Question 1
The following statements are true concerning hearing requirements of commercial drivers
EXCEPT:
A. Hearing aids may not be worn during the forced whisper test
B. Either the forced whisper or audiometry tests may be performed first
C. The forced whisper test is passed if one ear perceives the forced whisper at 5 feet
D. Administration of both tests is only necessary if the first test is failed
CORRECT ANSWER
A. Hearing aids may not be worn during the forced whisper test
Question 2
What is the maximum length a driver can remain in determination pending status?
CORRECT ANSWER
45 days
Question 3
A driver notes a history of tobacco use on his Medical Evaluation Report Form. The next
step for the ME would be:
A. Arrange for a CXR
B. Take a history regarding the driver's tobacco use
C. Arrange for spirometry
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,D. Referral to a pulmonologist
CORRECT ANSWER
B. Take a history regarding the driver's tobacco use
Question 4
The driver reports a suicide attempt 6 months earlier, following the break-up of his
marriage. He noted seeing a therapist and he takes Citalopram daily and he reports he
feels fine now and is moving on with his life. He provides a release from a doctor that he
may return to work without restrictions. The ME should:
A. Disqualify the driver
B. Require a CAGE questionnaire
C. Certify the driver for 1 year
D. Certify the driver for 2 years
CORRECT ANSWER
A. Disqualify the driver
Question 5
Which of the following is required part of the DOT cert exam?
A. Evaluation of the tympanic membranes
B. Evaluation for inguinal hernia
C. Pulse check
D. ALL the above
CORRECT ANSWER
D. ALL the above
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,Question 6
Which of the following is false concerning additional information the driver is to provide
for any "yes" response on the history section of the examination form?
A. Any limitations resulting from current or previous conditions
B. Must list diagnosis and date of onset of the condition
C. Must list treating provider contact info
D. Must list only prescription medications, not vitamins or supplements
CORRECT ANSWER
D. Must list only prescription medications, not vitamins or supplements
Question 7
Upon exam of a 46 y/o male 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, not any cardiac history. You would:
A. Disqualify and refer to his PMD or cardiologist for further eval
B. Order an ECG, cardiac echo, pulse ox + give a 3 month card pending results
C. Give a 3 month cert pending evaluation by his PMD
D. Give a 1 year cert + require cardiology eval upon recert
CORRECT ANSWER
B. Order an ECG, cardiac echo, pulse ox + give a 3 month card pending results
Question 8
Which cardiac condition is typically considered disqualifying?
A. Ebstein anomaly
B. Hypertrophic cardiomyopathy
C. MVR
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, D. Aortic valve repair for aortic stenosis 4 months prior to exam
CORRECT ANSWER
B. Hypertrophic cardiomyopathy
Question 9
A driver cannot be considered for an SPE if:
A. The deficit involves less than an entire hand.
B. The deficit involves less than an entire foot.
C. The deficit is progressive.
D. The deficit resulted from illicit drug or alcohol use.
CORRECT ANSWER
C. The deficit is progressive.
Question 10
Central vision loss is a finding suggestive of:
A. Macular degeneration.
B. Cataracts.
C. Glaucoma.
D. All of the above.
CORRECT ANSWER
A. Macular degeneration
Question 11
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The following statements are true concerning hearing requirements of commercial drivers
EXCEPT:
A. Hearing aids may not be worn during the forced whisper test
B. Either the forced whisper or audiometry tests may be performed first
C. The forced whisper test is passed if one ear perceives the forced whisper at 5 feet
D. Administration of both tests is only necessary if the first test is failed
CORRECT ANSWER
A. Hearing aids may not be worn during the forced whisper test
Question 2
What is the maximum length a driver can remain in determination pending status?
CORRECT ANSWER
45 days
Question 3
A driver notes a history of tobacco use on his Medical Evaluation Report Form. The next
step for the ME would be:
A. Arrange for a CXR
B. Take a history regarding the driver's tobacco use
C. Arrange for spirometry
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,D. Referral to a pulmonologist
CORRECT ANSWER
B. Take a history regarding the driver's tobacco use
Question 4
The driver reports a suicide attempt 6 months earlier, following the break-up of his
marriage. He noted seeing a therapist and he takes Citalopram daily and he reports he
feels fine now and is moving on with his life. He provides a release from a doctor that he
may return to work without restrictions. The ME should:
A. Disqualify the driver
B. Require a CAGE questionnaire
C. Certify the driver for 1 year
D. Certify the driver for 2 years
CORRECT ANSWER
A. Disqualify the driver
Question 5
Which of the following is required part of the DOT cert exam?
A. Evaluation of the tympanic membranes
B. Evaluation for inguinal hernia
C. Pulse check
D. ALL the above
CORRECT ANSWER
D. ALL the above
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,Question 6
Which of the following is false concerning additional information the driver is to provide
for any "yes" response on the history section of the examination form?
A. Any limitations resulting from current or previous conditions
B. Must list diagnosis and date of onset of the condition
C. Must list treating provider contact info
D. Must list only prescription medications, not vitamins or supplements
CORRECT ANSWER
D. Must list only prescription medications, not vitamins or supplements
Question 7
Upon exam of a 46 y/o male 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, not any cardiac history. You would:
A. Disqualify and refer to his PMD or cardiologist for further eval
B. Order an ECG, cardiac echo, pulse ox + give a 3 month card pending results
C. Give a 3 month cert pending evaluation by his PMD
D. Give a 1 year cert + require cardiology eval upon recert
CORRECT ANSWER
B. Order an ECG, cardiac echo, pulse ox + give a 3 month card pending results
Question 8
Which cardiac condition is typically considered disqualifying?
A. Ebstein anomaly
B. Hypertrophic cardiomyopathy
C. MVR
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, D. Aortic valve repair for aortic stenosis 4 months prior to exam
CORRECT ANSWER
B. Hypertrophic cardiomyopathy
Question 9
A driver cannot be considered for an SPE if:
A. The deficit involves less than an entire hand.
B. The deficit involves less than an entire foot.
C. The deficit is progressive.
D. The deficit resulted from illicit drug or alcohol use.
CORRECT ANSWER
C. The deficit is progressive.
Question 10
Central vision loss is a finding suggestive of:
A. Macular degeneration.
B. Cataracts.
C. Glaucoma.
D. All of the above.
CORRECT ANSWER
A. Macular degeneration
Question 11
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