ANSWERS
Who can the DOT exam be administered to? - ANS Anyone who requests the exam,
regardless of age
Who is responsible for ensuring the driver meets the minimum age requirement of 21 years
old? - ANS Motor carrier
When should a BP be confirmed with a second measurement during the exam? - ANS Any BP
140/90 or greater
What BP readings may be used for certification decisions? - ANS Only BP readings taken
during the DOT physical exam
What is stage 1 hypertension? - ANS 140-159/90-99
What is stage 2 hypertension? - ANS 160-179/100-109
What is stage 3 hypertension? - ANS Greater than 180/110
In what two scenarios would a one-time three month certificate be granted? - ANS 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
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,How can a driver pass the forced whisper test? - ANS Perceive the forced whisper in ONE ear
at a distance of 5 feet or more
How can a driver pass the audiometric test? - ANS 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? - ANS When the driver fails the
initial hearing test
How can a driver's hearing be tested for certification? - ANS By administering either the
forced whisper or audiometric test
When should medical examiner need to complete an online MCSA-5850 form? - ANS 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? - ANS 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? - ANS 3 years
Can work restrictions be given as part of certification? - ANS No
What should be done when a driver returns after being given a 3 month certificate that is
nearing expiration? - ANS Perform an entirely new DOT exam
Medical examiners are not required to issue certificates to: - ANS Canadian or Mexican CDL
holders
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, Who is responsible for determining when a driver's new medical condition or injury warrants a
new certification exam? - ANS The motor carrier
Eye examination includes assessing which four things? - ANS 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? - ANS Vision
What is monocular vision? - ANS When the visual acuity requirements are met in only one
eye
What is monovision? - ANS When one eye is corrected for distance and the other eye is
corrected for near vision
Are monovision or monocular visions disqualifying? - ANS No
Can a driver with one prosthetic eye be certified? - ANS Yes - As long as they pass the visual
exam with their other eye
How can a driver with monocular vision obtained a passing certificate? - ANS 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? - ANS Cannot certify until cleared by ophthalmology
and the form is completed
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