DOT exam - NRCME Training Institute
Material Questions With Answers
What is the waiting period for certification after surgical treatment for
OSA? - ✔ ✔ 3 months
Max certification for patient with sleep disorder? - ✔ ✔ 1 year
Which of following statements is FALSE?
A driver with cor pulmonale may be certified after successful
treatment.
After treatment for cor pulmonale, a driver should have a
recommendation to return to CMV driving by a specialist familiar with
the job duties of a CMV driver.
Drivers with pulmonary cor pulmonale who exhibit shortness of breath
at rest, dizziness, or hypotension should be disqualified.
A driver with cor pulmonale must have a normal chest X-ray before
certification. - ✔ ✔ A driver with cor pulmonale must have a normal
chest X-ray before certification.
Drivers who are diagnosed with a vision impairment but who also have
obtained an exemption qualifying them to drive must be re-examined
________.
Every three months.
Every six months.
Annually.
,Every two years. - ✔ ✔ Annually
Under what conditions may a driver diagnosed with lazy eye be
certified?
Under any conditions - lazy eye is not considered a visual impairment
for CMV operators.
Only if the driver has a visual acuity of 20/70 or better for distance in
each eye and both eyes combined, or a federal exemption.
Only if the driver has a visual acuity of 20/40 or better for distance in
each eye and both eyes combined, or a federal exemption.
Only by federal exemption. - ✔ ✔ Only if the driver has a visual
acuity of 20/40 or better for distance in each eye and both eyes
combined, or a federal exemption.
To pass the interstate CMV driver vision exam, a visual acuity of
__________ corrected or uncorrected for distance is required.
20/20 in each eye individually and both eyes combined.
20/40 in each eye individually and both eyes combined.
20/20 in at least one eye.
20/40 in at least one eye. - ✔ ✔ 20/40 in each eye individually and
both eyes combined.
Which of the following conditions IS NOT usually disqualifying?
Acute or chronic vestibulopathy after a two month symptom free
interval.
Nonfunctioning labyrinths.
,Labyrinthine fistula.
Meniere's disease. - ✔ ✔ Acute or chronic vestibulopathy after a
two month symptom free interval.
Which of the following is true with respect to hearing testing?
Audiometric testing should be done using International Organization
for Standardization (ISO) standards.
Drivers requiring hearing aids to meet requirements must wear hearing
aids in both ears.
Drivers wearing a hearing aid must be tested using specialized
audiometric testing equipment.
Drivers requiring a hearing aid to meet standards may be certified for
two years. - ✔ ✔ Drivers requiring a hearing aid to meet standards
may be certified for two years.
Audiometric testing is performed at which of the following testing
frequencies?
1000 Hz, 2000 Hz, 3000 Hz.
500 Hz, 2000 Hz, 4000 Hz.
500 Hz, 1000 Hz, 3000 Hz.
500 Hz, 1000 Hz, 2000 Hz. - ✔ ✔ 500 Hz, 1000 Hz, 2000 Hz.
What criteria must be met in order for the FMCSA ME to qualify a driver
with a known diagnosis of CHF? - ✔ ✔ Pt must be asymptomatic,
have no ventricular arrhythmia, have a left ventricular EF greater than
, 40%, be under the care of a cardiologist or appropriate medical
professional.
Should the following patients be certified or medically disdqualified?
1. PCI 9 months ago, no cardio follow up, no ETT
2. CABG 4 months ago, echo and 3 months showed LVEF 55%, cleared
by cardiologist, no chest pain.
3. CHF with dyspnea at rest.
4. Driver with increasing angina lasting 20 minutes after tarping a load,
unresponsive to Nitroglycerin. - ✔ ✔ 1. Disqualified, after PCI
should have cardio follow up and ETT 3-6 months post PCI.
2. Medically qualified, CABG may be qualified at 3 months post-op if
asymptomatic, LVEF >40%, and meets all other recommendations
(qualify with annual certification).
3. Medically disqualified, a driver with symptomatic CHF is not
medically fit for duty.
4. Medically disqualified, a driver with unstable angina is not fit for
duty.
Driver had AAA, recent abdominal sonogram shows aneurysm size 5.3
cm in diameter. Should this pt be qualified? - ✔ ✔ No, AAA should
be less than 5 cm in diameter to be considered for qualification.
Pt with recent 9 cm AAA repair four months ago, cleared by
cardiologist. Can he be certified? - ✔ ✔ Yes, for up to one year. A
driver with successfully repaired AAA can return to driving 3 months
post-op if cleared by surgeon. Yearly recheck.
Material Questions With Answers
What is the waiting period for certification after surgical treatment for
OSA? - ✔ ✔ 3 months
Max certification for patient with sleep disorder? - ✔ ✔ 1 year
Which of following statements is FALSE?
A driver with cor pulmonale may be certified after successful
treatment.
After treatment for cor pulmonale, a driver should have a
recommendation to return to CMV driving by a specialist familiar with
the job duties of a CMV driver.
Drivers with pulmonary cor pulmonale who exhibit shortness of breath
at rest, dizziness, or hypotension should be disqualified.
A driver with cor pulmonale must have a normal chest X-ray before
certification. - ✔ ✔ A driver with cor pulmonale must have a normal
chest X-ray before certification.
Drivers who are diagnosed with a vision impairment but who also have
obtained an exemption qualifying them to drive must be re-examined
________.
Every three months.
Every six months.
Annually.
,Every two years. - ✔ ✔ Annually
Under what conditions may a driver diagnosed with lazy eye be
certified?
Under any conditions - lazy eye is not considered a visual impairment
for CMV operators.
Only if the driver has a visual acuity of 20/70 or better for distance in
each eye and both eyes combined, or a federal exemption.
Only if the driver has a visual acuity of 20/40 or better for distance in
each eye and both eyes combined, or a federal exemption.
Only by federal exemption. - ✔ ✔ Only if the driver has a visual
acuity of 20/40 or better for distance in each eye and both eyes
combined, or a federal exemption.
To pass the interstate CMV driver vision exam, a visual acuity of
__________ corrected or uncorrected for distance is required.
20/20 in each eye individually and both eyes combined.
20/40 in each eye individually and both eyes combined.
20/20 in at least one eye.
20/40 in at least one eye. - ✔ ✔ 20/40 in each eye individually and
both eyes combined.
Which of the following conditions IS NOT usually disqualifying?
Acute or chronic vestibulopathy after a two month symptom free
interval.
Nonfunctioning labyrinths.
,Labyrinthine fistula.
Meniere's disease. - ✔ ✔ Acute or chronic vestibulopathy after a
two month symptom free interval.
Which of the following is true with respect to hearing testing?
Audiometric testing should be done using International Organization
for Standardization (ISO) standards.
Drivers requiring hearing aids to meet requirements must wear hearing
aids in both ears.
Drivers wearing a hearing aid must be tested using specialized
audiometric testing equipment.
Drivers requiring a hearing aid to meet standards may be certified for
two years. - ✔ ✔ Drivers requiring a hearing aid to meet standards
may be certified for two years.
Audiometric testing is performed at which of the following testing
frequencies?
1000 Hz, 2000 Hz, 3000 Hz.
500 Hz, 2000 Hz, 4000 Hz.
500 Hz, 1000 Hz, 3000 Hz.
500 Hz, 1000 Hz, 2000 Hz. - ✔ ✔ 500 Hz, 1000 Hz, 2000 Hz.
What criteria must be met in order for the FMCSA ME to qualify a driver
with a known diagnosis of CHF? - ✔ ✔ Pt must be asymptomatic,
have no ventricular arrhythmia, have a left ventricular EF greater than
, 40%, be under the care of a cardiologist or appropriate medical
professional.
Should the following patients be certified or medically disdqualified?
1. PCI 9 months ago, no cardio follow up, no ETT
2. CABG 4 months ago, echo and 3 months showed LVEF 55%, cleared
by cardiologist, no chest pain.
3. CHF with dyspnea at rest.
4. Driver with increasing angina lasting 20 minutes after tarping a load,
unresponsive to Nitroglycerin. - ✔ ✔ 1. Disqualified, after PCI
should have cardio follow up and ETT 3-6 months post PCI.
2. Medically qualified, CABG may be qualified at 3 months post-op if
asymptomatic, LVEF >40%, and meets all other recommendations
(qualify with annual certification).
3. Medically disqualified, a driver with symptomatic CHF is not
medically fit for duty.
4. Medically disqualified, a driver with unstable angina is not fit for
duty.
Driver had AAA, recent abdominal sonogram shows aneurysm size 5.3
cm in diameter. Should this pt be qualified? - ✔ ✔ No, AAA should
be less than 5 cm in diameter to be considered for qualification.
Pt with recent 9 cm AAA repair four months ago, cleared by
cardiologist. Can he be certified? - ✔ ✔ Yes, for up to one year. A
driver with successfully repaired AAA can return to driving 3 months
post-op if cleared by surgeon. Yearly recheck.
