DOT Exam Questions And Answers.
The following statements are true concerning hearing requirements of commercial drivers EXCEPT: -
(correct answer) -hearing aids may not be worn during testing (they should be worn)
What is the maximum length of time a driver can remain in determination pending status? - (correct
answer) -45 days
A driver has had his second spontaneous pneumothorax on the same side 3 months ago. There has
been no surgical intervention. The FVC is 68%. The correct determination in this cases is: - (correct
answer) -do not certify until this has been surgically corrected
The driver reports a suicide attempt 6 months earlier, following the break-up of his marriage. He noted
seeing a psychiatrist and takes Citalopram daily and reports he feels fine now. He provides a release
from his doctor that he may return to work without restrictions. The medical examiner shoud? -
(correct answer) -disqualify the driver
A driver with an Abdominal Aortic Aneurysm (AAA) can be certified: - (correct answer) -For 1 year if
between 4 and 5 cm, asymptomatic, with a recommendation from a cardiovascular specialist who
understands the functions and demands of commercial driving.
Which is false concerning additional information the driver is to provide for any "yes" responses on the
history section of the form? - (correct answer) -Must list only prescription medications, not vitamins or
supplements.
(required to list supplements)
Upon exam of a 46 y/o smoker, you detect an irregularly irregular heart rhythm. The rate is 140 bpm.
This is unknown to the driver and he denies any symptoms of lightheadedness, SOB, dizziness,
palpitations, or cardiac hx. You would: - (correct answer) -Disqualify and refer to his PMD or
cardiologist for further evaluation.
Which cardiac condition is disqualifying? - (correct answer) -hypertrophic cardiomyopathy
Central vision loss is suggestive of: - (correct answer) -macular degeneration
A driver was discharged from the hospital 10 weeks ago after an MI. He is asymptomatic and has a note
from the cardiologist that he had a satisfactory in ofÏce ETT the week prior to your exam and that he
may drive. His pre-discharge ECHO shows an EF of 45%. Exam is normal. Your determination: - (correct
answer) -Qualified for one year
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, Concerning the medical certificate, which is true? - (correct answer) --You may provide a copy to the
driver's employer
-Retain a copy for at least 3 yrs
-The driver must carry the original certificate during the operation of a CMV
Which of the following is an assessment of the L4 nerve root pathology? - (correct answer) -patellar
reflex
Indicators for referring a driver for pulmonary function testing include: - (correct answer) --hx of COPD
-wheezing
-cigarette smoking in drivers 35 y/o or older
How soon may a driver be certified after coronary artery bypass grafting (CABG) surgery? - (correct
answer) -3 months with clearance by cardiologist, resting echocardiogram with an LVEF >40% after
CABG, and asymptomatic status with no angina.
A driver presents for his DOT physical. He has occasional lower back pain. A lateral pulsation is palpated
~2 inches superior to the umbilicus. Auscultation reveals an obvious bruit. What is the next step? -
(correct answer) -arrange for transport to the ER
48 y/o non-smoker. Supervisor calls stating he recently went off the side of the road and crashed into a
guard rail. He is found asleep in the waiting room and snoring and the MA has to wake him up.
Nodding off during the exam. He admits snoring and gasps in sleep. Denies nodding off while driving.
Exam notable for obesity. Mallampati 4 oropharynx, HTN controlled w/2 meds. Appropriate next steps:
- (correct answer) -Disqualify and refer for sleep study
Physical qualifications for vision regulations include all EXCEPT: - (correct answer) -Field of vision of at
least 85 degrees in the horizontal meridian in each eye.
(must be 70 degrees)
69 y/o driver had a femoral-popliteral bypass 4 months ago with resolution of chronic leg pain due to
claudication. His surgeion clears him for driving. He is on coumadine with INRs consistently in
therapeutic range. The correct determination is: - (correct answer) -meets standards, qualified for 1
year
Drivers must have the following physical abilities: - (correct answer) --grip strength
-upper body strength
-balance and flexibility
Downloaded by harun mburu ()
The following statements are true concerning hearing requirements of commercial drivers EXCEPT: -
(correct answer) -hearing aids may not be worn during testing (they should be worn)
What is the maximum length of time a driver can remain in determination pending status? - (correct
answer) -45 days
A driver has had his second spontaneous pneumothorax on the same side 3 months ago. There has
been no surgical intervention. The FVC is 68%. The correct determination in this cases is: - (correct
answer) -do not certify until this has been surgically corrected
The driver reports a suicide attempt 6 months earlier, following the break-up of his marriage. He noted
seeing a psychiatrist and takes Citalopram daily and reports he feels fine now. He provides a release
from his doctor that he may return to work without restrictions. The medical examiner shoud? -
(correct answer) -disqualify the driver
A driver with an Abdominal Aortic Aneurysm (AAA) can be certified: - (correct answer) -For 1 year if
between 4 and 5 cm, asymptomatic, with a recommendation from a cardiovascular specialist who
understands the functions and demands of commercial driving.
Which is false concerning additional information the driver is to provide for any "yes" responses on the
history section of the form? - (correct answer) -Must list only prescription medications, not vitamins or
supplements.
(required to list supplements)
Upon exam of a 46 y/o smoker, you detect an irregularly irregular heart rhythm. The rate is 140 bpm.
This is unknown to the driver and he denies any symptoms of lightheadedness, SOB, dizziness,
palpitations, or cardiac hx. You would: - (correct answer) -Disqualify and refer to his PMD or
cardiologist for further evaluation.
Which cardiac condition is disqualifying? - (correct answer) -hypertrophic cardiomyopathy
Central vision loss is suggestive of: - (correct answer) -macular degeneration
A driver was discharged from the hospital 10 weeks ago after an MI. He is asymptomatic and has a note
from the cardiologist that he had a satisfactory in ofÏce ETT the week prior to your exam and that he
may drive. His pre-discharge ECHO shows an EF of 45%. Exam is normal. Your determination: - (correct
answer) -Qualified for one year
Downloaded by harun mburu ()
, Concerning the medical certificate, which is true? - (correct answer) --You may provide a copy to the
driver's employer
-Retain a copy for at least 3 yrs
-The driver must carry the original certificate during the operation of a CMV
Which of the following is an assessment of the L4 nerve root pathology? - (correct answer) -patellar
reflex
Indicators for referring a driver for pulmonary function testing include: - (correct answer) --hx of COPD
-wheezing
-cigarette smoking in drivers 35 y/o or older
How soon may a driver be certified after coronary artery bypass grafting (CABG) surgery? - (correct
answer) -3 months with clearance by cardiologist, resting echocardiogram with an LVEF >40% after
CABG, and asymptomatic status with no angina.
A driver presents for his DOT physical. He has occasional lower back pain. A lateral pulsation is palpated
~2 inches superior to the umbilicus. Auscultation reveals an obvious bruit. What is the next step? -
(correct answer) -arrange for transport to the ER
48 y/o non-smoker. Supervisor calls stating he recently went off the side of the road and crashed into a
guard rail. He is found asleep in the waiting room and snoring and the MA has to wake him up.
Nodding off during the exam. He admits snoring and gasps in sleep. Denies nodding off while driving.
Exam notable for obesity. Mallampati 4 oropharynx, HTN controlled w/2 meds. Appropriate next steps:
- (correct answer) -Disqualify and refer for sleep study
Physical qualifications for vision regulations include all EXCEPT: - (correct answer) -Field of vision of at
least 85 degrees in the horizontal meridian in each eye.
(must be 70 degrees)
69 y/o driver had a femoral-popliteral bypass 4 months ago with resolution of chronic leg pain due to
claudication. His surgeion clears him for driving. He is on coumadine with INRs consistently in
therapeutic range. The correct determination is: - (correct answer) -meets standards, qualified for 1
year
Drivers must have the following physical abilities: - (correct answer) --grip strength
-upper body strength
-balance and flexibility
Downloaded by harun mburu ()
