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1. How often is a driver with stage 3 hypertension recertified?
a. Every 3 months.
b. Every 6 months.
c. Every 12 months.
d. Every 2 years. - Correct Answer: b. Every 6 months.
2. A driver with a history of stage 3 hypertension may be certified for a
maximum of 6 months.
3. What minimum PaO2 level is necessary if the driver has an ABG due to a
chronic respiratory disorder?
a. 70 mm Hg
b. 55 mm Hg
c. 60 mm Hg
d. 65 mmHg - Correct Answer: Correct answer is "D". To be
qualified, the driver should meet a minimum arterial blood gas
(PaO2) greater than 65.
4. A driver reports for an examination 6 weeks after suffering a mild heart
attack and presents a note from his cardiologist stating that he is able to
return to work immediately without restriction. Included within the note,
, the cardiologist provides recent testing information showing that the driver
had an ETT that showed he was able to reach 12 METS during the test. His
echocardiogram showed an ejection fraction of 65%. The examination of
the driver is unremarkable. The examiner should:
a. Disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from
angina. - Correct Answer: Correct answer is "A". The driver has
not completed the required 2-month waiting period, but all other
requirements for medical clearance and required testing have been
met. The driver would be certified for 1 year at the completion of the
waiting period. The date of the certification would be from the date
of the original examination.
5. A driver provides an audiometric test documenting the following:
500 Hz: 35 Right ear; 40 Left ear
1000 HZ: 40 Right ear; 45 Leftear
2000 HZ: 40 Right ear; 45 Leftear
4000 Hz: 50 Right ear; 50 Left ear
The medical examinershould:
a. Disqualify the driver because he does not meet minimum hearing
requirementsto drive.
b. Certify the driver for 2years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption. - Correct
Answer: Correct answer is "B". The examiner would average the
results from 500 Hz, 1000 Hz and 2000 Hz. This average is 38.33 in
the Right and 43.33 in the Left ear. A driver must have an average
, hearing loss of less than or equal to 40 in the better ear. This does not
have to be met in both ears.
6. During the examination of a commercial driver, the examiner notices that
the driver's peripheral vision is 70 degrees to the left and 80 degrees to the
right. The examiner should:
a. Qualify the driver for 2years.
b. Require the driver to obtain a vision exemption because of the
limitation in the driver's left peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the
driver's peripheral vision meets minimum standards. - Correct
Answer: Correct answer is "A". A driver must exhibit a minimum
peripheral vision of 70 degrees bilaterally.
7. During examination, the medical examiner notices that the driver is distant,
lacks eye contact and shows absolutely no emotional response during the
exam. The examiner's best response should be:
a. Provide the driver with a "CAGE" questionnaire to determine if he
suffers from alcoholism.
b. Disqualify the driver and refer him to a mental health professional
prior to consideration for certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if
there is any effect on the driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has
any limitations with driving. - Correct Answer: Correct answer is
"B". The driver exhibits what may be considered a "flat affect" which
is seen in schizophrenia and in severe depression. The driver should
be evaluated by a mental health expert to make a diagnosis prior to
certification.
, 8. A driver admits to the use of marijuana for the treatment of his glaucoma,
which is legal in the State in which he lives. He provides medical
documentation for the glaucoma indicating he is able to drive a truck. He
began using the marijuana about three months ago. His current medical
card has no limitations listed and is for 2 years. His certification examination
is within normal limits. The medical examiner should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the
testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer: Correct answer is
"A". Use of marijuana is prohibited by Federal law while driving a
CMV and trumps State law in this matter.
9. A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
d. Stage 3Hypertension. - Correct Answer: Correct answer is "B".
This is Stage 1 Hypertension, which is defined as 140-159/90 - 99.
10.A driver is taking Celexa for the treatment of what he calls a "mild
depression." He reports he has not considered or attempted suicide. The
examiner should?
a. Certify only after obtaining written clearance for the depression and
the medication from the treating provider.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.