DOT Exam questions with Verified Answers
1. The driver presents with a SPE Proceed with the examination.
Certificate. The Medical Exam-
iner's next step should be:
2. A 21-year-old driver presents A significant percentage of individuals
with a history of ADHD for 10 with adult ADHD show a moderate to
years, taking stable dosing of marked degree of improvement on central
Adderall. He describes no side nervous system stimulant medication
effects. Which of the following
is true?
a. A significant percentage
of individuals with adult ADHD
show a moderate to marked de-
gree of improvement on central
nervous system stimulant med-
ication.
b. ADHD is a disqualifying con-
dition.
c. Adderall is a Schedule 1
drug.
d. Medical Examiners should
test for serum drug levels of
Adderall.
3. Which of the following is the Palpable calf cords
most important examination
finding that requires additional
evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
d. Verruca vulgaris.
4. The driver reports taking Digox- Arrhythmias.
in. What findings would raise
the most significant concerns
regarding certification?
a. Arrhythmias.
b. Anorexia.
, DOT Exam questions with Verified Answers
c. Nausea and vomiting.
d. Diarrhea.
5. The driver is taking theo- The primary indication for theophylline is
phylline. Which of the following in the treatment of neurological condi-
is not true? tions.
a. Serum levels may be
checked.
b. The primary indication for
theophylline is in the treatment
of neurological conditions.
c. Cardiac toxicity is a signifi-
cant risk of theophylline use.
d. Theophylline can be adminis-
tered orally or intravenously (IV
6. The driver is taking Celexa and Advise the driver to only take these med-
melatonin. The Medical Examin- ications more than 12 hours before dri-
er should: ving.
a. Advise the driver to only take
these medications more than
12 hours before driving.
b. Advise the driver to stop
melatonin as it can cause
drowsiness.
c. Recommend an alternative to
Celexa.
d. Advise the driver to discuss
benzodiazepines as an alterna-
tive treatment. with the driver's
prescribing provider
7. The driver tells the Medical Ex- Certify the driver wearing corrective lens-
aminer he has recently been es.
prescribed contact lenses. He
notes that after 3-4 hours of
use the contacts cause irrita-
tion and he has to take them
, DOT Exam questions with Verified Answers
out. The driver passes the vi-
sion test only with contacts and
does not have eyeglasses. The
Medical Examiner should:
a. Advise the driver to carry a
spare pair of contact lenses.
b. Certify the driver wearing
corrective lenses.
c. Refer the driver for evalu-
ation under the Alternative Vi-
sion Qualification standard.
d. Certify the driver without
qualifications
8. The driver does not indicate Test the driver's hearing without the hear-
any medical conditions on ing aid.
health history. During the exam
the Medical Examiner notes the
presence of a hearing aid in
one ear. The driver says that
he doesn't need the hearing
aid to drive and doesn't think
it should be required. The next
step for the Medical Examiner
is:
a. Test the driver's hearing with-
out the hearing aid.
b. Examine the driver's ears.
c. Refer the driver for hearing
assessment by a specialist with
specialized audiometric testing
capabilities for testing drivers
while wearing a hearing aid. d.
Certify the driver with the qual-
ification "wearing hearing aid
9. 85%
, DOT Exam questions with Verified Answers
A driver has an indication for
obtaining a cardiac stress test.
If the driver is not taking a beta
blocker, what is the percentage
of maximum heart rate that the
driver should meet to indicate a
satisfactory stress test:
a. 60%.
b. 75%.
c. 85%.
d. 100%.
10. The driver is missing the 4th fin- Test the driver's grasp and prehension.
ger of his right hand. The Med-
ical Examiner should:
a. Refer for orthopedic evalua-
tion.
b. Indicate the driver will need a
SPE Certificate.
c. Test the driver's grasp and
prehension.
d. Disqualify the driver
11. The driver describes a history Liver and spleen palpation
of dizzy spells. Which examina-
tion finding is not indicated? Guidance (not regulatory) recommenda-
a. Test the driver for nystag- tions are that drivers with dizziness or ver-
mus. tigo should not be qualified until the driver
b. Romberg testing. has achieved a 2-month symptom free in-
c. Orthostatic blood pressure terval regardless of examination findings.
measurements.
d. Liver and spleen palpation
12. Vision testing may be per- The Medical Examiner, an optometrist, or
formed by: ophthalmologist
a. The Medical Examiner, an op-
1. The driver presents with a SPE Proceed with the examination.
Certificate. The Medical Exam-
iner's next step should be:
2. A 21-year-old driver presents A significant percentage of individuals
with a history of ADHD for 10 with adult ADHD show a moderate to
years, taking stable dosing of marked degree of improvement on central
Adderall. He describes no side nervous system stimulant medication
effects. Which of the following
is true?
a. A significant percentage
of individuals with adult ADHD
show a moderate to marked de-
gree of improvement on central
nervous system stimulant med-
ication.
b. ADHD is a disqualifying con-
dition.
c. Adderall is a Schedule 1
drug.
d. Medical Examiners should
test for serum drug levels of
Adderall.
3. Which of the following is the Palpable calf cords
most important examination
finding that requires additional
evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
d. Verruca vulgaris.
4. The driver reports taking Digox- Arrhythmias.
in. What findings would raise
the most significant concerns
regarding certification?
a. Arrhythmias.
b. Anorexia.
, DOT Exam questions with Verified Answers
c. Nausea and vomiting.
d. Diarrhea.
5. The driver is taking theo- The primary indication for theophylline is
phylline. Which of the following in the treatment of neurological condi-
is not true? tions.
a. Serum levels may be
checked.
b. The primary indication for
theophylline is in the treatment
of neurological conditions.
c. Cardiac toxicity is a signifi-
cant risk of theophylline use.
d. Theophylline can be adminis-
tered orally or intravenously (IV
6. The driver is taking Celexa and Advise the driver to only take these med-
melatonin. The Medical Examin- ications more than 12 hours before dri-
er should: ving.
a. Advise the driver to only take
these medications more than
12 hours before driving.
b. Advise the driver to stop
melatonin as it can cause
drowsiness.
c. Recommend an alternative to
Celexa.
d. Advise the driver to discuss
benzodiazepines as an alterna-
tive treatment. with the driver's
prescribing provider
7. The driver tells the Medical Ex- Certify the driver wearing corrective lens-
aminer he has recently been es.
prescribed contact lenses. He
notes that after 3-4 hours of
use the contacts cause irrita-
tion and he has to take them
, DOT Exam questions with Verified Answers
out. The driver passes the vi-
sion test only with contacts and
does not have eyeglasses. The
Medical Examiner should:
a. Advise the driver to carry a
spare pair of contact lenses.
b. Certify the driver wearing
corrective lenses.
c. Refer the driver for evalu-
ation under the Alternative Vi-
sion Qualification standard.
d. Certify the driver without
qualifications
8. The driver does not indicate Test the driver's hearing without the hear-
any medical conditions on ing aid.
health history. During the exam
the Medical Examiner notes the
presence of a hearing aid in
one ear. The driver says that
he doesn't need the hearing
aid to drive and doesn't think
it should be required. The next
step for the Medical Examiner
is:
a. Test the driver's hearing with-
out the hearing aid.
b. Examine the driver's ears.
c. Refer the driver for hearing
assessment by a specialist with
specialized audiometric testing
capabilities for testing drivers
while wearing a hearing aid. d.
Certify the driver with the qual-
ification "wearing hearing aid
9. 85%
, DOT Exam questions with Verified Answers
A driver has an indication for
obtaining a cardiac stress test.
If the driver is not taking a beta
blocker, what is the percentage
of maximum heart rate that the
driver should meet to indicate a
satisfactory stress test:
a. 60%.
b. 75%.
c. 85%.
d. 100%.
10. The driver is missing the 4th fin- Test the driver's grasp and prehension.
ger of his right hand. The Med-
ical Examiner should:
a. Refer for orthopedic evalua-
tion.
b. Indicate the driver will need a
SPE Certificate.
c. Test the driver's grasp and
prehension.
d. Disqualify the driver
11. The driver describes a history Liver and spleen palpation
of dizzy spells. Which examina-
tion finding is not indicated? Guidance (not regulatory) recommenda-
a. Test the driver for nystag- tions are that drivers with dizziness or ver-
mus. tigo should not be qualified until the driver
b. Romberg testing. has achieved a 2-month symptom free in-
c. Orthostatic blood pressure terval regardless of examination findings.
measurements.
d. Liver and spleen palpation
12. Vision testing may be per- The Medical Examiner, an optometrist, or
formed by: ophthalmologist
a. The Medical Examiner, an op-
