DOT Certification Exam (FMCSA) (2023/2024) Already Passed

DOT Certification Exam (FMCSA) (2023/2024) Already Passed A 62 y/o woman is seen for a recertification. She is a smoker and has osteoarthritis, treated with Mobic, 15mg/day. On exam she has cervical ROM limited to 15o. She has a note from her doctor that she may drive a truck but may not climb nor flex her knees beyond 90o She is disqualified due to inability to climb or flex her knees. A driver comes in for recertification. He has been diagnosed with a cataract in his left eye and will be having surgery in a few months. He has a new eyeglass prescription and his vision is found to be: L - cannot read the chart uncorrected, 20/70 corrected. R - 20/40. You would: Disqualify the driver. A driver is returning to work from an alcohol rehab program. Who should evaluate the driver and make recommendations on education, treatment, follow up testing, and aftercare? Substance abuse professional Factors affecting the severity of chronic diseases leading to possible disqualification include all but: Well tolerated medications may be needed to stabilize the condition. Factors contributing to commercial driving stressors include: Long relay routes, abrupt schedule changes, responsibility for passenger safety. Four of the 13 Federal Motor Carrier Regulations or Standards are non-discretionary, with objective criteria not requiring decision making by the examiner. Which are the 4 standards? Vision, Hearing, Diabetes Mellitus and Epilepsy Motor carriers are responsible for ensuring their commercial drivers: Are at least 21 years old, speak and read English well enough to converse with the general public and have a valid medical examiner's certificate Which of the following is true concerning the Medical Examination Report form? You should obtain a release from the driver if the employer wishes to obtain a copy of the examination report. Which is true of FMCSA Driver Exemption Programs? An exemption is valid for 2 years, with an annual medical examination. A 43 y/o male driver has an otherwise normal exam except for amputation of the ring and little fingers of the left hand. The driver: Can be cleared if his grip strength is normal. Which of the following is false concerning medical standards vs. advisory criteria/guidelines? There are 4 standards and 9 guidelines for commercial driver medical qualification. Factors resulting in injuries and fatalities in large truck crashes include all except: Injury severity equals relative velocity change. **The greater the mass, the greater relative velocity change. ** The crash of a vehicle having twice the mass with a lighter vehicle equals a six-fold risk of death to persons in the lighter vehicle. An SUV weighs approximately 4000 lbs. A loaded semi-tractor trailer truck weights approximately 80,000 lbs. The truck has 20 times the mass of the SUV. Required cognitive skills include: Problem solving, communication, judgment, and appropriate behavior in both normal and emergency situations. Drivers must have the following physical abilities except: Grip strength. Upper body strength. *Ability to lift 70 lbs. frequently. * Balance and flexibility. A driver returns to work after a two week absence due to a respiratory illness. He presents a note from his physician that he was unable to work as a truck driver because of the illness and is now cleared for returning to work. His medical certificate expires in 3 months. The driver: Should undergo a new commercial driver examination. Regulations affecting commercial drivers include: Medical fitness for duty certification, drug screening, alcohol screening Which of the following is false concerning Epilepsy: A current clinical diagnosis of epilepsy is disqualifying. **If a driver is seizure free on anticonvulsive medication, he/she may be qualified. ** Additional advisory criteria addresses single unprovoked seizures. Epilepsy is a chronic disease which may lead to loss of control of a commercial vehicle. Which of the following is true regarding the Medical Examination Certificate? The medical examiner completes the certificate and provides a copy to the driver and a copy to the employer. Which of the following is false concerning the type of certification? A New certification requires a full examination **A Recertification only requires a limited examination ** A Follow up is a continuation of a New or Recertification and does not require a physical examination Any certification can be for a maximum of 2 years. Which is false regarding hearing testing for commercial drivers? Either a whisper test or audiometric test may first be used to test hearing **If audiometric testing is used first, and the driver fails it is not necessary to perform the whisper test** A driver may use hearing aids to undergo testing An audiologist may perform hearing tests for drivers with hearing aids Which of the following is false regarding 3 month certificates for hypertension? Can be granted for a recertification BP reading of above 140/90. Can be granted for an initial/new certification with stage 2 hypertension. Can be granted for a new certification with BP 156/102 **Can be granted after a 3 mo card has been given and the driver returns with improved BP, but still not below 140/90.** Who, beside the medical examiner, is allowed to measure height and weight during a physical examination? Trained assistive personnel How long must you retain a copy of the driver medical records, including the certificate? 3 years The forced whisper test was administered first, and hearing measured by the test failed to meet the minimum five feet requirement in both ears. Therefore, the medical examiner also administered an audiometric test, resulting in: Right ear 30 + 33 + 35 = 98/3 = 32.6 = PASS Left ear 40 + 43 + 50 = 133/3 = 44.3 = FAIL The driver passes the hearing test Concerning periodic monitoring (certification of less than 2 yrs) which of the following is false: You must write the reason for periodic monitoring on the certification section of the examination form. **Periodic monitoring can only be for either 3, 6 or 12 months.** The expiration date is calculated from the original exam date, not any follow up exam dates. You are never required to certify for an interval longer than would be necessary to adequately monitor a driver's medical fitness for duty. Concerning the medical certificate, which is false? Provide the original to the driver being examined. Retain a copy for at least 3 years. **You may not provide a copy to the current or prospective employer, they must get it from the driver.** The driver must carry the original certificate during operation of a CMV. Which of the following is false concerning additional information the driver is to provide for any "yes" responses on the history section of the examination form? Must list diagnosis and date of onset of the condition Must list treating provider contact information Any limitations resulting from current or previous conditions **Must list only prescription medications, not vitamins or supplements Which Expiration date is incorrect: Driver A - Examination 4/16/2011 - Meets standards in 49 CFR 391.41; qualifies for two year certificate. Expiration 4/16/2013 Driver B - Examination 4/16/2011 - Meets standards, but periodic monitoring required due to hypertension - driver qualified for 1 year. Expiration 4/16/12 **Driver C - Examination 4/16/2011 - Disqualified due to not having results of post-CABG stress test for review. 4/25/2011 - Return to medical examiner's office with test results (attached) - driver qualified for one year. Expiration 4/25/12** Driver D - Examination 4/16/2011 - Disqualified due to diagnosis of benign positional vertigo 3/15/2011 - Return to medical examiner's office for Certification Examination on 5/20/11. Note asymptomatic since 3/11/2011 but periodic - driver qualified for two years. Expiration 5/20/13. A driver with Stage 3 hypertension (greater than or equal to 180/110): Is disqualified Which condition is disqualifying: Kidney dialysis What is the maximum expiration date of a Medical Examiner's Certificate? 2 years The FMCSA describes the periodic physical qualification examination of the CMV driver to be a "medical fitness for duty" examination. As such: The primary goal of the exam is to determine if there any health conditions creating an unacceptable public safety risk. Which is true concerning the Skilled Performance Evaluation (SPE)? An SPE may be used to evaluate fixed deficits of the extremities Routine required diagnostic testing for commercial drivers includes all but which of the following: Vision testing by Snellen or Titmus Hearing test Urinalysis **ECG** A 62 y/o male driver with COPD arrives for recertification. He was discharged from hospitalization for exacerbation of COPD 3 months ago. A note from his pulmonologist indicates he may drive. He must use supplemental oxygen for any exertion. You determine: He is disqualified Upon examination 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, shortness of breath, dizziness, palpitations, nor any cardiac history. You would: Disqualify and refer to his PMD or cardiologist for further evaluation. A 42 y/o woman in general good health has a completely normal examination except for urine: spec grav 1.020, protein 1+, glucose neg, blood 4+. She gives additional history that sheis on the 4th day of her menstrual period with heavy bleeding, which she says in not unusual for her. She denies any affect on alertness which would interfere with driving. Which of the following would NOT be appropriate: Obtain a Hb to assess for anemia. Qualify for 2 years, refer to gyn or PMD for possible excessive bleeding leading to anemia. **Hb is found to 12.2, disqualify pending further evaluation.** Ask about medications and supplements. Drivers must meet the age requirement in order to drive an interstate commercial motor vehicle (CMV). What is the age limit? 21 years old