Page 1 of 69
“FMCSA DOT MEDICAL EXAMINER
EXAM”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
FMCSA DOT Medical Examiner Exam
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?
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?
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?
Review the medical history and ask the driver if any recent illness or injury
, Page 2 of 69
Arnold is a 54-year-old male CMV driver presenting for recertification. He has a
history of frequent ear infections in childhood with multiple tympanic
membrane ruptures and infections in elementary and middle school. In
addition, he reports always being "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. You notice post-nasal
drainage, but the rest of the exam is unremarkable. What is the certification
decision for Arnold?
He met certification standards - certify for two years
A 34-year-old driver presents for renewal CDL examination. The driver wears
corrective lenses, has a vision restriction on his state driver's license, and
reports no vision changes. He meets all exam criteria for a 2-year certification.
The driver states he is scheduled for Lasik surgery next week and does not
want a restriction on this certification card for the next two years. The driver
asks you to issue a limited license and return after surgery to re-test.
According to the vision regulation, what action must the medical examiner
take now?
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?
Horizontal visual fields
A CMV applicant who is color blind may qualify for both interstate and
intrastate commercial driving if the examining medical examiner determines
they can distinguish which of the following color ranges?
Red, green, and amber - DOT standardized traffic signal colors.
During a CDL driver's physical examination, the medical examiner palpates a
firm, raised area over the left anterior pectoralis muscle with a well-healed
scar. The driver has not reported any cardiac or surgical history on the
medical examination form. What is the appropriate action for the examiner to
take?
Determination pending while pertinent medical records are obtained.
Medical examiners can use the "determination pending" status for drivers who
present with a medical condition that requires additional information before
, Page 3 of 69
making a final certification decision. The status of determination pending can
be assigned for a maximum of:
45 days
The driver admits he had a pacemaker inserted one year after his last exam,
but he forgot about it and has never had any issues. He plans to take a new
assignment driving cross-country later this week and asks if he can still drive.
How should the ME reply to this driver?
Yes, if the driver's MEC is still valid, they can continue driving during the 45-day
determination pending.
The medical examiner is reviewing a CDL driver's completed and signed health
history. The driver listed his currently prescribed medication as clonidine 0.2
mg twice daily, and he has been on this medication for six months. If present,
which of the following is a common side effect of this medication that may
impair driving ability?
Fatigue
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?
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. However,
during the physical examination, she has an elevated blood pressure of
148/96. It is measured again after the examination and recorded at 146/96.
According to FMCSA guidelines on hypertension, the examiner should:
Issue a one-year certificate.
According to regulation 49.CFR 391.49, what is the CDL certification period if
the driver has an SPE certificate and is found to be qualified by the
examination for a CDL?
Up to two years.
During the CDL exam, a driver complains of having severe pain in his finger
for the last two weeks following a puncture wound. The examination reveals an
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apparent closed and non-draining wound infection of the right 4th DIP pad of
the finger. In addition, the driver states that it is painful to grip the steering
wheel. Which of the following should the medical examiner do?
Assess the driver's grip strength.
The medical assistant screened a 46-year-old female driver awaiting a physical
examination. The urine dipstick revealed 2+ blood. What is the next
appropriate step for the medical examiner?
Review the medical history and inquire about the menstrual cycle.
A CDL driver has recently completed a substance abuse program. As a result,
his employer has sent him for an updated medical examiner's certificate. To
certify this driver, the medical examiner will require:
No additional documentation is required
Is urine drug testing for controlled substances part of the requirement of the
CMV driver physical exam?
No, this is done separately by the employer and
The medical examiner must consider the essential job functions of the
commercial driver as:
The same degree of work effort and intensity for all drivers, no exceptions.
Which of the following medical conditions is regulation and non-discretionary
for the medical examiner per FMCSA standards for driver qualification
determination:
Hearing loss > 40 dB on average for 500, 1000, and 2000 Hz in both ears.
A 22-year-old driver presents for examination with a history (last month) of
spontaneous pneumothorax. Current history and physical examination show
no respiratory deficit and no shortness of breath on the exam. The records
provided by the driver indicate that the pneumothorax reduced the driver's
forced vital capacity (FVC) to 58% of the predicted FVC. Can this driver be
certified?
Do not certify until his recovery is complete with chest x-rays and underlying lung
disease is not disqualifying
If spontaneous pneumothorax is the result of an existing lung disease (e.g.,
emphysema), then the underlying lung disease will determine the likelihood of a
recurrent pneumothorax and the certification outcome. Chest X-rays performed by
the treating provider (especially views in deep inspiration and full expiration) should
“FMCSA DOT MEDICAL EXAMINER
EXAM”LATEST EXAM SOLVED QUESTIONS &
ANSWERS VERIFIED 100% GRADED A+ (LATEST
VERSION) WELL REVISED 100% GUARANTEE
PASS
FMCSA DOT Medical Examiner Exam
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?
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?
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?
Review the medical history and ask the driver if any recent illness or injury
, Page 2 of 69
Arnold is a 54-year-old male CMV driver presenting for recertification. He has a
history of frequent ear infections in childhood with multiple tympanic
membrane ruptures and infections in elementary and middle school. In
addition, he reports always being "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. You notice post-nasal
drainage, but the rest of the exam is unremarkable. What is the certification
decision for Arnold?
He met certification standards - certify for two years
A 34-year-old driver presents for renewal CDL examination. The driver wears
corrective lenses, has a vision restriction on his state driver's license, and
reports no vision changes. He meets all exam criteria for a 2-year certification.
The driver states he is scheduled for Lasik surgery next week and does not
want a restriction on this certification card for the next two years. The driver
asks you to issue a limited license and return after surgery to re-test.
According to the vision regulation, what action must the medical examiner
take now?
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?
Horizontal visual fields
A CMV applicant who is color blind may qualify for both interstate and
intrastate commercial driving if the examining medical examiner determines
they can distinguish which of the following color ranges?
Red, green, and amber - DOT standardized traffic signal colors.
During a CDL driver's physical examination, the medical examiner palpates a
firm, raised area over the left anterior pectoralis muscle with a well-healed
scar. The driver has not reported any cardiac or surgical history on the
medical examination form. What is the appropriate action for the examiner to
take?
Determination pending while pertinent medical records are obtained.
Medical examiners can use the "determination pending" status for drivers who
present with a medical condition that requires additional information before
, Page 3 of 69
making a final certification decision. The status of determination pending can
be assigned for a maximum of:
45 days
The driver admits he had a pacemaker inserted one year after his last exam,
but he forgot about it and has never had any issues. He plans to take a new
assignment driving cross-country later this week and asks if he can still drive.
How should the ME reply to this driver?
Yes, if the driver's MEC is still valid, they can continue driving during the 45-day
determination pending.
The medical examiner is reviewing a CDL driver's completed and signed health
history. The driver listed his currently prescribed medication as clonidine 0.2
mg twice daily, and he has been on this medication for six months. If present,
which of the following is a common side effect of this medication that may
impair driving ability?
Fatigue
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?
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. However,
during the physical examination, she has an elevated blood pressure of
148/96. It is measured again after the examination and recorded at 146/96.
According to FMCSA guidelines on hypertension, the examiner should:
Issue a one-year certificate.
According to regulation 49.CFR 391.49, what is the CDL certification period if
the driver has an SPE certificate and is found to be qualified by the
examination for a CDL?
Up to two years.
During the CDL exam, a driver complains of having severe pain in his finger
for the last two weeks following a puncture wound. The examination reveals an
, Page 4 of 69
apparent closed and non-draining wound infection of the right 4th DIP pad of
the finger. In addition, the driver states that it is painful to grip the steering
wheel. Which of the following should the medical examiner do?
Assess the driver's grip strength.
The medical assistant screened a 46-year-old female driver awaiting a physical
examination. The urine dipstick revealed 2+ blood. What is the next
appropriate step for the medical examiner?
Review the medical history and inquire about the menstrual cycle.
A CDL driver has recently completed a substance abuse program. As a result,
his employer has sent him for an updated medical examiner's certificate. To
certify this driver, the medical examiner will require:
No additional documentation is required
Is urine drug testing for controlled substances part of the requirement of the
CMV driver physical exam?
No, this is done separately by the employer and
The medical examiner must consider the essential job functions of the
commercial driver as:
The same degree of work effort and intensity for all drivers, no exceptions.
Which of the following medical conditions is regulation and non-discretionary
for the medical examiner per FMCSA standards for driver qualification
determination:
Hearing loss > 40 dB on average for 500, 1000, and 2000 Hz in both ears.
A 22-year-old driver presents for examination with a history (last month) of
spontaneous pneumothorax. Current history and physical examination show
no respiratory deficit and no shortness of breath on the exam. The records
provided by the driver indicate that the pneumothorax reduced the driver's
forced vital capacity (FVC) to 58% of the predicted FVC. Can this driver be
certified?
Do not certify until his recovery is complete with chest x-rays and underlying lung
disease is not disqualifying
If spontaneous pneumothorax is the result of an existing lung disease (e.g.,
emphysema), then the underlying lung disease will determine the likelihood of a
recurrent pneumothorax and the certification outcome. Chest X-rays performed by
the treating provider (especially views in deep inspiration and full expiration) should
