DOT CERTIFICATION EXAM REVIEW|Questions with Correct Answers .Graded A+

DOT CERTIFICATION EXAM REVIEW|Questions with Correct Answers .Graded A+ Medical Examiners A person who is licensed, certified, and or registered in accordance with applicable state laws and regulations, to perform physical examinations Motor carrier employees Responsible for hiring, supervising, training, assigning, or dispatching of drivers and employees concerned with the installation, inspection, and maintenance of motor vehicle equipment and or accessories. Medical Review Officer (MRO) A person who is a licensed physician and who is responsible for receiving and reviewing laboratory results generated by an employer drug testing program and evaluating medical explanations for certain drug test results Substance abuse professional (SAP) A person who evaluates employees who have violated DOT drug and alcohol regulations and makes recommendations concerning education, treatment, follow-up testing, and aftercare. Vision, hearing, epilepsy These three standards are absolute disqualifiers regardless of medical examiner clinical interpretation Annually All federal exemptions require the driver to have a medical examination for maintenance and renewal how often? B Disqualify the driver. A driver comes in for recertification. He has been diagnosed with a cataract in his left eye and will be having surgery in a few months. He has a new eyeglass prescription and his vision is found to be: L - cannot read the chart uncorrected, 20/70 corrected. R - 20/40. You would: A Issue a temporary 3 month certificate and re-examine after surgery. B Disqualify the driver. C Qualify the driver for 2 years since he has one eye meeting regulations. D Qualify the driver for 1 year since he wears glasses. B Long relay routes, abrupt schedule changes, responsibility for passenger safety. Factors contributing to commercial driving stressors include: A Short relay routes, tight pick up and delivery schedules, adverse road conditions. B Long relay routes, abrupt schedule changes, responsibility for passenger safety. C Long relay routes, frequent rest periods, responsibility for passenger safety. D Long relay routes, abrupt schedule changes, returning home every night. C You should obtain a release from the driver if the employer wishes to obtain a copy of the examination report. Which of the following is true concerning the Medical Examination Report form? A You are required to provide a copy of the report to the employer. B FMCSA prohibits release of the medical examination report form to the employer. C You should obtain a release from the driver if the employer wishes to obtain a copy of the examination report. D It is not necessary to obtain a release from the driver in order to provide the examination report to the employer since this is a federally regulated examination. B Are at least 21 years old, speak and read English well enough to converse with the general public and have a valid medical examiner's certificate Motor carriers are responsible for ensuring their commercial drivers: A Are at least 19 years old, speak and read English well enough to converse with the general public and have a valid medical examiner's certificate B Are at least 21 years old, speak and read English well enough to converse with the general public and have a valid medical examiner's certificate C Are at least 21 years old, speak and read English well enough to converse with the general public and can lift at least 50 pounds frequently D Are at least 21 years old, have no outstanding violations and have a valid medical examiner's certificate C Ability to lift 70 lbs. frequently. Drivers must have the following physical abilities except: A Grip strength. B Upper body strength . C Ability to lift 70 lbs. frequently. D Balance and flexibility. A The medical examiner completes the certificate and provides a copy to the driver and a copy to the employer. Which of the following is true regarding the Medical Examination Certificate? A The medical examiner completes the certificate and provides a copy to the driver and a copy to the employer. B A release form is required to provide the certificate to the employer. C Only the driver needs a copy of the certificate if the employer has a copy of the medical examination report form. D The employer must keep both the medical examination report form and the certificate on file. C She is disqualified due to inability to climb or flex her knees. A 62 y/o woman is seen for a recertification. She is a smoker and has osteoarthritis, treated with Mobic, 15mg/day. On exam she has cervical ROM limited to 15o. She has a note from her doctor that she may drive a truck but may not climb nor flex her knees beyond 90o A She can be qualified for a 2 year certificate. B She can be qualified for one year. C She is disqualified due to inability to climb or flex her knees. D She is disqualified due to Mobic. C Medical fitness for duty certification, drug screening, alcohol screening Regulations affecting commercial drivers include: A Medical Fitness for duty certification, respiratory protection standard, hours of service B Routine electrocardiogram testing, medical fitness for duty certification and drug screening C Medical fitness for duty certification, drug screening, alcohol screening D Medical fitness for duty, drug screening, hours of service, routine audiometry testing. C Can be cleared if his grip strength is normal. A 43 y/o male driver has an otherwise normal exam except for amputation of the ring and little fingers of the left hand. The driver: A Needs to undergo a one time SPE examination. B Can be cleared for one year if his grip strength is normal. C Can be cleared if his grip strength is normal. D Needs to undergo an annual SPE examination. D ECG Routine required diagnostic testing for commercial drivers includes all but which of the following: A Vision testing by Snellen or Titmus B Hearing test C Urinalysis D ECG D Must list only prescription medications, not vitamins or supplements Which of the following is false concerning additional information the driver is to provide for any "yes" responses on the history section of the examination form? A Must list diagnosis and date of onset of the condition B Must list treating provider contact information C Any limitations resulting from current or previous conditions D Must list only prescription medications, not vitamins or supplements A Kidney dialysis Which condition is disqualifying: A Kidney dialysis B A pacemaker C COPD D Chronic low back pain A An SPE may be used to evaluate fixed deficits of the extremities Which is true concerning the Skilled Performance Evaluation (SPE)? A An SPE may be used to evaluate fixed deficits of the extremities B An SPE may be used to evaluate weakness caused by chronic conditions such as muscular dystrophy or Parkinsons. C The examiner performs the SPE only if the driver is otherwise qualified. D An SPE should be performed for drivers with abnormalities such as clubbing, edema, or neurological conditions affecting the extremities. C You may not provide a copy to the current or prospective employer, they must get it from the driver. Concerning the medical certificate, which is false? A Provide the original to the driver being examined. B Retain a copy for at least 3 years. C You may not provide a copy to the current or prospective employer, they must get it from the driver. D The driver must carry the original certificate during operation of a CMV. C 3 years How long must you retain a copy of the driver medical records, including the certificate? A 1 year B 2 years C 3 years D 4 years B If audiometric testing is used first, and the driver fails it is not necessary to perform the whisper test Which is false regarding hearing testing for commercial drivers? A Either a whisper test or audiometric test may first be used to test hearing B If audiometric testing is used first, and the driver fails it is not necessary to perform the whisper test C A driver may use hearing aids to undergo testing D An audiologist may perform hearing tests for drivers with hearing aids B Trained assistive personnel Who, beside the medical examiner, is allowed to measure height and weight during a physical examination? A May bring from home B Trained assistive personnel C No one else D Receptionist A Disqualify and refer to his PMD or cardiologist for further evaluation. Upon examination of a 46 y/o male smoker, you detect an irregularly irregular heart rhythm. The rate is 140 bpm. This is unknown to the driver and he denies any symptoms of lightheadedness, shortness of breath, dizziness, palpitations, nor any cardiac history. You would: A Disqualify and refer to his PMD or cardiologist for further evaluation. B Order an ECG, cardiac ECHO, pulse ox and give a 3 mo. card pending results. C Give a 3 month certification pending evaluation by his PMD. D Give a 1 year certification and require cardiology evaluation upon recertification. D Can be granted after a 3 mo card has been given and the driver returns with improved BP, but still not below 140/90. Which of the following is false regarding 3 month certificates for hypertension? A Can be granted for a recertification BP reading of above 140/90. B Can be granted for an initial/new certification with stage 2 hypertension. C Can be granted for a new certification with BP 156/102 D Can be granted after a 3 mo card has been given and the driver returns with improved BP, but still not below 140/90. C Driver C - Examination 4/16/2011 - Disqualified due to not having results of post-CABG stress test for review. 4/25/2011 - Return to medical examiner's office with test results (attached) - driver qualified for one year. Expiration 4/25/12 Which Expiration date is incorrect: A Driver A - Examination 4/16/2011 - Meets standards in 49 CFR 391.41; qualifies for two year certificate. Expiration 4/16/2013 B Driver B - Examination 4/16/2011 - Meets standards, but periodic monitoring required due to hypertension - driver qualified for 1 year. Expiration 4/16/12 C Driver C - Examination 4/16/2011 - Disqualified due to not having results of post-CABG stress test for review. 4/25/2011 - Return to medical examiner's office with test results (attached) - driver qualified for one year. Expiration 4/25/12 D Driver D - Examination 4/16/2011 - Disqualified due to diagnosis of benign positional vertigo 3/15/2011 - Return to medical examiner's office for Certification Examination on 5/20/11. Note asymptomatic since 3/11/2011 but periodic - driver qualified for two years. Expiration 5/20/13. B A Recertification only requires a limited examination Which of the following is false concerning the type of certification? A A New certification requires a full examination B A Recertification only requires a limited examination C A Follow up is a continuation of a New or Recertification and does not require a physical examination D Any certification can be for a maximum of 2 years. B Specific gravity, protein (proteinuria), blood (hematuria) and glucose (glycosuria) When you perform a urinalysis (dip stick) test, you are to test for what? A Specific gravity, drugs, protein (proteinuria) and Glucose (glycosuria) B Specific gravity, protein (proteinuria), blood (hematuria) and glucose (glycosuria) C Specific gravity, protein (proteinuria), drugs and blood (hematuria) D Specific gravity, protein (proteinuria) blood (hematuria) and drugs A The primary goal of the exam is to determine if there any health conditions creating an unacceptable public safety risk. The FMCSA describes the periodic physical qualification examination of the CMV driver to be a "medical fitness for duty" examination. As such: A The primary goal of the exam is to determine if there any health conditions creating an unacceptable public safety risk. B It is acceptable to begin a treatment plan for conditions diagnosed during the exam. C Benign conditions with good prognoses are not considered disqualifying. D You are not to educate drivers about their conditions, rather leave that to their primary care providers C He is disqualified A 62 y/o male driver with COPD arrives for recertification. He was discharged from hospitalization for exacerbation of COPD 3 months ago. A note from his pulmonologist indicates he may drive. He must use supplemental oxygen for any exertion. You determine: A He may be certified for one year B He may be certified if his PaO2 is >92% C He is disqualified D He may certified for 3 months, then re-evaluated A There are a small number of drivers remaining from the mid-90's waiver program. Which is true of the FMCSA vision waiver program? A There are a small number of drivers remaining from the mid-90's waiver program. B There is an ongoing waiver program which current drivers may apply for if they are otherwise qualified. C Any driver with monocular vision may be issued a waiver by the medical examiner if they are otherwise qualified. D Drivers with the waiver can be certified for a 2 year maximum certification period. D Perform a recertification exam, document the 2 month symptom free waiting period and the note from the ENT in the comments section of the examination form. Certify for up to 2 years. A driver is disqualified on 3-11-22 due to benign positional vertigo. She returns on 6-20-22 with a note from her ENT that she has been symptom free since 4-16-22. You would: A Perform a recertification exam. If qualified, issue a one year certification.