DOT Study Exam Questions with
Complete Solutions18
The following statements are true concerning hearing requirements of commercial drivers
EXCEPT: - ANSWERS-hearing aids may not be worn during testing (they should be worn)
What is the maximum length of time a driver can remain in determination pending status? -
ANSWERS-45 days
A driver has had his second spontaneous pneumothorax on the same side 3 months ago. There
has been no surgical intervention. The FVC is 68%. The correct determination in this cases is: -
ANSWERS-do not certify until this has been surgically corrected
The driver reports a suicide attempt 6 months earlier, following the break-up of his marriage. He
noted seeing a psychiatrist and takes Citalopram daily and reports he feels fine now. He
provides a release from his doctor that he may return to work without restrictions. The medical
examiner shoud? - ANSWERS-disqualify the driver
A driver with an Abdominal Aortic Aneurysm (AAA) can be certified: - ANSWERS-For 1 year if
between 4 and 5 cm, asymptomatic, with a recommendation from a cardiovascular specialist
who understands the functions and demands of commercial driving.
Which is false concerning additional information the driver is to provide for any "yes" responses
on the history section of the form? - ANSWERS-Must list only prescription medications, not
vitamins or supplements.
(required to list supplements)
Upon exam of a 46 y/o 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, SOB,
,dizziness, palpitations, or cardiac hx. You would: - ANSWERS-Disqualify and refer to his PMD or
cardiologist for further evaluation.
Which cardiac condition is disqualifying? - ANSWERS-hypertrophic cardiomyopathy
Central vision loss is suggestive of: - ANSWERS-macular degeneration
A driver was discharged from the hospital 10 weeks ago after an MI. He is asymptomatic and
has a note from the cardiologist that he had a satisfactory in office ETT the week prior to your
exam and that he may drive. His pre-discharge ECHO shows an EF of 45%. Exam is normal. Your
determination: - ANSWERS-Qualified for one year
Concerning the medical certificate, which is true? - ANSWERS--You may provide a copy to the
driver's employer
-Retain a copy for at least 3 yrs
-The driver must carry the original certificate during the operation of a CMV
Which of the following is an assessment of the L4 nerve root pathology? - ANSWERS-patellar
reflex
Indicators for referring a driver for pulmonary function testing include: - ANSWERS--hx of COPD
-wheezing
-cigarette smoking in drivers 35 y/o or older
How soon may a driver be certified after coronary artery bypass grafting (CABG) surgery? -
ANSWERS-3 months with clearance by cardiologist, resting echocardiogram with an LVEF >40%
after CABG, and asymptomatic status with no angina.
, A driver presents for his DOT physical. He has occasional lower back pain. A lateral pulsation is
palpated ~2 inches superior to the umbilicus. Auscultation reveals an obvious bruit. What is the
next step? - ANSWERS-arrange for transport to the ER
48 y/o non-smoker. Supervisor calls stating he recently went off the side of the road and
crashed into a guard rail. He is found asleep in the waiting room and snoring and the MA has to
wake him up. Nodding off during the exam. He admits snoring and gasps in sleep. Denies
nodding off while driving. Exam notable for obesity. Mallampati 4 oropharynx, HTN controlled
w/2 meds. Appropriate next steps: - ANSWERS-Disqualify and refer for sleep study
Physical qualifications for vision regulations include all EXCEPT: - ANSWERS-Field of vision of at
least 85 degrees in the horizontal meridian in each eye.
(must be 70 degrees)
69 y/o driver had a femoral-popliteral bypass 4 months ago with resolution of chronic leg pain
due to claudication. His surgeion clears him for driving. He is on coumadine with INRs
consistently in therapeutic range. The correct determination is: - ANSWERS-meets standards,
qualified for 1 year
Drivers must have the following physical abilities: - ANSWERS--grip strength
-upper body strength
-balance and flexibility
A driver returns to work after two week absence due to a respiratory illness. He presents a note
from his physician that he was unable to work as a truck driver bc of the illness but is now
cleared for returning to work. His medical certificate expires in 3 months. The driver: -
ANSWERS-should undergo a new exam
The medical examiner cannot certify a driver if the driver has been diagnosed with: -
ANSWERS--Meniere's disease
-schizophrenia
Complete Solutions18
The following statements are true concerning hearing requirements of commercial drivers
EXCEPT: - ANSWERS-hearing aids may not be worn during testing (they should be worn)
What is the maximum length of time a driver can remain in determination pending status? -
ANSWERS-45 days
A driver has had his second spontaneous pneumothorax on the same side 3 months ago. There
has been no surgical intervention. The FVC is 68%. The correct determination in this cases is: -
ANSWERS-do not certify until this has been surgically corrected
The driver reports a suicide attempt 6 months earlier, following the break-up of his marriage. He
noted seeing a psychiatrist and takes Citalopram daily and reports he feels fine now. He
provides a release from his doctor that he may return to work without restrictions. The medical
examiner shoud? - ANSWERS-disqualify the driver
A driver with an Abdominal Aortic Aneurysm (AAA) can be certified: - ANSWERS-For 1 year if
between 4 and 5 cm, asymptomatic, with a recommendation from a cardiovascular specialist
who understands the functions and demands of commercial driving.
Which is false concerning additional information the driver is to provide for any "yes" responses
on the history section of the form? - ANSWERS-Must list only prescription medications, not
vitamins or supplements.
(required to list supplements)
Upon exam of a 46 y/o 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, SOB,
,dizziness, palpitations, or cardiac hx. You would: - ANSWERS-Disqualify and refer to his PMD or
cardiologist for further evaluation.
Which cardiac condition is disqualifying? - ANSWERS-hypertrophic cardiomyopathy
Central vision loss is suggestive of: - ANSWERS-macular degeneration
A driver was discharged from the hospital 10 weeks ago after an MI. He is asymptomatic and
has a note from the cardiologist that he had a satisfactory in office ETT the week prior to your
exam and that he may drive. His pre-discharge ECHO shows an EF of 45%. Exam is normal. Your
determination: - ANSWERS-Qualified for one year
Concerning the medical certificate, which is true? - ANSWERS--You may provide a copy to the
driver's employer
-Retain a copy for at least 3 yrs
-The driver must carry the original certificate during the operation of a CMV
Which of the following is an assessment of the L4 nerve root pathology? - ANSWERS-patellar
reflex
Indicators for referring a driver for pulmonary function testing include: - ANSWERS--hx of COPD
-wheezing
-cigarette smoking in drivers 35 y/o or older
How soon may a driver be certified after coronary artery bypass grafting (CABG) surgery? -
ANSWERS-3 months with clearance by cardiologist, resting echocardiogram with an LVEF >40%
after CABG, and asymptomatic status with no angina.
, A driver presents for his DOT physical. He has occasional lower back pain. A lateral pulsation is
palpated ~2 inches superior to the umbilicus. Auscultation reveals an obvious bruit. What is the
next step? - ANSWERS-arrange for transport to the ER
48 y/o non-smoker. Supervisor calls stating he recently went off the side of the road and
crashed into a guard rail. He is found asleep in the waiting room and snoring and the MA has to
wake him up. Nodding off during the exam. He admits snoring and gasps in sleep. Denies
nodding off while driving. Exam notable for obesity. Mallampati 4 oropharynx, HTN controlled
w/2 meds. Appropriate next steps: - ANSWERS-Disqualify and refer for sleep study
Physical qualifications for vision regulations include all EXCEPT: - ANSWERS-Field of vision of at
least 85 degrees in the horizontal meridian in each eye.
(must be 70 degrees)
69 y/o driver had a femoral-popliteral bypass 4 months ago with resolution of chronic leg pain
due to claudication. His surgeion clears him for driving. He is on coumadine with INRs
consistently in therapeutic range. The correct determination is: - ANSWERS-meets standards,
qualified for 1 year
Drivers must have the following physical abilities: - ANSWERS--grip strength
-upper body strength
-balance and flexibility
A driver returns to work after two week absence due to a respiratory illness. He presents a note
from his physician that he was unable to work as a truck driver bc of the illness but is now
cleared for returning to work. His medical certificate expires in 3 months. The driver: -
ANSWERS-should undergo a new exam
The medical examiner cannot certify a driver if the driver has been diagnosed with: -
ANSWERS--Meniere's disease
-schizophrenia
