DOT Exam questions / Study Guide Exam
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The driver presents with a SPE Certificate. The Medical Examiner's
next step should be:
Proceed with the examination.
A 21-year-old driver presents with a history of ADHD for 10 years,
taking stable dosing of Adderall. He describes no side effects.
Which of the following is true?
a. A significant percentage of individuals with adult ADHD show a
moderate to marked degree of improvement on central nervous
system stimulant medication.
b. ADHD is a disqualifying condition.
c. Adderall is a Schedule 1 drug.
d. Medical Examiners should test for serum drug levels of Adderall.
A significant percentage of individuals with adult ADHD show a
moderate to marked degree of improvement on central nervous
system stimulant medication
Which of the following is the most important examination finding
that requires additional evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
d. Verruca vulgaris.
Palpable calf cords
The driver reports taking Digoxin. What findings would raise the
most significant concerns regarding certification?
a. Arrhythmias.
b. Anorexia.
,c. Nausea and vomiting.
d. Diarrhea.
Arrhythmias.
The driver is taking theophylline. Which of the following is not
true?
a. Serum levels may be checked.
b. The primary indication for theophylline is in the treatment of
neurological conditions.
c. Cardiac toxicity is a significant risk of theophylline use.
d. Theophylline can be administered orally or intravenously (IV
The primary indication for theophylline is in the treatment of
neurological conditions.
The driver is taking Celexa and melatonin. The Medical Examiner
should:
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 alternative
treatment. with the driver's prescribing provider
Advise the driver to only take these medications more than 12
hours before driving.
The driver tells the Medical Examiner he has recently been
prescribed contact lenses. He notes that after 3-4 hours of use the
contacts cause irritation and he has to take them out. The driver
passes the vision 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 evaluation under the Alternative Vision
Qualification standard.
d. Certify the driver without qualifications
Certify the driver wearing corrective lenses.
The driver does not indicate any medical conditions on 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 without 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 qualification
"wearing hearing aid
Test the driver's hearing without the hearing aid.
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%.
85%
The driver is missing the 4th finger of his right hand. The Medical
Examiner should:
a. Refer for orthopedic evaluation.
b. Indicate the driver will need a SPE Certificate.
c. Test the driver's grasp and prehension.
d. Disqualify the driver
Test the driver's grasp and prehension.
The driver describes a history of dizzy spells. Which examination
finding is not indicated?
a. Test the driver for nystagmus.
b. Romberg testing.
c. Orthostatic blood pressure measurements.
d. Liver and spleen palpation
Liver and spleen palpation
Guidance (not regulatory) recommendations are that drivers with
dizziness or vertigo should not be qualified until the driver has
achieved a 2-month symptom free interval regardless of
examination findings.
, Vision testing may be performed by:
a. The Medical Examiner, an optometrist, or ophthalmologist.
b. Only an ophthalmologist.
c. Only the Medical Examiner.
d. Only an optometrist
The Medical Examiner, an optometrist, or ophthalmologist
The driver has 1,000 ng/ml of glucose on urinalysis. What is the
next appropriate step for the Medical Examiner?
a. Disqualify the driver.
b. Refer the driver for evaluation by a kidney specialist.
c. Refer the driver for evaluation under the Insulin-Treated Diabetes
Alternative Qualification Standard.
d. Recommend the driver check blood glucose 4x per day.
Recommend the driver check blood glucose 4x per day.
The driver presents after having had a PCI procedure 3 days prior.
The driver indicates no symptoms and has a letter from his
cardiologist indicating he is cleared to drive. The Medical Examiner
should:
a. Have the driver return for evaluation at least 3 weeks after the
date of the PCI.
b. Refer the driver for a cardiac stress test.
c. Certify the driver for 6 months.
d. Certify the driver for 2 years
Have the driver return for evaluation at least 3 weeks after the date
of the PCI
- Current FMCSA guidelines in the reference table in the 2022 Draft
version of the Medical Examiner's Handbook include:
Asymptomatic; Minimum 3 weeks after elective procedure; LVEF >
40%; Adherence to cardiovascular specialist-recommended
appropriate medical therapy for a minimum of 1 year after receiving
drug-eluting stent; Clearance by cardiologist.
The driver describes alcohol use including 2 drinks a night during
the week and a 6 pack on the weekends. The Medical Examiner's
next step should be to:
/ Carefully Selected Questions and
Accurate Answers / 100% Solved &
Already Graded A+
The driver presents with a SPE Certificate. The Medical Examiner's
next step should be:
Proceed with the examination.
A 21-year-old driver presents with a history of ADHD for 10 years,
taking stable dosing of Adderall. He describes no side effects.
Which of the following is true?
a. A significant percentage of individuals with adult ADHD show a
moderate to marked degree of improvement on central nervous
system stimulant medication.
b. ADHD is a disqualifying condition.
c. Adderall is a Schedule 1 drug.
d. Medical Examiners should test for serum drug levels of Adderall.
A significant percentage of individuals with adult ADHD show a
moderate to marked degree of improvement on central nervous
system stimulant medication
Which of the following is the most important examination finding
that requires additional evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
d. Verruca vulgaris.
Palpable calf cords
The driver reports taking Digoxin. What findings would raise the
most significant concerns regarding certification?
a. Arrhythmias.
b. Anorexia.
,c. Nausea and vomiting.
d. Diarrhea.
Arrhythmias.
The driver is taking theophylline. Which of the following is not
true?
a. Serum levels may be checked.
b. The primary indication for theophylline is in the treatment of
neurological conditions.
c. Cardiac toxicity is a significant risk of theophylline use.
d. Theophylline can be administered orally or intravenously (IV
The primary indication for theophylline is in the treatment of
neurological conditions.
The driver is taking Celexa and melatonin. The Medical Examiner
should:
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 alternative
treatment. with the driver's prescribing provider
Advise the driver to only take these medications more than 12
hours before driving.
The driver tells the Medical Examiner he has recently been
prescribed contact lenses. He notes that after 3-4 hours of use the
contacts cause irritation and he has to take them out. The driver
passes the vision 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 evaluation under the Alternative Vision
Qualification standard.
d. Certify the driver without qualifications
Certify the driver wearing corrective lenses.
The driver does not indicate any medical conditions on 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 without 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 qualification
"wearing hearing aid
Test the driver's hearing without the hearing aid.
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%.
85%
The driver is missing the 4th finger of his right hand. The Medical
Examiner should:
a. Refer for orthopedic evaluation.
b. Indicate the driver will need a SPE Certificate.
c. Test the driver's grasp and prehension.
d. Disqualify the driver
Test the driver's grasp and prehension.
The driver describes a history of dizzy spells. Which examination
finding is not indicated?
a. Test the driver for nystagmus.
b. Romberg testing.
c. Orthostatic blood pressure measurements.
d. Liver and spleen palpation
Liver and spleen palpation
Guidance (not regulatory) recommendations are that drivers with
dizziness or vertigo should not be qualified until the driver has
achieved a 2-month symptom free interval regardless of
examination findings.
, Vision testing may be performed by:
a. The Medical Examiner, an optometrist, or ophthalmologist.
b. Only an ophthalmologist.
c. Only the Medical Examiner.
d. Only an optometrist
The Medical Examiner, an optometrist, or ophthalmologist
The driver has 1,000 ng/ml of glucose on urinalysis. What is the
next appropriate step for the Medical Examiner?
a. Disqualify the driver.
b. Refer the driver for evaluation by a kidney specialist.
c. Refer the driver for evaluation under the Insulin-Treated Diabetes
Alternative Qualification Standard.
d. Recommend the driver check blood glucose 4x per day.
Recommend the driver check blood glucose 4x per day.
The driver presents after having had a PCI procedure 3 days prior.
The driver indicates no symptoms and has a letter from his
cardiologist indicating he is cleared to drive. The Medical Examiner
should:
a. Have the driver return for evaluation at least 3 weeks after the
date of the PCI.
b. Refer the driver for a cardiac stress test.
c. Certify the driver for 6 months.
d. Certify the driver for 2 years
Have the driver return for evaluation at least 3 weeks after the date
of the PCI
- Current FMCSA guidelines in the reference table in the 2022 Draft
version of the Medical Examiner's Handbook include:
Asymptomatic; Minimum 3 weeks after elective procedure; LVEF >
40%; Adherence to cardiovascular specialist-recommended
appropriate medical therapy for a minimum of 1 year after receiving
drug-eluting stent; Clearance by cardiologist.
The driver describes alcohol use including 2 drinks a night during
the week and a 6 pack on the weekends. The Medical Examiner's
next step should be to:
