DOT EXAM QUESTIONS WITH
COMPLETE SOLUTIONS49
Who can perform eye exams? - ANSWERS-You, optometrist, or an ophthalmologist, (and
medical assistant w snellen)
What eye conditions should you be concerned for? - ANSWERS-Retinopathy, cataracts, aphakia,
glaucoma, and macular degeneration.
What exams need to be done w each driver - ANSWERS-Vision, Hearing, BP/Pulse, UA
Give examples of "Yes" answers for hearing and ears on the health history that may require
further examination before a medical examiner can make a CMV driver certification decision -
ANSWERS-Ear disorders. Loss of hearing. Loss of balance.
Does this driver meet hearing standards for interstate CMV driver certification?
Whisper test results | Rt. Ear: 4 Feet | Lt. Ear: 4 Feet - ANSWERS-No, the minimum whisper test
passing distance is equal to or greater than five feet in the better ear. The driver must be given
an audiometric hearing test
Does this driver meet hearing standards for interstate CMV driver certification?
Audiometric test results [Hearing loss in decibels (dB) 500 Hz, 1,000 Hz, 2,000 Hz]
Rt. Ear: 30, 45, 40 | Lt. Ear: 45, 45, 35 | - ANSWERS-Yes, the average hearing loss in the right ear
is less than 40 dB. <40 NOT PASSING however needs to PASS ONE EAR AND STILL QUALIFIED
what would the examiner have done if the whisper test results had been:
,Rt. Ear: 4 Feet Lt. Ear: 3 Feet? Why? - ANSWERS-audiometry. By regulation, a driver need only
pass one test with
one ear to meet the hearing standard
What problems with the test environment exist with the forced whisper tests that do not exist
with audiometric tests? - ANSWERS-estimating instead of measuring the distances, performing
the test in a room with poor acoustics or subject to outside
noise or other distrac.ons
Can the driver have hearing loss <40 in one ear and still qualify? - ANSWERS-To meet
certification standards, the driver only needs to pass one
test in one ear
Can an interstate CMV driver who has had an acute myocardial infarction (AMI) be qualified to
drive? - ANSWERS-Yes, provided the AMI was at least two months prior to the date of the CMV
driver physical examination, the driver meets all the other recommended cardiac qualification
criteria, and the
driver meets all meets all the other standards for interstate CMV drivers.
The driver provides the medical examiner with a copy of records, including a cardiologist's
report indicated a diagnosis of congestive heart failure and that the driver's ejection fraction is
38%. Can the driver be certified? - ANSWERS-no needs EF >40%
What criteria must be met in order for the FMCSA medical examiner to qualify a driver with a
known diagnosis of congestive heart failure (CHF)? - ANSWERS-The driver must Be
asymptomatic, have no ventricular arrhythmia s, have a left ventricular ejection fraction (LVEF)
greater than 40%, be under the care of a cardiologist
,Qualifed? Driver with percutaneous coronary intervention (PCI) nine months ago; he or she has
not followed up with cardiologist and has not had exercise tolerance test (ETT) since procedure.
- ANSWERS-Medically disqualified. According to current CVD recommendations, the driver who
had PCI should have cardiology follow-up to include ETT three to six month's post-PCI
Qualified? Coronary artery bypass graft (CABG) surgery four months ago; echo at three months
showed LVEF 55%; driver was cleared by cardiologist and has no chest pain. - ANSWERS-
Medically qualified: According to current CVD recommendations, the driver who had CABG
surgery may be qualified at 3 months post-procedure if asymptomatic, LVEF greater than 40%
Qualifed? . Driver with CHF having dyspnea at rest - ANSWERS-Medically disqualified. According
to current CVD recommendations, a driver with CHF with symptoms is not medically fit for duty
Qualifed? Driver has recently had increasing angina which lasted 20 minutes after tapering a
load; he or she is unresponsive to nitroglycerin - ANSWERS-Medically disqualified. According to
current CVD recommendations, a driver with unstable angina is not medically fit for duty
A driver has an abdominal aortic aneurysm. The medical examiner obtains a copy of an
abdominal sonogram indicating that the aneurysm is 5.3 cm in diameter. According to current
CVD recommendations, should the medical examiner certify this individual? - ANSWERS-No. For
a driver to be certified, the abdominal aortic aneurysm should be less than 5 cm in
diameter
Before the examination begins, the driver gives the examiner a letter from his cardiovascular
surgeon, indicating that he had surgical repair of a 9 cm abdominal aortic aneurysm four
months
previously, and the driver is now cleared to resume all activities. According to current CVD
recommendations, can the examiner certify this drive - ANSWERS-Yes. For up to one year.
According to current CVD recommendations, a driver with a successfully
repaired abdominal aortic aneurysm can return to driving three months postoperatively, if their
surgeons clears them to do so, but they must be rechecked every year
, What signs and symptoms should medical examiners look for in drivers with a diagnosis of
congestive heart failure? Discuss how these symptoms affect the ability of the driver to safely
operate a CMV? - ANSWERS-Fatigue, swelling in the legs, ankles, or other parts of the body, and
shortness of breath, particularly if at rest (dyspnea)
What is needed at visit s/p CABG to qualifiy - ANSWERS-It's been >3 months since surgery, note
from cardiologist, note that tolerating meds fine, pt has no symptoms, followed up w ECHO
showing >40 EF%
When is ETT recommended yearly after CABG? - ANSWERS-After 5 years will need ETT annually
d/t increased risk of stent closure
Using current FMCSA guidelines, what is the maximum certification period for an interstate
CMV driver with Stage 1 hypertension - ANSWERS-1 year
. Using current FMCSA guidelines, what is the proper determination for an interstate CMV
driver, with a diagnosis of hypertension, who presents with a confirmed blood pressure of
182/112? - ANSWERS-Disqualifed
Using current FMCSA guidelines, what is the maximum period of certification for a driver
disqualified for Stage 3 hypertension, but who has, at the certification examination, a blood
pressure less than 140/90? - ANSWERS-Six month certification if the driver also tolerates
medication with no side effects that interfere
with driving ability.
A CMV driver with a diagnosis of hypertension presents with a BLOOD PRESSURE of 182/112.
This is Stage ____. - ANSWERS-stage 3
COMPLETE SOLUTIONS49
Who can perform eye exams? - ANSWERS-You, optometrist, or an ophthalmologist, (and
medical assistant w snellen)
What eye conditions should you be concerned for? - ANSWERS-Retinopathy, cataracts, aphakia,
glaucoma, and macular degeneration.
What exams need to be done w each driver - ANSWERS-Vision, Hearing, BP/Pulse, UA
Give examples of "Yes" answers for hearing and ears on the health history that may require
further examination before a medical examiner can make a CMV driver certification decision -
ANSWERS-Ear disorders. Loss of hearing. Loss of balance.
Does this driver meet hearing standards for interstate CMV driver certification?
Whisper test results | Rt. Ear: 4 Feet | Lt. Ear: 4 Feet - ANSWERS-No, the minimum whisper test
passing distance is equal to or greater than five feet in the better ear. The driver must be given
an audiometric hearing test
Does this driver meet hearing standards for interstate CMV driver certification?
Audiometric test results [Hearing loss in decibels (dB) 500 Hz, 1,000 Hz, 2,000 Hz]
Rt. Ear: 30, 45, 40 | Lt. Ear: 45, 45, 35 | - ANSWERS-Yes, the average hearing loss in the right ear
is less than 40 dB. <40 NOT PASSING however needs to PASS ONE EAR AND STILL QUALIFIED
what would the examiner have done if the whisper test results had been:
,Rt. Ear: 4 Feet Lt. Ear: 3 Feet? Why? - ANSWERS-audiometry. By regulation, a driver need only
pass one test with
one ear to meet the hearing standard
What problems with the test environment exist with the forced whisper tests that do not exist
with audiometric tests? - ANSWERS-estimating instead of measuring the distances, performing
the test in a room with poor acoustics or subject to outside
noise or other distrac.ons
Can the driver have hearing loss <40 in one ear and still qualify? - ANSWERS-To meet
certification standards, the driver only needs to pass one
test in one ear
Can an interstate CMV driver who has had an acute myocardial infarction (AMI) be qualified to
drive? - ANSWERS-Yes, provided the AMI was at least two months prior to the date of the CMV
driver physical examination, the driver meets all the other recommended cardiac qualification
criteria, and the
driver meets all meets all the other standards for interstate CMV drivers.
The driver provides the medical examiner with a copy of records, including a cardiologist's
report indicated a diagnosis of congestive heart failure and that the driver's ejection fraction is
38%. Can the driver be certified? - ANSWERS-no needs EF >40%
What criteria must be met in order for the FMCSA medical examiner to qualify a driver with a
known diagnosis of congestive heart failure (CHF)? - ANSWERS-The driver must Be
asymptomatic, have no ventricular arrhythmia s, have a left ventricular ejection fraction (LVEF)
greater than 40%, be under the care of a cardiologist
,Qualifed? Driver with percutaneous coronary intervention (PCI) nine months ago; he or she has
not followed up with cardiologist and has not had exercise tolerance test (ETT) since procedure.
- ANSWERS-Medically disqualified. According to current CVD recommendations, the driver who
had PCI should have cardiology follow-up to include ETT three to six month's post-PCI
Qualified? Coronary artery bypass graft (CABG) surgery four months ago; echo at three months
showed LVEF 55%; driver was cleared by cardiologist and has no chest pain. - ANSWERS-
Medically qualified: According to current CVD recommendations, the driver who had CABG
surgery may be qualified at 3 months post-procedure if asymptomatic, LVEF greater than 40%
Qualifed? . Driver with CHF having dyspnea at rest - ANSWERS-Medically disqualified. According
to current CVD recommendations, a driver with CHF with symptoms is not medically fit for duty
Qualifed? Driver has recently had increasing angina which lasted 20 minutes after tapering a
load; he or she is unresponsive to nitroglycerin - ANSWERS-Medically disqualified. According to
current CVD recommendations, a driver with unstable angina is not medically fit for duty
A driver has an abdominal aortic aneurysm. The medical examiner obtains a copy of an
abdominal sonogram indicating that the aneurysm is 5.3 cm in diameter. According to current
CVD recommendations, should the medical examiner certify this individual? - ANSWERS-No. For
a driver to be certified, the abdominal aortic aneurysm should be less than 5 cm in
diameter
Before the examination begins, the driver gives the examiner a letter from his cardiovascular
surgeon, indicating that he had surgical repair of a 9 cm abdominal aortic aneurysm four
months
previously, and the driver is now cleared to resume all activities. According to current CVD
recommendations, can the examiner certify this drive - ANSWERS-Yes. For up to one year.
According to current CVD recommendations, a driver with a successfully
repaired abdominal aortic aneurysm can return to driving three months postoperatively, if their
surgeons clears them to do so, but they must be rechecked every year
, What signs and symptoms should medical examiners look for in drivers with a diagnosis of
congestive heart failure? Discuss how these symptoms affect the ability of the driver to safely
operate a CMV? - ANSWERS-Fatigue, swelling in the legs, ankles, or other parts of the body, and
shortness of breath, particularly if at rest (dyspnea)
What is needed at visit s/p CABG to qualifiy - ANSWERS-It's been >3 months since surgery, note
from cardiologist, note that tolerating meds fine, pt has no symptoms, followed up w ECHO
showing >40 EF%
When is ETT recommended yearly after CABG? - ANSWERS-After 5 years will need ETT annually
d/t increased risk of stent closure
Using current FMCSA guidelines, what is the maximum certification period for an interstate
CMV driver with Stage 1 hypertension - ANSWERS-1 year
. Using current FMCSA guidelines, what is the proper determination for an interstate CMV
driver, with a diagnosis of hypertension, who presents with a confirmed blood pressure of
182/112? - ANSWERS-Disqualifed
Using current FMCSA guidelines, what is the maximum period of certification for a driver
disqualified for Stage 3 hypertension, but who has, at the certification examination, a blood
pressure less than 140/90? - ANSWERS-Six month certification if the driver also tolerates
medication with no side effects that interfere
with driving ability.
A CMV driver with a diagnosis of hypertension presents with a BLOOD PRESSURE of 182/112.
This is Stage ____. - ANSWERS-stage 3
