DOT TEST EVALUATION QUESTIONS AND
ANSWERS SET A+
✔✔A driver presents with a hernia. Can the driver be certified?
a. No, the driver cannot be certified.
b. Yes, after a one-year waiting period.
c. Yes, if the hernia does not cause discomfort or interfere with driving.
d. Yes, after a thirty-day waiting period. - ✔✔Correct answer is "C". In general, a hernia
should not interfere with a driver's ability to operate a commercial vehicle. In some
cases, additional tests may be required, but generally speaking, a driver with a hernia
can be certified as long as the hernia does not cause discomfort or interfere with the
driver's ability to operate a motor vehicle.
✔✔What ancillary information documentation is/are required to be included in
themedical examination of a driver who has an implantable cardiac defibrillator(ICD)? a.
Echocardiogram and ETT. b. A cardiologist clearance report. c. Cardiovascular
specialist report. d. None of the above. - ✔✔Correct answer is "D". This is the correct
answer because according to FMCSA guidelines, persons with ICDs are not to be
qualified as interstate CMV drivers. These persons are at high risk of sudden death or
incapacitation and thus, they pose a risk to public safety.
✔✔. A 37-year-male CMV driver presents for examination. He has the fourth finger
missing from his right hand. He provides a medical report confirming a strong right-hand
grasp. Does this person require a Skill Performance Evaluation (SPE) Certificate by
FMCSA to complete the qualifying procedure under CFR 391.41, and why?
a. No, as long as there is a medical report confirming no interference with hand grasp
power a SPE certificate is not required for impairment / loss of afinger. b. Yes, a medical
report confirming strong right-hand grasp does not exempt from a SPE certificate.
c. Yes, an impaired or missing finger requires a SPE certificate regardless of whether it
affects hand grasp power or not.
d. No, this person is medically not qualified to be a CMV driver. - ✔✔Correct answer is
"A". This is the correct answer because according to CFR 391.41, persons with an
impairment of a hand or finger that does not interfere with prehension and grasping
,power may be qualified. In this case, the presence of a medical report confirming the
prehension power is valid evidence for the medical examiner and does not prompt for a
SPE certificate.
✔✔A driver presents for a DOT exam, having been evaluated by an optometrist for
monocular vision. As the medical examiner, you can accept the completed the Vision
Evaluation Report, Form MCSA-5871, as long as it was completed and dated within the
last:
a. 30 days.
b. 45 days.
c. 90 days.
d. 1 year - ✔✔b. 45 days.
✔✔In the event that a driver is disqualified, it is the responsibility of the medical
examiner to do which of the following?
a. Provide the driver with a rationale for disqualification.
b. Provide instructions on how the driver may be qualified.
c. Both A and B.
d. Neither A nor B. - ✔✔Correct answer is "C". There are multiple reasons that a driver
can be disqualified. In the event that a driver is disqualified, a medical examiner is
required to provide both a rationale for disqualification and instructions on how the
driver may become qualified
✔✔A driver who is being treated for ADHD with a central nervous system stimulant may
be certified following:
a. A six-month waiting period.
b. There is no waiting period.
c. A one-year waiting period.
d. None of the above - ✔✔Correct answer is "B". Provided the medication has been
proven to be safe and effective with no side-effects for the driver, a driver who takes a
central nervous system stimulant may be certified without a waiting period.
✔✔In the event that a dipstick urinalysis of a driver has positive results, which of the
following should happen?
a. The driver should not be certified.
b. The driver should have a second examination in two months.
c. There should be additional evaluation. d. None of the above - ✔✔Correct answer is
"C". Dipstick urinalysis tests for specific gravity and measures blood, protein, and
glucose in the urine. Should any of the tests have positive results, additional evaluation
may be required.
✔✔Xanthosis refers to:
a. Yellowish discoloration of the skin.
b. Hyperemic conjunctivae.
c. Excessively long digits.
, d. Hyperlipdemia. - ✔✔Xanthosis is a yellowish discoloration of degenerating
akin/tissues.
✔✔. A 50-year-old male CMV driver has chronic kidney failure for which is undergoes
hemodialysis three times each week. His treating physician provided him with a medical
report indicating that he can work normally except on the days he is undergoing dialysis.
He is also suffering from hypertension. This CMV driver would be:
a. Qualified normally for 2 years.
b. Disqualified.
c. Qualified for 1 year.
d. Qualified for 6 months. - ✔✔Correct answer is "B". According to the FMCSA, drivers
with stage 5 chronic kidney disease, requiring dialysis, should be disqualified. The
hypertension condition of the driver in this case does not imply any exemption, because
of the severity of the kidney disease. In general, persons who undergo dialysis are
prone to fatigue and sleepiness, which jeopardize their ability to drive safely.
✔✔A 56-year-old male driver applying for a new certificate admitted that he suffered a
myocardial infarction 3 months before. He provides you with a clearance certificate by a
cardiologist. He also informs you that he is not feeling any chest pain post MI. Is this
information sufficient to determine his health history? a. No, need information on post-
MI LVEF, ETT, ECG, and tolerance to medication.
b. No, need information on ECG and on tolerance to medication.
c. Yes, no other information is needed.
d. No, need information on post-MI ETT and tolerance to medication. - ✔✔Correct
answer is "A". According to FMCSA guidelines a person who has had an MI at least 2
months before and who is asymptomatic, must still demonstrate an LVEF > 40%,
normal ETT, no ischemic changes on ECG and good tolerance to medications before
she/he can be certified.
✔✔A driver with a history of an allergy-related life-threatening condition, such as
angioedema, is required by federal guidelines to have a certification of no more than:
a. Five months.
b. Eight months.
c. One year.
d. Two years. - ✔✔Correct answer is "D". An individual with an allergy-related life-
threatening condition can be certified for a maximum of two years. Individuals with a
history of an allergy-related life threatening condition must have undertaken preventive
measures in order to be considered medically qualified.
✔✔A driver with diabetes mellitus should also be examined for which of thefollowing? a.
Migraines. b. Autonomic neuropathy. c. Restless leg syndrome. d. All of the above. -
✔✔Correct answer is "B". There are a number of conditions that frequently coexist with
diabetes mellitus. Therefore, if a driver presents with that condition, the medical
examiner should also evaluate the driver for the following: coronary heart disease,
cerebrovascular disease, nephropathy, and autonomic neuropathy.
ANSWERS SET A+
✔✔A driver presents with a hernia. Can the driver be certified?
a. No, the driver cannot be certified.
b. Yes, after a one-year waiting period.
c. Yes, if the hernia does not cause discomfort or interfere with driving.
d. Yes, after a thirty-day waiting period. - ✔✔Correct answer is "C". In general, a hernia
should not interfere with a driver's ability to operate a commercial vehicle. In some
cases, additional tests may be required, but generally speaking, a driver with a hernia
can be certified as long as the hernia does not cause discomfort or interfere with the
driver's ability to operate a motor vehicle.
✔✔What ancillary information documentation is/are required to be included in
themedical examination of a driver who has an implantable cardiac defibrillator(ICD)? a.
Echocardiogram and ETT. b. A cardiologist clearance report. c. Cardiovascular
specialist report. d. None of the above. - ✔✔Correct answer is "D". This is the correct
answer because according to FMCSA guidelines, persons with ICDs are not to be
qualified as interstate CMV drivers. These persons are at high risk of sudden death or
incapacitation and thus, they pose a risk to public safety.
✔✔. A 37-year-male CMV driver presents for examination. He has the fourth finger
missing from his right hand. He provides a medical report confirming a strong right-hand
grasp. Does this person require a Skill Performance Evaluation (SPE) Certificate by
FMCSA to complete the qualifying procedure under CFR 391.41, and why?
a. No, as long as there is a medical report confirming no interference with hand grasp
power a SPE certificate is not required for impairment / loss of afinger. b. Yes, a medical
report confirming strong right-hand grasp does not exempt from a SPE certificate.
c. Yes, an impaired or missing finger requires a SPE certificate regardless of whether it
affects hand grasp power or not.
d. No, this person is medically not qualified to be a CMV driver. - ✔✔Correct answer is
"A". This is the correct answer because according to CFR 391.41, persons with an
impairment of a hand or finger that does not interfere with prehension and grasping
,power may be qualified. In this case, the presence of a medical report confirming the
prehension power is valid evidence for the medical examiner and does not prompt for a
SPE certificate.
✔✔A driver presents for a DOT exam, having been evaluated by an optometrist for
monocular vision. As the medical examiner, you can accept the completed the Vision
Evaluation Report, Form MCSA-5871, as long as it was completed and dated within the
last:
a. 30 days.
b. 45 days.
c. 90 days.
d. 1 year - ✔✔b. 45 days.
✔✔In the event that a driver is disqualified, it is the responsibility of the medical
examiner to do which of the following?
a. Provide the driver with a rationale for disqualification.
b. Provide instructions on how the driver may be qualified.
c. Both A and B.
d. Neither A nor B. - ✔✔Correct answer is "C". There are multiple reasons that a driver
can be disqualified. In the event that a driver is disqualified, a medical examiner is
required to provide both a rationale for disqualification and instructions on how the
driver may become qualified
✔✔A driver who is being treated for ADHD with a central nervous system stimulant may
be certified following:
a. A six-month waiting period.
b. There is no waiting period.
c. A one-year waiting period.
d. None of the above - ✔✔Correct answer is "B". Provided the medication has been
proven to be safe and effective with no side-effects for the driver, a driver who takes a
central nervous system stimulant may be certified without a waiting period.
✔✔In the event that a dipstick urinalysis of a driver has positive results, which of the
following should happen?
a. The driver should not be certified.
b. The driver should have a second examination in two months.
c. There should be additional evaluation. d. None of the above - ✔✔Correct answer is
"C". Dipstick urinalysis tests for specific gravity and measures blood, protein, and
glucose in the urine. Should any of the tests have positive results, additional evaluation
may be required.
✔✔Xanthosis refers to:
a. Yellowish discoloration of the skin.
b. Hyperemic conjunctivae.
c. Excessively long digits.
, d. Hyperlipdemia. - ✔✔Xanthosis is a yellowish discoloration of degenerating
akin/tissues.
✔✔. A 50-year-old male CMV driver has chronic kidney failure for which is undergoes
hemodialysis three times each week. His treating physician provided him with a medical
report indicating that he can work normally except on the days he is undergoing dialysis.
He is also suffering from hypertension. This CMV driver would be:
a. Qualified normally for 2 years.
b. Disqualified.
c. Qualified for 1 year.
d. Qualified for 6 months. - ✔✔Correct answer is "B". According to the FMCSA, drivers
with stage 5 chronic kidney disease, requiring dialysis, should be disqualified. The
hypertension condition of the driver in this case does not imply any exemption, because
of the severity of the kidney disease. In general, persons who undergo dialysis are
prone to fatigue and sleepiness, which jeopardize their ability to drive safely.
✔✔A 56-year-old male driver applying for a new certificate admitted that he suffered a
myocardial infarction 3 months before. He provides you with a clearance certificate by a
cardiologist. He also informs you that he is not feeling any chest pain post MI. Is this
information sufficient to determine his health history? a. No, need information on post-
MI LVEF, ETT, ECG, and tolerance to medication.
b. No, need information on ECG and on tolerance to medication.
c. Yes, no other information is needed.
d. No, need information on post-MI ETT and tolerance to medication. - ✔✔Correct
answer is "A". According to FMCSA guidelines a person who has had an MI at least 2
months before and who is asymptomatic, must still demonstrate an LVEF > 40%,
normal ETT, no ischemic changes on ECG and good tolerance to medications before
she/he can be certified.
✔✔A driver with a history of an allergy-related life-threatening condition, such as
angioedema, is required by federal guidelines to have a certification of no more than:
a. Five months.
b. Eight months.
c. One year.
d. Two years. - ✔✔Correct answer is "D". An individual with an allergy-related life-
threatening condition can be certified for a maximum of two years. Individuals with a
history of an allergy-related life threatening condition must have undertaken preventive
measures in order to be considered medically qualified.
✔✔A driver with diabetes mellitus should also be examined for which of thefollowing? a.
Migraines. b. Autonomic neuropathy. c. Restless leg syndrome. d. All of the above. -
✔✔Correct answer is "B". There are a number of conditions that frequently coexist with
diabetes mellitus. Therefore, if a driver presents with that condition, the medical
examiner should also evaluate the driver for the following: coronary heart disease,
cerebrovascular disease, nephropathy, and autonomic neuropathy.
