DOT questions with complete solutions 2023

DOT questions with complete solutions 2023 Maximum time for certification for a patient with a history of well controlled nephropathy? A) 5years B) 2years C) 1 year D) 6 months 2 years A 48 year old driver presenting for a CMV physical exam, demonstrates glycosuria. You may elect to perform a ______ test. A) urine short dip B) finger stick C) microscopic urine D) liver function Finger stick All of the following may perform and certify vision test results except: A) chiropractor B) Ophthalmologist C) Optometrist D) RN RN The Federal Motor Carrier Safety Administration requires which of the following specific test for assessing grip power? A) Dynometer B) The FMCSA does not require any specific test C) Sphygmomanometer D) Neurometer B) The FMCSA does not require any specific test Recommend not to certify a driver with a fixed deficit of an extremity if the driver has an impairment that affects: A) Both lower extremities B) One upper and one lower extremity C) the torso D) You can always certify a driver with a fixed deficit of an extremity. The Torso The FMCSA describes the periodic physical qualification examination of the CMV driver to be a "medical fitness for duty" examination. As such: A) The primary goal of the exam is to determine if there any health conditions creating an unacceptable public safety risk. B) It is acceptable to begin a treatment plan for conditions diagnosed during the exam. C) Benign conditions with good prognoses are nto considered disqualifying. D) You are not to educate drivers about their conditions, rather leave that to the PCP. A) The primary goal of the exam is to determine if there any health conditions creating an unacceptable public safety risk. An incretin mimetic, such as exenatide (Byetta), is used to improve glycemic control in people with Type 2 diabetes by: A) decreasing hunger B) substituting it for insulin C) reducing fasting and postprandial glucose concentrations D) increasing gastric emptying. C) reducing fasting and postprandial glucose concentrations The examination for CDL purposes is based on all of the following except: A)history B) objective data C) personal recommendations by the employer D) Any additional testing required by the examiner C) personal recommendations by the employer Employer responsibilities include all of the following except: A) Implementing and conducting drug and alcohol testing programs B) Require testing of drivers who operate solely on privately help property not open to the public C) providing a list of substance abuse professionals D) Conducting follow up testing to monitor that the driver is complaint with DOT guidelines and abstaining from unauthorized drug use. B) Require testing of drivers who operate solely on privately help property not open to the public A driver with hypertension and BP less than or equal to 139/89 may be certified for: A) One year B) Two years C) One month D) 6 months A) One year Why is it important to get the driver to sign and date the Medical Examination Report form? A) So that you have his signature and date on file B) His signature certifies that the information and history are "complete and true" C) To fill in and complete all lines and the form D) To confirm the driver's identify B) His signature certifies that the information and history are "complete and true" A driver with coronary hear disease has been recently prescribed Flecainide (2 months) with good control of non-sustained ventricular tachycardia. His ETT/ECHO shows tolerance to 6 mets and an EF of 38%. He is asymptomatic and has a note from the cardiologist that he may drive. His examination is normal. Your determination: A) Disqualified due to EF below 40% B) Disqualified due to Flecainide C) Qualified for one year D) Qualified for one year after a follow up in one month to satisfy the 3 month waiting period. A) Disqualified due to EF below 40% An otherwise healthy 49 y/o female truck diver lists Meclizine as a prescribed medication. History reveals she was diagnosed two weeks ago with benign positional vertigo and is taking meclizine 25 mg three times a day. Current guidelines call for. A) Certification if the driver does not report any sedative side effects. B) Certification if the note from the neurologist states she can drive C) Disqualification for one month off meclizine with no further symptoms of dizziness D) Disqualify. Must undergo a 2 month symptom fee interval off medication before resuming commercial driving. D) Disqualify. Must undergo a 2 month symptom fee interval off medication before resuming commercial driving. The federal vision exemption program: A) Is for any driver who is otherwise qualified but does not pass the vision portion of the examination. B)Is only for monocular vision and annually renewable with 2 year certification. C) Is only for monocular vision and is renewable every 2 years and can be certified for 2 years D) Is only for monocular vision, renewables every 2 years with an annual medical examination and an annual optometrist or ophthalmologist examination, and certification for one year. D) Is only for monocular vision, renewables every 2 years with an annual medical examination and an annual optometrist or ophthalmologist examination, and certification for one year. Which is false regarding hypertension in commercial drivers: A) Commercial drivers have a greater propensity to develop hypertension than their peers in other professions. B) The percentage of drivers with hypertension increases with years of driving, from 29% in drivers with fewer than 10 years experience to 39% in drivers with over 20 years of experience. C) The rise in hypertension prevalence is unrelated to age, increase in body mass or physical inactivity. D) Effective hypertension management reduces overall cardiac morbidity and mortality. D) Effective hypertension management reduces overall cardiac morbidity and mortality. You can medically certify a driver if he/she A)can physically drive the vehicular B) doesn't require an SPE C) can physically perform non driving tasks as described in the driver role section of the FMCSA medical examination report form and physically able to drive the vehicle D) Doesn't have high blood pressure C) can physically perform non driving tasks as described in the driver role section of the FMCSA medical examination report form and physically able to drive the vehicle Required cognitive skills include: Problem solving, communication, judgement, and appropriate behavior in both normal and emergency situations. Who, besides the medical examiner is allowed to measure height and weight durning a physical examination? Trained assistive personnel Factors resulting in injuries and fatalities in large truck crashes include all except: A) Injury severity equals relative velocity change B) The greater the mass the greater relative velocity change. C) The crash of a vehicle having twice the mass with a lighter vehicle weals a six-fold risk of death to persons in the lighter vehicle. D) An SUV weighs approximately 4000lbs. A loaded semi-tractor trailer truck weight approximately 80,000lbs The truck has 20 times the mass of the SUV The greater the mass the greater relative velocity change. After a prosthetic valve replacement: A) there is a minimum waiting of period of 6 months before a driver can be certified. B) Monitoring includes ECHO and monthly INR measurements for patients on anticoagulants. C) LV dysfunction is characterized by an EF less than 50% D) Maximum certification period is 6 months. B) Monitoring includes ECHO and monthly INR measurements for patients on anticoagulants. A 55 y/o male driver is otherwise qualified but gives a history of cataract in the L eye with visual acuity L 20/200 R 20/30, horizontal field of vision 85 bilaterally. The appropriate determination would be: A) Qualify for 2 years as he has one good eye B) Disqualify and refer to the ophthalmologist for evaluation of cataract removal and intraocular lens replacement. C)Disqualify and refer to optometrist for eyeglass prescription D) Qualify for 3 months pending ophthalmologist evaluation B) Disqualify and refer to the ophthalmologist for evaluation of cataract removal and intraocular lens replacement. Post CABG surgery. commercial drivers should have: A)3 month waiting period, negative pre-discharge ETT, healed sternum and note from cardiologist familiar with demands of commercial driving stating can drive. B) 2 month waiting period, negative pre-discharge ETT, healed sternum and note from cardiologist familiar with demands of commercial driving stating can drive. C) 3 month waiting period, EF >40%, healed sternum and note from cardiologist familiar with demands of commercial driving stating can drive. D) 2 month waiting period, negative pre-discharge ETT, EF >40% healed sternum and note from cardiologist familiar with demands of commercial driving stating can drive. C) 3 month waiting period, EF >40%, healed sternum and note from cardiologist familiar with demands of commercial driving stating can drive. Is Meniere's disease disqualifying? Yes, Meniere's disease is a condition associated with severe and unpredictable bouts of dizziness is disqualifying. A 47 y/o driver with a fixed deficit of an extremity should have a physical exam: A) Only once since the condition will never change B) Every 6 months C) Biannually or more frequently if indicated D) Every year C) Biannually or more frequently if indicated When you perform a urinalysis (dip stick) test, you are to test for what? A) Specific gravity, drugs, protein (proteinuria) and Glucose (glycosuria) B) Specific gravity, protein (proteinuria), blood (hematuria) and glucose (glycosuria) C) Specific gravity, protein (proteinuria), drugs and blood (hematuria) D) Specific gravity, protein (proteinuria) blood (hematuria) and drugs B) Specific gravity, protein (proteinuria), blood (hematuria) and glucose (glycosuria) A 54 y/o female bus driver, smoker 1.5 ppd X 35y presents for a recertification exam. She has COPD treated with Spiriva and Albuterol rescue inhaler. She has a chronic cough productive of green sputum in the morning, lessening as the day goes on. Her exam is notable only for some mild SOB upon moving about the office and performing physical exam maneuvers. You should: A)Disqualify B) Order ABGs. If PaO2 <65%, Order a pulmonary function test. If FEV1 <65%, disqualify C) Order ABGs. If PaO2 <92%, Order a pulmonary function test. If FEV1 <65%, disqualify D) Order a pulmonary function test. If FEV1 <65%, order ABGs. If PaO2 <65%, disqualify. D) Order a pulmonary function test. If FEV1 <65%, order ABGs. If PaO2 <65%, disqualify. A 55 y/o male smoker for recertification has had chest pain on three occasions in the last 6 weeks, walking his dog in 23 degree weather, moving logs from his yard in to his fireplace in cold weather, and during intercourse. He saw the cardiologist who gave him a stress test. He wasn't sure of the results, but said the cardiologist thought he had angina, put him on NTG pills, told him he could drive but not do anything too strenuous and maybe wants him to have additional testing, but he had to get back on the road. He is asymptomatic, the last episode of chest pain having been 2 weeks ago. You request the ETT results from the cardiologist which was inconclusive. Your determination: A) The driver has unstable angina, disqualified pending additional testing. B) Temporarily certify for 3 mos, pending additional testing. C) Certify for one year after 2 month waiting period with no further chest pain. D) Certify for one year after 3 month waiting period with no further chest pain. A) The driver has unstable angina, disqualified pending additional testing.