DOT Cert Questions With 100% Correct Answers.Graded A+

DOT Cert Questions With 100% Correct Answers.Graded A+ An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed Every Two Years A driver presents with history of an isolated TIA 6 months ago. He has a return to work letter from his primary care provider (PCP) and neurologist. He is taking and tolerating well hydrochlorothiazide and simvastatin. All other aspects of the exam and history were normal. What should the medical examiner do next? Disqualify driver for now FMCSA regulates interstate commercial operation including the Driver, Vehicle, and Motor Carrier During the CMV exam a driver perceived a whispered voice at 5 feet in his left year and 4 feet in his right year. Exam was otherwise normal. What do you do as the medical examiner? Certify driver for 2 years Which of the following is an assessment of L4 nerve root pathology? A. Plantar flexion B. Patellar reflex C. Hip extension D. Babinski reflex Patellar reflex A driver presents for medical exam and reports being a smoker and having frequent shortness of breath. What do you do next? Order a spirometer test According to regulation, which of the following must be evaluated as part of the eye exam? A. Pupil reaction B. Iris symmetry C. Conjunctiva injection D. Tonometry pressure Pupil reaction Continued certification of NRCE Medical Examiners requires which of the following? A. Periodic training at least every five years B. Completion of recertification test every five years C. Completion of certification test every 10 years D. Electronic transmission to FMCSA CMV Medical Examination Results at least monthly Periodic training at least every five years, Completion of certification test every 10 years, Electronic transmission to FMCSA CMV Medical Examination Results at least monthly A driver presents for recertification. The only condition he lists is GERD, for which he takes OTC omeprazole. He says that when he is driving and eating fast foods, he is more likely to have heartburn than when off‐duty. You should Correlate history with abdominal exam Which of the following findings is disqualifying? A. Oxygen saturation 90% B. LVEF 40% C. FEV 68% predicted D. All of the above Oxygen saturation 90% The driver presents for recertification and submits an ultrasound report indicating an abdominal aortic aneurysm from two months ago, shortly before he had surgical correction. He has surgical clearance and says he is doing well, has no symptoms. You should Inform the driver of the 3 month waiting period before he can be certified The driver takes diphenhydramine twice a day to treat nasal congestion. What must you document in order to certify? Cannot drive within 12 hours of taking diphenhydramine The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip strengths are symmetrical and strong. What is necessary in order to qualify this driver? Document her findings for 2‐year certification Which of the following abdominal complaints is most likely to be incapacitating? A. IBS B. GERD C. Urinary tract infection D. Nephrolithiasis Nephrolithiasis The waiting period for benign positional vertigo is 2 months The driver's BP is 148/96. You verify her history, which indicates she has no prior history of hypertension. If otherwise qualified, you may certify her for 1 year The driver's current BP is 135/76. Your records indicate at history of Stage III hypertension 4 years ago. The maximum certification for this driver is 6 months The driver presents for examination with a recent history (five weeks ago) of pneumothorax. He has no prior history of pneumothorax. In order to be considered medically qualified, his forced vital capacity (FVC) should be greater than 65% The recommended waiting period (WP) and certification period (CP) for a driver following surgical correction for intermittent claudication are WP 3 months, CP 1 year Which of the following are disqualifying? A. Pacemaker B. Implanted defibrillator C. Both a and b D. Neither Implanted defibrillator Five years post‐CABG, the driver must provide a copy of _________ in order to qualify for recertification ETT The driver has a 5‐year history of asthma, described as "well‐controlled". He carries rescue inhaler for the times when he becomes short of breath, but says this is rare. He provides pulmonary functions performed last week and his FEV1 is 62% of predicted and his Pa02 is 62 mm. You should Disqualify and recommend that he return to his personal provider What is the Primary mission of FMCSA? To promote the safety of the roadways. During a driver's history, she describes her role and responsibilities as limited to the driving component and excluding strenuous activities. You should Conduct the full and standard physical examination During the examination, a driver reveals, "I had a touch of sugar" two years ago, but stopped taking the prescribed medication when it ran out, the name of which was forgotten. Driver did not indicate "yes" on the medical history for diabetes. The examination and urinalysis are unremarkable. What is the appropriate action you would take to complete this examination? Correct the medical history in your narrative and discuss the signs, symptoms and health impact of diabetes and the need for regular follow‐up in certifying the driver Which of the following tests is recommended as medical guidance for initial pulmonary function testing? A. Forced expiratory volume in 1 second (FEV1) B. Peak flow spirometry, best effort C. Forced vital capacity (FVC) D. FEV1/FVC ratio Forced expiratory volume in 1 second (FEV1), Forced vital capacity (FVC), FEV1/FVC ratio A 60 year old driver reveals a 6 month history of progressive worsening of dizziness and ringing in the ears. It is worse when he bends over. He denies hearing loss, no trauma or recent infections, and takes no chronic medications, but was told by another driver to try meclizine. He did try and it seemed to help. Which of the following routine screening tests may help you best decide on the severity of the symptoms during this CDL medical examination? A. Audiogram B. Weber and Rinne Test C. Romberg Test D. Tilt Table Test Romberg Test Current Federal Motor Carrier Safety Regulations identify a person who can be a medical examiner by which two following criteria A. Professional licensure and scope of practice that includes performing physical examinations B. Current Board Certification and Listed on the FMCSA Registry C. Completion of a Medical Examiner training program and an unrestricted professional licensure D. At least 5 years of experience in performing physical examinations and passing a Certification Examination Professional licensure and scope of practice that includes performing physical examinations The driver has a 20 pack year of smoking and recent diagnosis of COPD. His breath sounds are slightly distant with a prolonged expiratory phase. His FEV1 is 63% of predicted. You should obtain ABGs 32 yr. old new driver applicant is a military veteran with history of a Mild Traumatic Brain Injury in war zone 5 years ago while on Active Duty. He had no loss of consciousness -was only "dazed" by close blast - not hospitalized. CT was negative at combat emergency clinic. He was awarded a 10% VA disability later for this injury. Never had a seizure, never prescribed anti‐seizure medications. He is otherwise healthy. The ME's physical examination is negative for neurological impairment or deficit. According to medical guidelines, what is the appropriate ME decision? Document above and clear driver issuing a 2 year unrestricted certificate The newly hired driver's Employer requests a copy of the "Long Form" for their personnel file. Which statement below is accurate regarding the release of the CMV driver Medical Form? A. FMCSRs prohibits the ME from giving a copy of the CMV Medical Examination Report directly to the employer B. Employers who pay for the exam as part of the employee's conditions of employment are entitled to a copy of the CMV Medical Examination Report without a signed release by the driver C. The CMV Medical Examination Report is treated the same as any other confidential medical information and must have a signed release by the driver. D. The Driver is never permitted to have a copy of the CMV Medical Examination Report due to the increase in fraudulent documents being circulated. The CMV Medical Examination Report is treated the same as any other confidential medical information and must have a signed release by the driver. Which of these statements about drinking alcohol is true. A. Alcohol first affects judgment and self‐control, which are essential for safe driving. B. Statistics show that drivers who have been drinking have a much greater chance of being in a motor vehicle crash. C. A commercial motor vehicle driver can lose his / her CDL for driving while under the influence of alcohol. D. All of the above are true. All of the above are true. What level of risk is acceptable when qualifying CDL drivers? 1% Which of the following is TRUE concerning discretionary qualification standards? A. It is the examiner's discretion whether to assess these standards B. It is the CDL employer's discretion whether to accept the medical examiner's determination C. It is up to the examiner's discretion and clinical judgment regarding the driver's qualifications in these areas D. All of the above are true It is up to the examiner's discretion and clinical judgment regarding the driver's qualifications in these areas The driver marks history of high blood pressure, shortness of breath, lung disease, emphysema and chronic bronchitis. His medications include tiotropium bromide, salmeterol/fluticasone propionate inhaler, and albuterol inhaler. As he walks into the exam room, he is short of breath, but says he recently cut down to ½ PPD cigarettes after smoking two PPD for 45 years and is improved. During his last PCP visit a year ago, he was diagnosed with borderline hypertension and COPD with cor pulmonale. He is tolerating his medications well and takes them as prescribed, using his albuterol no more than twice a day, depending on his level of activity. His PCP record shows mild right ventricular hypertrophy, mild pulmonary hypertension. He had a CXR 6 months ago which confirmed COPD. His blood pressure today is 138/88, with regular pulse at 88. He is slightly flushed. Chest exam reveals grade II/VI murmur and S4. During the musculoskeletal exam, he becomes short of breath. The exam is otherwise normal. Which of the following actions should the ME NOT take? A. Order a CXR and repeat PFTs B. Disqualify driver C. Refer driver to specialist for further evaluation and treatment D. Inform the driver of factors contributing to the certification decision Order a CXR and repeat PFTs According to 49 CFR391.41(b)(8) regarding neurological conditions, which is considered unequivocal grounds for medical disqualification for the interstate CMV driver medical certification: A. Migraine Headache