DOT exam - cb cb
cb NRCME Training Institute Material
cb cb cb
WhatcbiscbthecbmissioncbofcbFMCSA?cb-
cb correctcbanswer✔ ✔ FMCSAcbiscbfocusedcboncbreducingcbcrashes,cbinjuries,cbandcbfat
alitiescbinvolvingcblargecbtruckscbandcbbuses.
WhocbandcbwhatcbdoescbthecbFMCSAcbregulate?cb-cbcorrectcbanswer✔ ✔
Interstatecbcommercialcboperation,cbincludingcbthecbdriver,cbvehicle,cbmotorcbcarrier,cband
cb thecbtransportcbofcbhazardouscbmaterials.
ExamplescbofcbCMVcbdrivercbstresscbfactorscb-cbcorrectcbanswer✔ ✔
Interruptioncbofcbnormalcbsleep,cbexercising,cbeatingcbpattern,cbandcbaccesscbtocbsocialcbs
upportcbnetworkscbresultingcbincbfatigue,cbobesity,cbandcbor/alienationcbofcbaffection.cbEnvir
onmentcbthatcbmaycbhavecbexcessivecbvibration,cbnoise,cbandcbextremescbincbtemperaturecb
andcbor/adversecbroadcborcbtrafficcbconditionscbthatcbcancbinterferecbwithcbdrivercbabilitycbtocb
recognizecbacbdrivingcbhazard,cbcausecbtemporarycborcbpermanentcbphysicalcbdamagecbtocb
sensorycbperceptioncborcbaffectcbdrivercbbehavior.cbIncreasedcbpotentialcbforcbinjurycbandcbf
atalitiescbshouldcbtherecbbecbacbcrashcbwhencbdrivercbiscbresponsiblecbforcbpassengercbsafet
ycborcbhazardouscbcargo.
Whatcbarecbthecbdifferencescbbetweencbthecbmedicalcbstandardscbandcbmedicalcbguidelines
?cb-cbcorrectcbanswer✔ ✔
Regulationscbarecblawcbandcbarecbmandatory.cbThecbMEcbmustcbusecbstandardscbtocbdete
rminecbinterstatecbCMVcbdrivercbmedicalcbfitnesscbforcbduty.cbMedicalcbguidelinescbarecbnotc
bregulatorycbandcbthecbMEcbmaycbchoosecbnotcbtocbfollowcbthecbmedicalcbguidance.
IncbwhichcbregulationscbarecbthecbdrivercbphysicalcbqualificationcbstandardscbandcbMedicalcb
Examinerscbcited?cb-cbcorrectcbanswer✔ ✔
, Drivercbphysicalcbqualificationcbstandardscbarecbfoundcbincb49cbCFRcb391.41.cbMEcbrespo
nsibilitiescbarecbfoundcbincb49cbCFRcb391.43
Whatcbobjectivecbtestscbandcbmeasurementscbarecbrequiredcbascbpartcbofcbthecbdrivercbphys
icalcbexamination?cb-cbcorrectcbanswer✔ ✔ Heightcb&cbweight
Vision
Hearing
BPcb&cbpulse
Urinalysiscb(speccbgravity,cbprotein,cbblood,cbglucose)
Whatcbarecbthecbpossiblecboutcomescbofcbthecbdrivercbphysicalcbexamination?cb-
cb correctcbanswer✔ ✔ Certification
Disqualification
Determinationcbpending
Whatcbdatecbiscbusedcbtocbdeterminecbmedicalcbexaminerscbcertificatecbexpiration?cb-
cb correctcbanswer✔ ✔
Thecbdatecbofcbthecbexamcbiscbusedcbascbthecbbasiscbforcbcertificatecbexpiration,cbexceptcb
whencbdeterminationcbpendingcbiscbchosen.
Whencbdeterminationcbpendingcbiscbchosen,cbifcbthecbdrivercbreturnscbwithcbthecbnecessaryc
binformationcbpriorcbtocbthecbexpirationcbofcbthecbdriver'scbcurrentcbcertificatecbandcbthecbdriv
ercbiscbqualifiedcbbasedcboncbthatcbinformationcbprovided,cbthecbdatecbusedcbforcbthecbbasiscb
ofcbthecbcertificationcbtimeframecbiscbthecbdatecbthecbdrivercbreturnedcbwithcbthecbnecessaryc
binformation.
WhatcbiscbthecbMEcbcertificatecbexpirationcbdatecbforcbthecbfollowingcbdrivers?
Acb-
cb Examcb4/16/2011,cbmeetscbstandardscbincb49cbCFRcb391.41,cbqualifiescbforcb2cbyearcbcerti
ficate.
,Bcb-
cb Examcb4/16/2011,cbmeetscbstandards,cbbutcbperiodiccbmonitoringcbrequiredcbduecbtocbHT
N,cbqualifiescbforcb1cbyearcbcertificate.
Ccb-cbExamcb4/16/2011,cbdeterminationcbpendingcbduecbtocbnotcbhavingcbresultscbofcbpost-
CABGcbstresscbtest,cbptcbreturnscbandcbprovidescbthatcbinfocboncb4/25/2011,cbdrivercbiscbqua
lifiedcbforcb1cbyear.cb
Dcb-
cb Examcb4/16/2011,cbdisqualifiedcbduecbtocbbenigncbpositioncbvertigocboncb3/15/2011,cbretur
nedcbtocbMEcbforcbcertificationcbexaminationcboncb5/20/11.cbHecbhascbbeencbasymptomaticc
bsincecb3/11/2011.cbQualifiedcbforcbtwocbyears.cb-cbcorrectcbanswer✔ ✔ A:cb4/16/2013
B:cb4/16/2012
C:cb4/25/2012
D:cb5/20/2013
Patientcbexample:
Karen,cbrecertificationcbexam
42cby/ocbfemale
Nocbhealthcbhistory,cbnocbmedications.cb
Visioncbacuity:cbrightcb20/20,cbleftcb20/30.cbBothcb20/20.cbHorizontalcbfieldcbofcbvisioncbRtcb8
0cbdegrees,cbLtcb80cbdegrees.cbNotcbcorrectedcbvision.
Nocbmonocularcbvision.
Nocbhearingcbaids,cbWhispercbtestcb5'cbbilaterally.cbN/Acbaudiometriccbtesting
UA:cbspeccbgravcb1.020,cbproteincb1+,cbbloodcb4+,cbglucosecbneg.
Hgbcb12.4
BPcb134/88,cbPcb80,cbregular.
PE:cboncb4thcbdaycbofcbmensescbwithcbheavycbbleeding.cbAdvisedcbtocbconsultcbPCPcborcbG
YNcbforcbevalcbofcbexcessivecbbleedingcbthatcbcouldcbleadcbtocbanemia,cbleadingcbtocbfatigue
cb thatcbwouldcbaffectcbhercbdriving.cb-cbcorrectcbanswer✔ ✔ Twocbyearcbcertificationcb-
cb nocbdisqualifyingcbhealthcbhistorycborcbPEcbabnormalities.cb
Askcbaboutcbmedicationcbuse,cbincludingcbOTCcbmedications.
MEcbobtainedcbhemoglobincbtestingcbbasedcboncbPEcbfindings.cb(notcbrequired)
, ThecbMEcbshouldcbcorrectlycbnotecbthecbbodycbsystemcbincbwhichcbtherecbwascbancbabnorm
alcbfinding.cbThecbnotecbreflectscbinquirycbascbtocbthecbaffectcboncbdrivingcbabilitycbandcbiscbal
socbsupportedcbbycbHgbcbtestcbresults.cbMEcbalsocbdocumentedcbmedicalcbfollowcbupcbadvic
e.
WhocbcancbperformcbthecbvisioncbportioncbofcbthecbinterstatecbCMVcbdrivercbphysicalcbexami
nation?cb-cbcorrectcbanswer✔ ✔
ThecbcertifiedcbME,cboptometrist,cborcbancbopthalmologist.cbIfcbthecbspecialistcbprovidercbp
erformscbthecbexam,cbtheycbshouldcbcompletecbandcbsigncbthecbprovider'scbinformationcbonc
thecbreportcbformcbandcbprovidecbthecbresults.
b
TocbpasscbthecbinterstatecbCMVcbdrivercbvisioncbexam,cbacbvisualcbacuitycbofcb___/___corre
ctedcborcbuncorrectedcbiscbrequired.cb-cbcorrectcbanswer✔ ✔
20/40cboncbSnellencbchartcbincbeachcbeyecbindividuallycbANDcbincbbothcbeyescbcombined.
WhatcbeyecbconditionscbmustcbthecbMEcbaskcbthecbdrivercbaboutcbandcbifcbindicated,cbreques
tcbspecialistcbevaluation?cb-cbcorrectcbanswer✔ ✔
Retinopathy,cbcataracts,cbaphakia,cbglaucoma,cbandcbmacularcbdegeneration.
Ptcbexample:
Mr.cbBrown,cb48cby/ocbmale.cbNocbcurrentcbmeds,cbinjurycb5cbyearscbago.cbHuntingcbacciden
tcb2cbyearscbagocbwithcbfacialcbtraumacbandcbleftcborbitalcbfracture.cbPresentedcbacb"maycbdri
ve"cbnotecbfromcbeyecbsurgeoncb(datedcb3cbmonthscbpriorcbtocbexamination).cbUncorrectedcb
vision,cbrightcbeyecb20/20.cbleftcbeyecb20/40.cbBothcb20/20.cbHorizontalcbfieldcbofcbvisioncbRig
htcb80cbdegrees,cbleftcbeyecbiscbinconclusive.cbNocbmonocularcbvision.cbNocbhearingcbaids.cb
Whispercbtestcb5'cbbilaterally.cbN/Acbaudiometriccbtest.cbUAcbnormal.cbBPcb122/74,cbpcb80,cbr
egular.cb-cbcorrectcbanswer✔ ✔
Examcbfindings:cbLeftcbeyecbmusclescbdocbnotcbmovecbeyecbtocbthecbleft,cbdiscussedcbdisq
ualificationcbpendingcbeyecbexamcbbycbspecialist.cbExplainedcbthecbspecialistcbwillcbgetcbpre
cisecbvisualcbfieldcbmeasurements.cbProvidedcbdrivercbwithcbappropriatecbmedicalcbreleasec
andcbcopycbofcbmedicalcbexamcbreportcbwithcbvisioncbsectioncbhighlighted.cb
b
cb NRCME Training Institute Material
cb cb cb
WhatcbiscbthecbmissioncbofcbFMCSA?cb-
cb correctcbanswer✔ ✔ FMCSAcbiscbfocusedcboncbreducingcbcrashes,cbinjuries,cbandcbfat
alitiescbinvolvingcblargecbtruckscbandcbbuses.
WhocbandcbwhatcbdoescbthecbFMCSAcbregulate?cb-cbcorrectcbanswer✔ ✔
Interstatecbcommercialcboperation,cbincludingcbthecbdriver,cbvehicle,cbmotorcbcarrier,cband
cb thecbtransportcbofcbhazardouscbmaterials.
ExamplescbofcbCMVcbdrivercbstresscbfactorscb-cbcorrectcbanswer✔ ✔
Interruptioncbofcbnormalcbsleep,cbexercising,cbeatingcbpattern,cbandcbaccesscbtocbsocialcbs
upportcbnetworkscbresultingcbincbfatigue,cbobesity,cbandcbor/alienationcbofcbaffection.cbEnvir
onmentcbthatcbmaycbhavecbexcessivecbvibration,cbnoise,cbandcbextremescbincbtemperaturecb
andcbor/adversecbroadcborcbtrafficcbconditionscbthatcbcancbinterferecbwithcbdrivercbabilitycbtocb
recognizecbacbdrivingcbhazard,cbcausecbtemporarycborcbpermanentcbphysicalcbdamagecbtocb
sensorycbperceptioncborcbaffectcbdrivercbbehavior.cbIncreasedcbpotentialcbforcbinjurycbandcbf
atalitiescbshouldcbtherecbbecbacbcrashcbwhencbdrivercbiscbresponsiblecbforcbpassengercbsafet
ycborcbhazardouscbcargo.
Whatcbarecbthecbdifferencescbbetweencbthecbmedicalcbstandardscbandcbmedicalcbguidelines
?cb-cbcorrectcbanswer✔ ✔
Regulationscbarecblawcbandcbarecbmandatory.cbThecbMEcbmustcbusecbstandardscbtocbdete
rminecbinterstatecbCMVcbdrivercbmedicalcbfitnesscbforcbduty.cbMedicalcbguidelinescbarecbnotc
bregulatorycbandcbthecbMEcbmaycbchoosecbnotcbtocbfollowcbthecbmedicalcbguidance.
IncbwhichcbregulationscbarecbthecbdrivercbphysicalcbqualificationcbstandardscbandcbMedicalcb
Examinerscbcited?cb-cbcorrectcbanswer✔ ✔
, Drivercbphysicalcbqualificationcbstandardscbarecbfoundcbincb49cbCFRcb391.41.cbMEcbrespo
nsibilitiescbarecbfoundcbincb49cbCFRcb391.43
Whatcbobjectivecbtestscbandcbmeasurementscbarecbrequiredcbascbpartcbofcbthecbdrivercbphys
icalcbexamination?cb-cbcorrectcbanswer✔ ✔ Heightcb&cbweight
Vision
Hearing
BPcb&cbpulse
Urinalysiscb(speccbgravity,cbprotein,cbblood,cbglucose)
Whatcbarecbthecbpossiblecboutcomescbofcbthecbdrivercbphysicalcbexamination?cb-
cb correctcbanswer✔ ✔ Certification
Disqualification
Determinationcbpending
Whatcbdatecbiscbusedcbtocbdeterminecbmedicalcbexaminerscbcertificatecbexpiration?cb-
cb correctcbanswer✔ ✔
Thecbdatecbofcbthecbexamcbiscbusedcbascbthecbbasiscbforcbcertificatecbexpiration,cbexceptcb
whencbdeterminationcbpendingcbiscbchosen.
Whencbdeterminationcbpendingcbiscbchosen,cbifcbthecbdrivercbreturnscbwithcbthecbnecessaryc
binformationcbpriorcbtocbthecbexpirationcbofcbthecbdriver'scbcurrentcbcertificatecbandcbthecbdriv
ercbiscbqualifiedcbbasedcboncbthatcbinformationcbprovided,cbthecbdatecbusedcbforcbthecbbasiscb
ofcbthecbcertificationcbtimeframecbiscbthecbdatecbthecbdrivercbreturnedcbwithcbthecbnecessaryc
binformation.
WhatcbiscbthecbMEcbcertificatecbexpirationcbdatecbforcbthecbfollowingcbdrivers?
Acb-
cb Examcb4/16/2011,cbmeetscbstandardscbincb49cbCFRcb391.41,cbqualifiescbforcb2cbyearcbcerti
ficate.
,Bcb-
cb Examcb4/16/2011,cbmeetscbstandards,cbbutcbperiodiccbmonitoringcbrequiredcbduecbtocbHT
N,cbqualifiescbforcb1cbyearcbcertificate.
Ccb-cbExamcb4/16/2011,cbdeterminationcbpendingcbduecbtocbnotcbhavingcbresultscbofcbpost-
CABGcbstresscbtest,cbptcbreturnscbandcbprovidescbthatcbinfocboncb4/25/2011,cbdrivercbiscbqua
lifiedcbforcb1cbyear.cb
Dcb-
cb Examcb4/16/2011,cbdisqualifiedcbduecbtocbbenigncbpositioncbvertigocboncb3/15/2011,cbretur
nedcbtocbMEcbforcbcertificationcbexaminationcboncb5/20/11.cbHecbhascbbeencbasymptomaticc
bsincecb3/11/2011.cbQualifiedcbforcbtwocbyears.cb-cbcorrectcbanswer✔ ✔ A:cb4/16/2013
B:cb4/16/2012
C:cb4/25/2012
D:cb5/20/2013
Patientcbexample:
Karen,cbrecertificationcbexam
42cby/ocbfemale
Nocbhealthcbhistory,cbnocbmedications.cb
Visioncbacuity:cbrightcb20/20,cbleftcb20/30.cbBothcb20/20.cbHorizontalcbfieldcbofcbvisioncbRtcb8
0cbdegrees,cbLtcb80cbdegrees.cbNotcbcorrectedcbvision.
Nocbmonocularcbvision.
Nocbhearingcbaids,cbWhispercbtestcb5'cbbilaterally.cbN/Acbaudiometriccbtesting
UA:cbspeccbgravcb1.020,cbproteincb1+,cbbloodcb4+,cbglucosecbneg.
Hgbcb12.4
BPcb134/88,cbPcb80,cbregular.
PE:cboncb4thcbdaycbofcbmensescbwithcbheavycbbleeding.cbAdvisedcbtocbconsultcbPCPcborcbG
YNcbforcbevalcbofcbexcessivecbbleedingcbthatcbcouldcbleadcbtocbanemia,cbleadingcbtocbfatigue
cb thatcbwouldcbaffectcbhercbdriving.cb-cbcorrectcbanswer✔ ✔ Twocbyearcbcertificationcb-
cb nocbdisqualifyingcbhealthcbhistorycborcbPEcbabnormalities.cb
Askcbaboutcbmedicationcbuse,cbincludingcbOTCcbmedications.
MEcbobtainedcbhemoglobincbtestingcbbasedcboncbPEcbfindings.cb(notcbrequired)
, ThecbMEcbshouldcbcorrectlycbnotecbthecbbodycbsystemcbincbwhichcbtherecbwascbancbabnorm
alcbfinding.cbThecbnotecbreflectscbinquirycbascbtocbthecbaffectcboncbdrivingcbabilitycbandcbiscbal
socbsupportedcbbycbHgbcbtestcbresults.cbMEcbalsocbdocumentedcbmedicalcbfollowcbupcbadvic
e.
WhocbcancbperformcbthecbvisioncbportioncbofcbthecbinterstatecbCMVcbdrivercbphysicalcbexami
nation?cb-cbcorrectcbanswer✔ ✔
ThecbcertifiedcbME,cboptometrist,cborcbancbopthalmologist.cbIfcbthecbspecialistcbprovidercbp
erformscbthecbexam,cbtheycbshouldcbcompletecbandcbsigncbthecbprovider'scbinformationcbonc
thecbreportcbformcbandcbprovidecbthecbresults.
b
TocbpasscbthecbinterstatecbCMVcbdrivercbvisioncbexam,cbacbvisualcbacuitycbofcb___/___corre
ctedcborcbuncorrectedcbiscbrequired.cb-cbcorrectcbanswer✔ ✔
20/40cboncbSnellencbchartcbincbeachcbeyecbindividuallycbANDcbincbbothcbeyescbcombined.
WhatcbeyecbconditionscbmustcbthecbMEcbaskcbthecbdrivercbaboutcbandcbifcbindicated,cbreques
tcbspecialistcbevaluation?cb-cbcorrectcbanswer✔ ✔
Retinopathy,cbcataracts,cbaphakia,cbglaucoma,cbandcbmacularcbdegeneration.
Ptcbexample:
Mr.cbBrown,cb48cby/ocbmale.cbNocbcurrentcbmeds,cbinjurycb5cbyearscbago.cbHuntingcbacciden
tcb2cbyearscbagocbwithcbfacialcbtraumacbandcbleftcborbitalcbfracture.cbPresentedcbacb"maycbdri
ve"cbnotecbfromcbeyecbsurgeoncb(datedcb3cbmonthscbpriorcbtocbexamination).cbUncorrectedcb
vision,cbrightcbeyecb20/20.cbleftcbeyecb20/40.cbBothcb20/20.cbHorizontalcbfieldcbofcbvisioncbRig
htcb80cbdegrees,cbleftcbeyecbiscbinconclusive.cbNocbmonocularcbvision.cbNocbhearingcbaids.cb
Whispercbtestcb5'cbbilaterally.cbN/Acbaudiometriccbtest.cbUAcbnormal.cbBPcb122/74,cbpcb80,cbr
egular.cb-cbcorrectcbanswer✔ ✔
Examcbfindings:cbLeftcbeyecbmusclescbdocbnotcbmovecbeyecbtocbthecbleft,cbdiscussedcbdisq
ualificationcbpendingcbeyecbexamcbbycbspecialist.cbExplainedcbthecbspecialistcbwillcbgetcbpre
cisecbvisualcbfieldcbmeasurements.cbProvidedcbdrivercbwithcbappropriatecbmedicalcbreleasec
andcbcopycbofcbmedicalcbexamcbreportcbwithcbvisioncbsectioncbhighlighted.cb
b
