NRCME DOT Exam 2024 Questions & Answers 100% Solved

Who can the DOT exam be administered to? - Answer Anyone who requests the exam, regardless of age Who is responsible for ensuring the driver meets the minimum age requirement of 21 years old? - Answer Motor carrier When should a BP be confirmed with a second measurement during the exam? - Answer Any BP 140/90 or greater What BP readings may be used for certification decisions? - Answer Only BP readings taken during the DOT physical exam What is stage 1 hypertension? - Answer 140-159/90-99 What is stage 2 hypertension? - Answer 160-179/100-109 What is stage 3 hypertension? - Answer Greater than 180/110 In what two scenarios would a one-time three month certificate be granted? - Answer When the driver has a BP reading that indicates stage 2 hypertension OR A driver that was certified with stage 1 hypertension has not achieved BP less than 140/90 at recertification How can a driver pass the forced whisper test? - Answer Perceive the forced whisper in ONE ear at a distance of 5 feet or more How can a driver pass the audiometric test? - Answer Not have an average hearing loss in ONE ear greater than 40 decibels at 500 Hz, 1,000 Hz, and 2,000 Hz When should both hearing tests be administered to a driver? - Answer When the driver fails the initial hearing test How can a driver's hearing be tested for certification? - Answer By administering either the forced whisper or audiometric test When should medical examiner need to complete an online MCSA-5850 form? - Answer When an exam is performed on a driver - Must submit by midnight of the next calendar day AND Must report if no exams are performed during a calendar month Who should the medical examiner's certificate be given to? - Answer The original is given to the driver A copy may be given to the employer upon request How long must a medical examiner retain driver medical records for? - Answer 3 years Can work restrictions be given as part of certification? - Answer No What should be done when a driver returns after being given a 3 month certificate that is nearing expiration? - Answer Perform an entirely new DOT exam Medical examiners are not required to issue certificates to: - Answer Canadian or Mexican CDL holders Who is responsible for determining when a driver's new medical condition or injury warrants a new certification exam? - Answer The motor carrier Eye examination includes assessing which four things? - Answer Distant acuity Binocular acuity Horizontal field of vision / Peripheral vision Ability to distinguish colors What is the only portion of the DOT exam that can be performed and certified by a provider other than a medical examiner? - Answer Vision What is monocular vision? - Answer When the visual acuity requirements are met in only one eye What is monovision? - Answer When one eye is corrected for distance and the other eye is corrected for near vision Are monovision or monocular visions disqualifying? - Answer No Can a driver with one prosthetic eye be certified? - Answer Yes - As long as they pass the visual exam with their other eye How can a driver with monocular vision obtained a passing certificate? - Answer Visit an ophthalmologist to have a vision evaluation form completed THEN Visit a medical examiner within 45 days of being cleared by ophthalmology for a full DOT exam What if a driver with monocular vision arrives for their DOT exam without the vision evaluation form completed by an ophthalmologist? - Answer Cannot certify until cleared by ophthalmology and the form is completed What is an early symptom of cataracts? - Answer Glare during night driving when approaching oncoming headlights What is the treatment for cataracts? - Answer Surgical removal and placement of an intraocular lens Can a driver with telescopic lenses for treatment of macular degeneration be certified? - Answer No Can a driver use a hearing aid to pass the forced whisper test? - Answer Yes, but they must wear the hearing aid while driving If a driver has a hearing aid or cochlear implant and fails the initial forced whisper test, what should be recommended? - Answer An audiologist or hearing aid center should perform the audiometric test using appropriate equipment In order to pass the vision test, a driver must have a binocular acuity of at least ________: - Answer 20/40 In order to pass the vision test, a driver must have distant acuity of at least ________ in each eye: - Answer 20/40 In order to pass the vision test, a driver must have a horizontal field of vision of at least ________ in each eye: - Answer 70 degrees (Can be greater than 70 degrees but not less) In order to pass the vision test, a driver must be able to distinguish which colors? - Answer Red, amber, and green Name the four passing requirements for the vision exam: - Answer Distant acuity of at least 20/40 in each eye Binocular acuity of at least 20/40 Horizontal field of vision of at least 70 degrees in each eye Ability to recognize red, amber, and green colors Which type of vertigo is disqualifying? - Answer Uncontrolled vertigo Waiting period for benign positional vertigo: - Answer 2 months symptom free Waiting period for acute and chronic peripheral vestibulopathy: - Answer 2 months symptom free Which three otic diseases would disqualify a driver? - Answer Meniere's disease Labyrinthine fistula Nonfunctioning labyrinths What is the most common cause of sudden driver incapacitation? What is the most common etiology of this condition? - Answer Arrhythmia Etiology = Coronary heart disease A passing echocardiogram for a driver should include: - Answer A left ventricular ejection fraction greater than or equal to 40% No pulmonary hypertension What indicates pulmonary hypertension? - Answer Pulmonary artery pressure greater than 50% of systemic systolic BP What four components indicate a passing Exercise Tolerance Test? - Answer Able to exercise to a workload capacity greater than 6 metabolic equivalents through Bruce protocol stage II Attain a HR greater than 85% of predicted maximum (unless on beta blockers) Have a rise in systolic BP greater than 20 mmHg without angina Have no ST segment depression Waiting period post-MI: - Answer 2 months Maximum certification period for hx of MI: - Answer 1 year A driver with a hx of MI should have an Exercise Tolerance Test how often? - Answer Every other year For initial certification following an MI, what is absolutely required? - Answer A post-MI echocardiogram showing a LVEF of 40% or greater Waiting period for angina pectoris: - Answer 3 months with no angina at rest or change in angina period Maximum certification period for hx angina pectoris: - Answer 1 year Waiting period after CABG: - Answer 3 months regardless of the type of CABG surgery performed