Page 1 of 159
✓ ACTUAL EXAM 1,2,3,4 AND 5
✓ 120 QUESTION AND ANSWERS WITH RATIONALES
✓ MULTIPLE CHOICES
✓ PASS SCORE GUARANTEED
A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in the
State in which he lives. 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 within
normal limits. 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 in this matter.
, Page 2 of 159
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension. Correct answer is "B". This is Stage 1 Hypertension, which is
defined as 140-159/90 - 99.
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 provi
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
, Page 3 of 159
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 health
disorders. Celexa is an SSRI or 2nd Generation anti-depressant and is acceptable.
A driver reports that he had a hunting accident wherein 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 on an ABG performed for a chronic respiratory disorder is necessary
to certify a commercial driver?
, Page 4 of 159
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. Correct answer is "C". Blood oxygen saturation must be a minimum of 65 mm Hg
for the driver to certify.
A driver is taking Topamax for the treatment of migraine headaches. He reports good
management of his headaches and they never seem to interfere with his driving ability with the
medication. The medical examiner should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. Correct answer is "A". Topamax is a medication that is used
for seizure control. The examiner should confirm with the prescribing provider that the driver
does not take it to control seizures, and he is capable of driving a CMV.
✓ ACTUAL EXAM 1,2,3,4 AND 5
✓ 120 QUESTION AND ANSWERS WITH RATIONALES
✓ MULTIPLE CHOICES
✓ PASS SCORE GUARANTEED
A driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in the
State in which he lives. 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 within
normal limits. 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 in this matter.
, Page 2 of 159
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1 Hypertension.
c. Stage 2 Hypertension.
d. Stage 3 Hypertension. Correct answer is "B". This is Stage 1 Hypertension, which is
defined as 140-159/90 - 99.
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 provi
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
, Page 3 of 159
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 health
disorders. Celexa is an SSRI or 2nd Generation anti-depressant and is acceptable.
A driver reports that he had a hunting accident wherein 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 on an ABG performed for a chronic respiratory disorder is necessary
to certify a commercial driver?
, Page 4 of 159
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg. Correct answer is "C". Blood oxygen saturation must be a minimum of 65 mm Hg
for the driver to certify.
A driver is taking Topamax for the treatment of migraine headaches. He reports good
management of his headaches and they never seem to interfere with his driving ability with the
medication. The medical examiner should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. Correct answer is "A". Topamax is a medication that is used
for seizure control. The examiner should confirm with the prescribing provider that the driver
does not take it to control seizures, and he is capable of driving a CMV.
