DOT QUESTIONS AND ANSWERS SET A+
✔✔During the ear and hearing portion of the examination, the medical examiner must
always:
a. Use the whisper test to test hearing.
b. Complete testing for both ears even if one passed.
c. Use a pure tone audiometer.
d. Use OSI hearing values. - ✔✔Correct answer is "B". If one ear passes while
performing the whisper test or an audiometric test, the ME must complete that test on
both ears.
✔✔Functional evaluation of hand function in a CMV driver is based upon:
a. Grip and hand strength.
b. Prehension and power grasping.
c. Power grasping and finger strength.
d. Hand grip and power grasping. - ✔✔Correct answer is "B". Evaluation of hand
function is based on prehension and power grasping.
✔✔A driver cannot be considered for an SPE if:
a. The deficit is fixed.
b. The deficit is of an extremity.
c. The deficit is of the torso.
d. The deficit resulted from illicit drug or alcohol use. - ✔✔Correct answer is "C". Drivers
with deficits that affect the torso or spine cannot be consider for an SPE, unless they
result in a permanent disability of an extremity
✔✔Which of the following antidepressants is usually disqualifying?
a. Elavil (Amitriptyline).
b. Wellbutrin.
c. Effexor.
d. Zoloft. - ✔✔Correct answer is "A". First generation antidepressants have consistently
been shown to interfere with safe driving.
, ✔✔A driver is missing all digits of his right foot. He demonstrates good plantar and
dorsiflexion. The next step is:
a. Obtain a copy of the drivers driving record to determine if he has safely operated a
CMV.
b. Counsel the driver regarding a Skill Performance Evaluation (SPE).
c. Refer the driver to a physiatrist for additional testing and evaluation.
d. Certify for a period of 2 years. - ✔✔Correct answer is "D". If the driver can
demonstrate sufficient power and movement even though all digits are missing on the
foot, they can be certified to drive without a SPE. When less than full function is lost in
the hand or foot, it is up to the medical examiner to determine if the driver can be
qualified to drive or should have an SPE. In this case, the driver appears to have
sufficient ability to drive.
✔✔Who gets the original copy of the exam report form that is used during medical
exam?
a. The Driver.
b. The Motor Carrier.
c. The Medical Examiner.
d. It doesn't matter. - ✔✔Correct answer is "C". The original copy of the Medical
Examination Report form, which is the copy used during the examination, is kept by the
medical examiner. This can be either a paper or electronic copy.
✔✔A driver currently does not meet the visual acuity requirement but states that he is
going to have lasik surgery in the next month. What is the next best step?
a. Complete the physical exam and disqualify the driver.
b. Complete the physical exam and qualify the driver for one year.
c. Discontinue the physical exam and tell the driver to return after Lasik surgery.
d. Complete the physical exam and qualify the driver for one month with instructions to
return after Lasik surgery. - ✔✔Correct answer is "A". The correct answer is to complete
the physical exam and disqualify the driver because the vision standard is a non-
discretionary standard. The driver can return after the procedure for another certification
exam.
✔✔Which of the following findings on examination of a driver's leg may warrant further
investigation (ie. past medical records or further testing)? a. Varicosities. b.
Acrochordons. c. Hemangioma. d. Nevus. - ✔✔a. Varicosities.
✔✔A driver with known history of essential hypertension presents for certification three
months after having sustained an ischemic stroke. When evaluating this driver, the
examiner must consider that:
a. After undergoing a stroke, the greatest period of recurrence of a stroke occurs within
the first 12 months.
b. If the driver has fully recovered, the driver is stable to be certified to drive a
Commercial Motor Vehicle if the blood pressure is normal.
✔✔During the ear and hearing portion of the examination, the medical examiner must
always:
a. Use the whisper test to test hearing.
b. Complete testing for both ears even if one passed.
c. Use a pure tone audiometer.
d. Use OSI hearing values. - ✔✔Correct answer is "B". If one ear passes while
performing the whisper test or an audiometric test, the ME must complete that test on
both ears.
✔✔Functional evaluation of hand function in a CMV driver is based upon:
a. Grip and hand strength.
b. Prehension and power grasping.
c. Power grasping and finger strength.
d. Hand grip and power grasping. - ✔✔Correct answer is "B". Evaluation of hand
function is based on prehension and power grasping.
✔✔A driver cannot be considered for an SPE if:
a. The deficit is fixed.
b. The deficit is of an extremity.
c. The deficit is of the torso.
d. The deficit resulted from illicit drug or alcohol use. - ✔✔Correct answer is "C". Drivers
with deficits that affect the torso or spine cannot be consider for an SPE, unless they
result in a permanent disability of an extremity
✔✔Which of the following antidepressants is usually disqualifying?
a. Elavil (Amitriptyline).
b. Wellbutrin.
c. Effexor.
d. Zoloft. - ✔✔Correct answer is "A". First generation antidepressants have consistently
been shown to interfere with safe driving.
, ✔✔A driver is missing all digits of his right foot. He demonstrates good plantar and
dorsiflexion. The next step is:
a. Obtain a copy of the drivers driving record to determine if he has safely operated a
CMV.
b. Counsel the driver regarding a Skill Performance Evaluation (SPE).
c. Refer the driver to a physiatrist for additional testing and evaluation.
d. Certify for a period of 2 years. - ✔✔Correct answer is "D". If the driver can
demonstrate sufficient power and movement even though all digits are missing on the
foot, they can be certified to drive without a SPE. When less than full function is lost in
the hand or foot, it is up to the medical examiner to determine if the driver can be
qualified to drive or should have an SPE. In this case, the driver appears to have
sufficient ability to drive.
✔✔Who gets the original copy of the exam report form that is used during medical
exam?
a. The Driver.
b. The Motor Carrier.
c. The Medical Examiner.
d. It doesn't matter. - ✔✔Correct answer is "C". The original copy of the Medical
Examination Report form, which is the copy used during the examination, is kept by the
medical examiner. This can be either a paper or electronic copy.
✔✔A driver currently does not meet the visual acuity requirement but states that he is
going to have lasik surgery in the next month. What is the next best step?
a. Complete the physical exam and disqualify the driver.
b. Complete the physical exam and qualify the driver for one year.
c. Discontinue the physical exam and tell the driver to return after Lasik surgery.
d. Complete the physical exam and qualify the driver for one month with instructions to
return after Lasik surgery. - ✔✔Correct answer is "A". The correct answer is to complete
the physical exam and disqualify the driver because the vision standard is a non-
discretionary standard. The driver can return after the procedure for another certification
exam.
✔✔Which of the following findings on examination of a driver's leg may warrant further
investigation (ie. past medical records or further testing)? a. Varicosities. b.
Acrochordons. c. Hemangioma. d. Nevus. - ✔✔a. Varicosities.
✔✔A driver with known history of essential hypertension presents for certification three
months after having sustained an ischemic stroke. When evaluating this driver, the
examiner must consider that:
a. After undergoing a stroke, the greatest period of recurrence of a stroke occurs within
the first 12 months.
b. If the driver has fully recovered, the driver is stable to be certified to drive a
Commercial Motor Vehicle if the blood pressure is normal.
