DOT Exam NRCME Study Guide with all Correct & 100%
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What are the 4 non- discretionary standards? ✔Correct Answer-Vision, Hearing, Insulin use,
Seizure disorders
What is the minimum requirement to meet the vision standard? ✔Correct Answer-A minimum of
20/40 distance vision in each eye, 70 degrees of peripheral vision in each eye, and the ability to
differentiate signal red, signal yellow and signal green
How many eyes must meet the vision standard? ✔Correct Answer-2
What is the minimum requirement to meet the hearing standard? ✔Correct Answer-The ability to
hear a whispered voice at 5 feet or greater in one ear, or if using audiometric testing to have less
than or equal to 40 db of hearing in one ear at 500 Hz, 1000 hz and 2000 Hz in ANSI.
How many ears must meet the hearing standard? ✔Correct Answer-1
If a driver has monovision, but can meet the requirements of the vision standard, do they certify to
drive a CMV? ✔Correct Answer-Yes
Can you use "determination pending" to allow a driver to get an eye exam in the even they do not
pass the whisper test during an exam? ✔Correct Answer-No, it is a non-discretionary standard
Can you use "determination pending" to allow a driver to have an audiometric test in the event they
do not pass the whisper test during an exam? ✔Correct Answer-No, it is a non-discretionary
standard
What medical conditions of the eye are specifically mentioned within guidance that will require
medical clearance for the driver prior to medical certification? ✔Correct Answer-Glaucoma,
Macular Degeneration, Retinopathy, Aphakia
Can a driver meet the vision standard using glasses or contacts? ✔Correct Answer-Yes
Can a driver meet the hearing standard using hearing aids? ✔Correct Answer-Yes
A driver has an audiometric test. His hearing loss in ANSI while wearing hearing aids is 40db left ear;
and 43 db right ear. Do he meet the standard? ✔Correct Answer-Yes. Because one ear meets the
standard (40 in the left ear meets the requirement) his is capable of being certified to drive.
If a driver does not meet the vision standard, is it possible for them to still drive a CMV? ✔Correct
Answer-Yes, they must apply for a vision exemption
If a driver does not meet the hearing standard, is it possible for them to still drive a CMV?
✔Correct Answer-Yes with a hearing exemption
What is the maximum certification period for a driver with Stage 1 Htn? ✔Correct Answer-1 year
, What is the proper determination for a driver with a Dx of Htn, who presents with a BP of 182/112?
✔Correct Answer-Immediate DQ (Stage 3 Htn), until BP less than or equal to 140/90.
What is the maximum certification period for a driver who has a history of Stage 3 Htn, but is now
controlled and below 140/90? ✔Correct Answer-6 months for the rest of the driver's career.
A driver has a BP of 146/82. What stage is this? ✔Correct Answer-Stage 1. The systolic meets the
definition of Stage 1
A driver has a BP of 138 over 98. What stage is this? ✔Correct Answer-Stage 1. The diastolic meets
the definition of Stage 1
A driver has a BP of 164/92. What stage is this? ✔Correct Answer-Stage 2. Even though there are 2
levels for systolic and diastolic, the higher stage would determine the overall stage the driver is in.
Systolic is stage 2, diastolic is stage 1. The driver suffers from stage 2 Htn.
What are the parameters of stage 1,2,3 and Htn? ✔Correct Answer-Stage 1 is 140-159/90-99.
Stage 2 is 160-179/100-109. Stage 3 is 180 or greater/110 or greater.
If you take a drivers BP reading reading and it is at or above Stage 1,2, or 3 Htn, are you required to
take another BP reading? ✔Correct Answer-Yes, if after the first BP the driver suffers from Htn, you
must take a second BP to confirm the driver blood pressure.
Can a medical examiner use "determination pending" or a shortened certificate to allow a driver to
lower their BP if all else in their exam is WNL and allows for certification? ✔Correct Answer-Yes
If a medical examiner provides a 3 month shortened certificate for the driver to obtain a lower BP,
and the driver comes back to the medical examiner 3 weeks after their DOT physical exam, is the
medical examiner required to perform another DOT physicals? ✔Correct Answer-Yes. There are no
temporary certificates. You must perform a complete exam every time you see the driver unless you
have used 'determination pending".
A driver has a glucose reading of 250 in his UA with no history of diabetes. The rest of his exam is
WNL. Can this driver be certified to drive? ✔Correct Answer-Yes, provide a 1 to 3 month shortened
certificate and refer for an evaluation by the drivers PCP to determine if the driver has a DM.
A driver has a glucose of 1000 in his UA with a history of DM. The rest of his exam is WNL. Can this
driver be certified even with a shortened certificate? ✔Correct Answer-No, It is evident that the
driver's DM is not well managed.
The driver provides an A1c of 11.5 Is the drivers DM well manqaged? ✔Correct Answer-No. The
ME will mot likely DQ the driver until the A1c is 10 or less.
Can a driver who has an acute MI be qualified to drive? ✔Correct Answer-Yes, if they satisfy the 2
month waiting period and meet the cardiac qualification criteria.
What is the waiting period following bypass grafting? ✔Correct Answer-3 months
Verified Answers| Latest Update |Already Graded A+
(Just Released)
What are the 4 non- discretionary standards? ✔Correct Answer-Vision, Hearing, Insulin use,
Seizure disorders
What is the minimum requirement to meet the vision standard? ✔Correct Answer-A minimum of
20/40 distance vision in each eye, 70 degrees of peripheral vision in each eye, and the ability to
differentiate signal red, signal yellow and signal green
How many eyes must meet the vision standard? ✔Correct Answer-2
What is the minimum requirement to meet the hearing standard? ✔Correct Answer-The ability to
hear a whispered voice at 5 feet or greater in one ear, or if using audiometric testing to have less
than or equal to 40 db of hearing in one ear at 500 Hz, 1000 hz and 2000 Hz in ANSI.
How many ears must meet the hearing standard? ✔Correct Answer-1
If a driver has monovision, but can meet the requirements of the vision standard, do they certify to
drive a CMV? ✔Correct Answer-Yes
Can you use "determination pending" to allow a driver to get an eye exam in the even they do not
pass the whisper test during an exam? ✔Correct Answer-No, it is a non-discretionary standard
Can you use "determination pending" to allow a driver to have an audiometric test in the event they
do not pass the whisper test during an exam? ✔Correct Answer-No, it is a non-discretionary
standard
What medical conditions of the eye are specifically mentioned within guidance that will require
medical clearance for the driver prior to medical certification? ✔Correct Answer-Glaucoma,
Macular Degeneration, Retinopathy, Aphakia
Can a driver meet the vision standard using glasses or contacts? ✔Correct Answer-Yes
Can a driver meet the hearing standard using hearing aids? ✔Correct Answer-Yes
A driver has an audiometric test. His hearing loss in ANSI while wearing hearing aids is 40db left ear;
and 43 db right ear. Do he meet the standard? ✔Correct Answer-Yes. Because one ear meets the
standard (40 in the left ear meets the requirement) his is capable of being certified to drive.
If a driver does not meet the vision standard, is it possible for them to still drive a CMV? ✔Correct
Answer-Yes, they must apply for a vision exemption
If a driver does not meet the hearing standard, is it possible for them to still drive a CMV?
✔Correct Answer-Yes with a hearing exemption
What is the maximum certification period for a driver with Stage 1 Htn? ✔Correct Answer-1 year
, What is the proper determination for a driver with a Dx of Htn, who presents with a BP of 182/112?
✔Correct Answer-Immediate DQ (Stage 3 Htn), until BP less than or equal to 140/90.
What is the maximum certification period for a driver who has a history of Stage 3 Htn, but is now
controlled and below 140/90? ✔Correct Answer-6 months for the rest of the driver's career.
A driver has a BP of 146/82. What stage is this? ✔Correct Answer-Stage 1. The systolic meets the
definition of Stage 1
A driver has a BP of 138 over 98. What stage is this? ✔Correct Answer-Stage 1. The diastolic meets
the definition of Stage 1
A driver has a BP of 164/92. What stage is this? ✔Correct Answer-Stage 2. Even though there are 2
levels for systolic and diastolic, the higher stage would determine the overall stage the driver is in.
Systolic is stage 2, diastolic is stage 1. The driver suffers from stage 2 Htn.
What are the parameters of stage 1,2,3 and Htn? ✔Correct Answer-Stage 1 is 140-159/90-99.
Stage 2 is 160-179/100-109. Stage 3 is 180 or greater/110 or greater.
If you take a drivers BP reading reading and it is at or above Stage 1,2, or 3 Htn, are you required to
take another BP reading? ✔Correct Answer-Yes, if after the first BP the driver suffers from Htn, you
must take a second BP to confirm the driver blood pressure.
Can a medical examiner use "determination pending" or a shortened certificate to allow a driver to
lower their BP if all else in their exam is WNL and allows for certification? ✔Correct Answer-Yes
If a medical examiner provides a 3 month shortened certificate for the driver to obtain a lower BP,
and the driver comes back to the medical examiner 3 weeks after their DOT physical exam, is the
medical examiner required to perform another DOT physicals? ✔Correct Answer-Yes. There are no
temporary certificates. You must perform a complete exam every time you see the driver unless you
have used 'determination pending".
A driver has a glucose reading of 250 in his UA with no history of diabetes. The rest of his exam is
WNL. Can this driver be certified to drive? ✔Correct Answer-Yes, provide a 1 to 3 month shortened
certificate and refer for an evaluation by the drivers PCP to determine if the driver has a DM.
A driver has a glucose of 1000 in his UA with a history of DM. The rest of his exam is WNL. Can this
driver be certified even with a shortened certificate? ✔Correct Answer-No, It is evident that the
driver's DM is not well managed.
The driver provides an A1c of 11.5 Is the drivers DM well manqaged? ✔Correct Answer-No. The
ME will mot likely DQ the driver until the A1c is 10 or less.
Can a driver who has an acute MI be qualified to drive? ✔Correct Answer-Yes, if they satisfy the 2
month waiting period and meet the cardiac qualification criteria.
What is the waiting period following bypass grafting? ✔Correct Answer-3 months
