DOT Exam - NRCME Training Material 2023

DOT EXAM WITH COMPLETE SOLUTIONS 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: Correct Answer: Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating provider. The following statements are true concerning hearing requirements of commercial drivers EXCEPT: a. Hearing aids may not be worn during the forcedwhisper test. b. Either the forced whisper or audiometry tests may be performedfirst. c. The forced whisper test is passed if one ear perceives the forced whisper at 5 feet. d. Administration of both tests is only necessary if the first test is failed. Correct Answer: Hearing aids may not be worn during the forcedwhisper test. A driver with a history of diabetes, who is taking Metformin, provides a note from his primary care provider that lists his A1c level as 10. His exam is essentially normal including laboratory analysis, except he is very overweight. The medical examiner should certify the driver for how long? Correct Answer: Certify the driver for 1 year. A driver has had his second spontaneous pneumothorax on the same side 3 months ago. There has been no surgical intervention. The FVC is 68%. The correct determination in thiscase is: Correct Answer: Do not certify until the condition has been corrected surgically. The driver reports a suicide attempt 6 months earlier, following the break-up of his marriage. He noted seeing a psychiatrist and he takes Citalopram daily and he reports he feels fine now and is moving on with his life. He provides a release from his doctor that he may return to work without restrictions. The medical examiner should? Correct Answer: Disqualify the driver. A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: Correct Answer: For 1 year if between 4 and 5 cm, asymptomatic, with a recommendation from a cardiovascular specialist who understands the functions and demands of commercial driving. Which of the following is false concerning additional information the driver is to provide for any "yes" responses on the history section of the examination form? Correct Answer: Must list only prescription medications, not vitamins or supplements. Upon examination of a 46-year-old male smoker, you detect an irregularly irregular heart rhythm.