specialist
approves and
understands driver's work
●● Which is false concerning additional info. The driver is to provide
for any "Yes"
responses on the history section of the examination form? A) Any
limitations resulting from current and previous conditions
B) Must list diagnosis and date of onset of conditions
C) List treating provider contact info.
D) List only prescription meds, not vitamins or supplements.
Answer: D) List only prescription meds, not vitamins or supplements
●● Upon exam of 46 year old male smoker, you detect an irregularly
irregular heart
,rhythm. The rate is 140 bpm. This is unknown to driver and he denies
any
symptoms of light headedness, shortness of breath, dizziness,
palpitations, nor any
cardiac history. You would
Answer: Disqualify and refer to PMD or Cardiologist for further
evaluation
●● Which cardiac conditions is disqualifying? A) Ebstein anomaly
B) Hypertrophic cardiomyopathy
C) Mitral valve prolapse
D) Aortic valve repair for aortic stenosis 4 months prior to exam.
Answer: B) Hypertrophic cardiomyopathy
●● Which best describes length of time to certify driver who has non-
insulin diabetes
mellitus treated with oral meds. And no other medical issues.
Answer: Certify 2 years but FMCSA prefers re-certification evaluation
every year
●● Driver discharged from hospital 10 weeks ago after an MI. He is
asymptomatic and
has note from 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 normal.
Answer: Qualified for 1 year
●● Concerning the medical certificate, which is true? A) May provide
copy to driver's employer
B) Retain copy at least 3 years
C) Driver must carry original certificate during operation of a CMV
D) All above are true
Answer: D) All above are true
●● Which is assessment of L4 nerve root pathology?
Answer: Patellar reflex
●● Indicators for referring a driver for pulmonary function testing
includes: A) History of COPD
B) Symptoms of wheezing
C) Cigarette smoking 35 years old
D) All above
Answer: D) All above
