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,A driver first perceives a whispered voice at 5 feet in his B.
right ear and 4 feet in his left ear. All other aspects of his The driver is qualified to drive without restriction as long as he is able to perceive
physical examination are unremarkable. The examiner a whispered voice at 5 feet in 1 ear.
should:
a. Disqualify the driver because he "failed" the whispered
voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of
hearing loss in his left ear.
A driver reports for an examination 6 weeks after A.
suffering a mild heart attack and presents a note from his The driver has not completed the recommended 2-month waiting period, but all
cardiologist stating that he is able to return to work other requirements for medical clearance and required testing have been met.
immediately without restriction. Included within the note, The driver would be certified for 1 year at the completion of the waiting period.
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.
A driver provides an audiometric test documenting the B.
following: The examiner would average the results from 500 Hz, 1000 Hz and 2000 Hz. This
1. 500 Hz: 35 Right ear; 40 Left ear average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an
2. 1000 HZ: 40 Right ear; 45 Left ear average hearing loss of less than or equal to 40 in the better ear. This does not
3. 2000 HZ: 40 Right ear; 45 Left ear have to be met in both ears.
4. 4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet
minimum hearing requirements
to drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption
,During the examination of a commercial driver, the A.
examiner notices that the driver's peripheral vision is 70 A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
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.
During examination, the medical examiner notices that B.
the driver is distant, lacks eye contact and shows The driver exhibits what may be considered a "flat affect" which is seen in
absolutely no emotional response during the exam. The schizophrenia and in severe depression. The driver should be evaluated by a
examiner's best response should be: mental health expert to make a diagnosis prior to certification.
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
A driver admits to the use of marijuana for the treatment A.
of his glaucoma, which is legal in the State in which he Use of marijuana is prohibited by Federal law while driving a CMV and trumps
lives. He provides medical documentation for the State law in this matter.
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.
A driver has a blood pressure of 136/92 mm Hg. This is: B.
This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
a. Within normal limits and would not affect the driver's
certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension.
, A driver is taking Celexa for the treatment of what he A.
calls a "mild depression." He reports he has not Medical clearance is recommended for all mental health disorders. Celexa is an
considered or attempted suicide. The examiner should: SSRI or 2nd Generation anti-depressant and is acceptable.
a. Certify only after obtaining written clearance for the
depression from the treating mental health professional.
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.
For a driver with insulin-treated diabetes mellitus, the C.
medical examiner can only accept Form MCSA-5870 if it The medical examiner must receive the form and begin the medical examination
has been properly completed within the last: 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.
a. 25 days.
b. 30 days. BG logs should be 3 month periods
c. 45 days.
d. 60 days.
What minimum PaO2 level on an ABG performed for a C.
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.
A driver is taking Topamax for the treatment of migraine A.
headaches. He reports good management of his Topamax is a medication that is used for seizure control. The examiner should
headaches, and they never seem to interfere with his confirm with the prescribing provider that the driver does not take it to control
driving ability with the medication. The medical examiner seizures, and he is capable of driving a CMV.
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.