DOT Practice Exam Questions and Answers All Correct

DOT Practice Exam Questions and Answers All Correct FMCSA provides advisory criteria to assist the medical examiner in determining the certification status of the CMV driver. Which of the following are regulated by federal standards and are not discretionary? - Answer-Epilepsy and hearing A trucking company sends two drivers to your office for a CDL examination. Driver A is the company supervisor. Both present their current CMV medical examiner's certificate to you. You note the drivers were examined in another state and were issued a 2 year certificate, expiring this day. Driver B does not have his driver's license with him. According to FMCSA regulations, what must the examiner tell the driver? - Answer-Do not perform the exam until driver B presents an original, valid state issued driver's license While evaluating a school bus driver's gait, the examiner notes a slightly antalgic gait favoring the right leg and hip. The driver does not indicate any musculoskeletal problems in the health history. What should the examiner do next to ascertain the nature of the gait abnormality? - Answer-Review the medical history and ask the driver if any recent illness or injury Arnold is a 54-year-old male CMV driver presenting for recertification. He has a history of frequent ear infections in childhood. He had multiple tympanic membrane ruptures and infections in elementary school and into his middle-school years. He has "always" been "hard of hearing" in his left ear. Forced whisper test results - Rt. Ear: 5 feet and Lt. Ear: 3 feet. Left tympanic membrane landmarks are obscure with opacity. Noted postnasal drainage and rest of exam unremarkable. What is the certification decision for Arnold? - Answer-He met certification standards - certify for 2 years A 34-year-old driver presents for renewal CDL examination. Driver wears corrective lenses and has a vision restriction listed on his state driver's license and reports no vision changes. He meets all exam criteria for a 2-year certification. Driver states he is scheduled for Lasik surgery next week and does not want a restriction on this certification card for the next 2 years. Driver asks you to issue a limited license and return after surgery to re-test. According the vision regulation, what action must the medical examiner do now? - Answer-Issue a 2-year certificate with vision correction requirement According to FMCSA regulations, which of the following must the medical examiner evaluate when examining a driver's eyes? - Answer-Horizontal visual fields "Color blind" CMV applicants may qualify for both interstate and intrastate commercial driving if the examining medical examiner determines they are able to distinguish which of the following color ranges? - Answer-Red, green and amber - DOT Standardized traffic signal colors During the physical examination of a CDL driver, the medical examiner palpates a firm, raised area over the left anterior pectoralis muscle with a well-healed scar. The driver has not noted any cardiac or surgical history on the medical examination form. What is the appropriate action for the examiner to take? - Answer-Determination Pending while pertinent medical records are obtained The "determination pending" status can be used by medical examiners for drivers who present with a medical condition that requires additional information before making a final decision on certification. The status of determination pending can be assigned for a maximum of: - Answer-45 days The driver admits he had a pacemaker inserted 2 years after his last exam, but he forgot about it and has never had any issues. His CDL is current and he plans to take a new assignment driving cross country later this week. He asks if he can still drive. What should the CME explain to this driver? - Answer-No, he is removed from driving duties up to 45 days until he provides the pertinent medical records and diagnostic testing to meet all physical criteria. The medical examiner is reviewing the health history a CDL driver completed and signed. The driver listed his currently prescribed medication as clonidine 0.2 mg twice daily and has been on this medication for 6 months. Which of the following is a common side effect of this medication and, if present, may impair driving ability? - AnswerFatigue During the examination, a CDL driver reveals, "I had a touch of sugar" two years ago but stopped taking the prescribed medication when it ran out. The driver did not indicate "yes" on the medical history for diabetes, stating home glucometer readings have been under 100. The examination and urinalysis are unremarkable. What is the appropriate action for the medical examiner to take to complete this examination? - Answer-Correct the medical history and discuss the need for regular follow-up A CDL driver presents to the examiner's office for renewal of her CDL. She has no significant health history and takes no prescribed medications. During the physical examination, she is found to have an elevated blood pressure of 148/96. It is measured again following the examination and recorded at 146/96. According to FMCSA guidelines on hypertension, the examiner should: - Answer-Issue a one-year certificate According to regulation 49.CFR 391.49, what is the CDL certification period if driver has a SPE certificate if found to be qualified by the examination for a CDL? - Answer-Two years During the CDL exam, a driver complains of severe pain in his finger for the last two weeks following a puncture wound. The examination reveals an obvious closed and non-draining wound infection of the right 4th DIP pad of the finger. The driver states that it is painful to grip the steering wheel. Which of the following should the medical examiner do? - Answer-Assess the driver's grip strength A 46-year-old female driver has been screened by the medical assistant and is awaiting the physical examination. The urine dipstick revealed 2+ blood. What is the next appropriate step for the medical examiner? - Answer-Review the medical history and inquire about menstrual cycle A CDL driver has recently completed a substance abuse program. His employer has sent him for an updated medical examiners certificate. To certify this driver, the medical examiner will require: - Answer-Documentation from a SAP of successful completion of the program Is urine drug testing for controlled substances part of the requirement of the CMV driver physical exam? - Answer-No, this is done separately by the employer and reviewed by a medical review officer