Question 1
What minimum pao2 level is recommended 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 mm Hg
CORRECT ANSWER
D.
To be qualified, the driver should meet a minimum arterial blood gas (pao2) greater than
65.
Question 2
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear.
All other aspects of his physical examination are unremarkable. The examiner should:
A. Disqualify the driver because he "failed" the whispered voice test.
B. Certify the driver for 2 years.
C. Certify the driver for 1 year.
D. Require an audiometric test to determine the extent of hearing loss in his left ear.
CORRECT ANSWER
B.
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@THE STUDY VAULT
, The driver is qualified to drive without restriction as long as he is able to perceive a
whispered voice at 5 feet in 1 ear.
Question 3
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
A.
The driver has not completed the recommended 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.
Question 4
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
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@THE STUDY VAULT
,The medical examiner should:
A. Disqualify the driver because he does not meet minimum hearing requirements
To 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
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.
Question 5
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
A.
A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
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@THE STUDY VAULT
, Question 6
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
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.
Question 7
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.
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@THE STUDY VAULT
What minimum pao2 level is recommended 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 mm Hg
CORRECT ANSWER
D.
To be qualified, the driver should meet a minimum arterial blood gas (pao2) greater than
65.
Question 2
A driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear.
All other aspects of his physical examination are unremarkable. The examiner should:
A. Disqualify the driver because he "failed" the whispered voice test.
B. Certify the driver for 2 years.
C. Certify the driver for 1 year.
D. Require an audiometric test to determine the extent of hearing loss in his left ear.
CORRECT ANSWER
B.
1
@THE STUDY VAULT
, The driver is qualified to drive without restriction as long as he is able to perceive a
whispered voice at 5 feet in 1 ear.
Question 3
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
A.
The driver has not completed the recommended 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.
Question 4
A driver provides an audiometric test documenting the following:
1. 500 Hz: 35 Right ear; 40 Left ear
2. 1000 HZ: 40 Right ear; 45 Left ear
3. 2000 HZ: 40 Right ear; 45 Left ear
4. 4000 Hz: 50 Right ear; 50 Left ear
2
@THE STUDY VAULT
,The medical examiner should:
A. Disqualify the driver because he does not meet minimum hearing requirements
To 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
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.
Question 5
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
A.
A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally.
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@THE STUDY VAULT
, Question 6
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
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.
Question 7
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.
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@THE STUDY VAULT
