DOT Medical Examiner Testing Comprehensive Exam

DOT Medical Examiner Testing Comprehensive Exam The driver was recently prescribed insulin for the control of his diabetes. The examiner would? a. Certify the driver for 2 years with medical clearance provided by their treating physical. b. Certify the driver for 1 year with medical clearance provided by their treating physician. c. Permanently disqualify the driver. d. The driver is disqualified until the driver obtains a diabetic exemption. - Correct answer is "d". An insulin dependant diabetic is disqualified until they obtain a diabetic exemption. The 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 would? a. Permanently 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 is "b". 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. The medical examiner notices that the driver has recently been prescribed "Chantix" to help him stop smoking while reviewing the drivers history. The driver is? a. Qualified for 2 years if the rest of his exam is within normal limits. b. Provided a 1-time, 3-month certificate so that the examiner can monitor how well the driver is doing with smoking cessation. c. Disqualified until it has been confirmed he is no longer taking Chantix and that he has suffered no ill effects from withdrawal from the medication. d. Qualified for only 1 year while taking Chantix, and then he may be qualified for 2 years once he no longer needs the medication. - Correct answer is "c". A driver may not use Chantix and drive a CMV and it must be confirmed that they are no longer taking the medication and that there are no effects from withdrawal, by the treating provider. The driver reports for an examination 6 weeks after suffering a mild heart attack and presents a note from the 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 that the driver was able to reach 12 METS during the test. His ECG showed an ejection fraction of 65%. The examination of the driver was unremarkable. The examiner should? a. Temporarily 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 is "a". The driver has not completed the required 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 remaining for the waiting period (2 weeks). The date of the certification would be from the date of the original examination. A driver provides an audiometric test listing the following findings: 500 Hz: 35 Right ear; 40 Left ear 1000 HZ: 40 Right ear; 45 Left ear 2000 HZ: 40 Right ear; 45 Left ear 4000 Hz: 50 Right ear; 50 Left ear The medical examiner should: a. Disqualify the driver because he does not meet minimum hearing requirements to drive. b. Certify the driver for 2 years. c. Certify the driver for 1 year. d. Require the driver to obtain a hearing exemption. - 5: Correct answer is "b". The examiner would average the results from 500 Hz, 1000 Hz and 2000 Hz (required). This average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an average hearing loss of les than or equal to 40 in the better ear. They do not have to meet this in both ears. The medical examiner notes that the driver is taking Metformin for the treatment of diabetes, Antabuyse, and Crestor to reduce serum cholesterol levels. He reports no side effects from any of the medications. The rest of the examination is unremarkable. The examiner should: a. Disqualify the driver. b. Request clearance for all medication due to side effects. c. Certify the driver for 1 year. d. Certify the driver for 2 years. - Correct answer is "a". The driver is taking Antabuse which is used to treat alcohol addiction. This indicates that the driver currently suffers from a current clinical diagnosis of alcoholism. The following are symptoms of Congestive Heart Failure EXCEPT: a. Shortness of breath on exertion or at rest in severe cases. b. Need to urinate at night. c. Headache. d. Swelling in the ankles and the abdomen. - Correct answer is "c". Headache is not a typical symptom of congestive heart failure. Additional symptoms include wheezing, enlargement or prominent neck and facial veins, raised jugular venous pulse, bluish discoloration of face, presence of abnormal heart sounds, fatigue, weight gain and more. During the examination, 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 2 years. 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 is "a". A driver must exhibit a minimum peripheral vision of 70 degrees bilaterally. During the examination, the 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 they suffer from alcoholism. b. Disqualify the driver and refer them to a mental health profession 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 is "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. The driver reports that he had surgery on his cervical spine 2 years ago. It involved a fusion of C4, 5 and 6. He has recovered fully and been provided a release to return to work without restriction. He reports no pain and does not require medication of any kind. During the examination, the examiner notices that the driver exhibits only 30 degree of cervical rotation to both the right and the left. The examiners best decision would be to? a. Disqualify the driver. b. Certify the driver for 1 year. c. Certify the driver for 2 years. d. Request additional information and clearance from the specialist who performed the surgery relating to any possible limitations the driver may have and provide the job description for a truck driver. - Correct answer is "a". The driver does not meet minimum requirements for cervical rotation to drive a truck. The driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in the State he lives in. 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 WNL. 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. d. Certify the driver for 2 years. - Correct answer is "a". Use of marijuana is prohibited by Federal law while driving a CMV and trumps State law regarding this. The driver has a blood pressure of 136/92. This is? a. Within normal limits and would not affect the driver's certification. b. Stage 1 Htn. c. Stage 2 Htn. d. Stage 3 Htn. - Correct answer is "b". This is Stage 1 Htn, which is defined as 140-159/90 to 99. The driver reports for a new certification at a local trucking school. He reports in his history that he was treated for epilepsy 14 years ago but stopped taking medication on his own since his move to your area 11 years ago. He has not seen a neurologist in greater than 10 years and reports no seizures since then. The examiner should? a. Request medical clearance and, if obtained, the driver may be certified for 1 year. b. Request medical clearance and, if obtained, the driver may be certified for 2 years. c. Have the driver obtain a neurologic waiver. d. Disqualify the driver. - Correct answer is "d". Even though the driver has exceeded 10 years (required waiting period), it was not under medical supervision and the driver had discontinued his medication on his own. The waiting period would begin when the neurologist provides confirmation that the driver no longer requires medication (medical supervision). A driver reports having been diagnosed with sleep apnea 3 years earlier. He reports seeing his "sleep doc" a few months ago and that he had a new sleep study. His exam is essentially normal other than he is overweight (BMI of 38.33). The best decision for the examiner is to? a. Disqualify the driver because he has sleep apnea. b. Certify the driver for 1 year. c. Certify the driver for 2 years. d. Provide a temporary certificate so the driver may obtain required testing results and a CPAP compliance report. - Correct answer is "d". The driver who is diagnosed with OSA must have an annual sleep study (can be a sleep Latency, wakefulness or Epworth test) and a CPAP compliance report. Since the exam is WNL the driver would be a limited risk and allowing enough time to provide this information to the examiner. If it meets minimum requirements or better, the driver may be certified for 1 year. A driver must exhibit a minimum of what % compliance of CPAP usage? a. 60% b. 70% c. 80% d. 100% - Correct answer is "b". The driver must show at least 70% compliance. A driver is taking "Celexa" for the treatment of what he calls a "mild depression." He reports he has not considered or attempted suicide. The examiner should? a. Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating provider. b. Certify the driver for a period of 1 year. c. Certify the driver for a period of 2 years. d. Disqualify the driver until he is no longer requiring medication for the treatment of depression. - Correct answer is "a". Medical clearance is required for all mental disorders. Celexa is an SSRI or 2nd. Generation anti-depressant and is OK for use with clearance also. The driver reports for a re-certification examination. In his history he reports he was hospitalized 8 months ago for what was diagnosed as a "TIA". In addition he is being treated for and he has been taking Coumadin to manage atrial fibrillation for which he has been treated during the past 2 years. He provides a note from his cardiologist stating he has no restrictions and he may drive a CMV. The examiner would? a. Certify the driver for 1 year. b. Certify the driver for 2 years. c. Request an electrocardiogram. d. Disqualify the driver. - Correct answer is "d". A driver with a history of TIA on anticoagulation therapy is automatically disqualified. The driver marks "Injury and Illness in the past 5 years" in his history. He reports that he had a hunting accident where he suffered a left orbital fracture. He presents a note at the time of the examination from an ophthalmologist stating "may drive". His exam is unremarkable except for a limitation in peripheral vision in his left eye, which was inconclusive. His distance vision was 20/20 right and 20/40 left. The medical examiner should? a. Council the driver on the need for a vision exemption. b. Disqualify the driver pending vision exam to determine if it meets peripheral vision requirements. c. Certify the driver for 1 year. d. Certify the driver for 2 years. - Correct answer is "b". The driver must have a peripheral vision of 70 degrees bilaterally to certify to drive a CMV. What minimum PaO2 level is necessary if the driver has an ABG due to a chronic respiratory disorder? a. 55% b. 60% c. 65% d. 70% - Correct answer is "c". Blood oxygen saturation must be a minimum of 65% for the driver to certify.