DOT EXAM - NRCME TRAINING
INSTITUTE MATERIAL QUESTIONS
WITH 100% CORRECT ANSWERS A
GRADED
WhatsissthesmissionsofsFMCSA?s-
sans✔✔FMCSAsissfocusedsonsreducingscrashes,sinjuries,sandsfatalitiessinvolvingslargestru
ckssandsbuses.
WhosandswhatsdoessthesFMCSAsregulate?s-
sans✔✔Interstatescommercialsoperation,sincludingsthesdriver,svehicle,smotorscarrier,sandst
hestransportsofshazardoussmaterials.
ExamplessofsCMVsdriversstresssfactorss-
sans✔✔Interruptionsofsnormalssleep,sexercising,seatingspattern,sandsaccessstossocialssup
portsnetworkssresultingsinsfatigue,sobesity,sandsor/
alienationsofsaffection.sEnvironmentsthatsmayshavesexcessivesvibration,snoise,sandsextre
messinstemperaturesandsor/
adversesroadsorstrafficsconditionssthatscansinterfereswithsdriversabilitystosrecognizesasdrivin
gshazard,scausestemporarysorspermanentsphysicalsdamagestossensorysperceptionsorsaffe
ctsdriversbehavior.sIncreasedspotentialsforsinjurysandsfatalitiessshouldstheresbesascrashswh
ensdriversissresponsiblesforspassengerssafetysorshazardousscargo.
Whatsaresthesdifferencessbetweensthesmedicalsstandardssandsmedicalsguidelines?s-
sans✔✔Regulationssareslawsandsaresmandatory.sThesMEsmustsusesstandardsstosdetermi
nesinterstatesCMVsdriversmedicalsfitnesssforsduty.sMedicalsguidelinessaresnotsregulatorysa
ndsthesMEsmayschoosesnotstosfollowsthesmedicalsguidance.
InswhichsregulationssaresthesdriversphysicalsqualificationsstandardssandsMedicalsExaminer
sscited?s-
sans✔✔Driversphysicalsqualificationsstandardssaresfoundsins49sCFRs391.41.sMEsresponsi
bilitiessaresfoundsins49sCFRs391.43
Whatsobjectivestestssandsmeasurementssaresrequiredsasspartsofsthesdriversphysicalsexami
nation?s-sans✔✔Heights&sweight
,Vision
Hearing
BPs&spulse
Urinalysiss(specsgravity,sprotein,sblood,sglucose)
Whatsaresthespossiblesoutcomessofsthesdriversphysicalsexamination?s-
sans✔✔Certification
Disqualification
Determinationspending
Whatsdatesissusedstosdeterminesmedicalsexaminersscertificatesexpiration?s-
sans✔✔Thesdatesofsthesexamsissusedsassthesbasissforscertificatesexpiration,sexceptswhens
determinationspendingsisschosen.
Whensdeterminationspendingsisschosen,sifsthesdriversreturnsswithsthesnecessarysinformati
onspriorstosthesexpirationsofsthesdriver'sscurrentscertificatesandsthesdriversissqualifiedsbased
sonsthatsinformationsprovided,sthesdatesusedsforsthesbasissofsthescertificationstimeframesisst
hesdatesthesdriversreturnedswithsthesnecessarysinformation.
WhatsissthesMEscertificatesexpirationsdatesforsthesfollowingsdrivers?
As-sExams4/16/2011,smeetssstandardssins49sCFRs391.41,squalifiessfors2syearscertificate.
Bs-
sExams4/16/2011,smeetssstandards,sbutsperiodicsmonitoringsrequiredsduestosHTN,squalifie
ssfors1syearscertificate.
Cs-sExams4/16/2011,sdeterminationspendingsduestosnotshavingsresultssofspost-
CABGsstressstest,sptsreturnssandsprovidessthatsinfosons4/25/2011,sdriversissqualifiedsfors1s
year.s
Ds-
sExams4/16/2011,sdisqualifiedsduestosbenignspositionsvertigosons3/15/2011,sreturnedstosM
Esforscertificationsexaminationsons5/20/11.sHeshassbeensasymptomaticssinces3/11/2011.s
Qualifiedsforstwosyears.s-sans✔✔A:s4/16/2013
B:s4/16/2012
C:s4/25/2012
D:s5/20/2013
Patientsexample:
Karen,srecertificationsexam
42sy/osfemale
Noshealthshistory,snosmedications.s
Visionsacuity:srights20/20,slefts20/30.sBoths20/20.sHorizontalsfieldsofsvisionsRts80sdegrees,s
Lts80sdegrees.sNotscorrectedsvision.
Nosmonocularsvision.
Noshearingsaids,sWhisperstests5'sbilaterally.sN/Asaudiometricstesting
UA:sspecsgravs1.020,sproteins1+,sbloods4+,sglucosesneg.
Hgbs12.4
BPs134/88,sPs80,sregular.
, PE:sons4thsdaysofsmensesswithsheavysbleeding.sAdvisedstosconsultsPCPsorsGYNsforsevals
ofsexcessivesbleedingsthatscouldsleadstosanemia,sleadingstosfatiguesthatswouldsaffectshersd
riving.s-sans✔✔Twosyearscertifications-
snosdisqualifyingshealthshistorysorsPEsabnormalities.s
Asksaboutsmedicationsuse,sincludingsOTCsmedications.
MEsobtainedshemoglobinstestingsbasedsonsPEsfindings.s(notsrequired)
ThesMEsshouldscorrectlysnotesthesbodyssystemsinswhichsthereswassansabnormalsfinding.sT
hesnotesreflectssinquirysasstosthesaffectsonsdrivingsabilitysandsissalsossupportedsbysHgbstes
tsresults.sMEsalsosdocumentedsmedicalsfollowsupsadvice.
WhoscansperformsthesvisionsportionsofsthesinterstatesCMVsdriversphysicalsexamination?s-
sans✔✔ThescertifiedsME,soptometrist,sorsansopthalmologist. sIfsthesspecialistsprovidersperf
ormssthesexam,stheysshouldscompletesandssignsthesprovider'ssinformationsonsthesreportsfo
rmsandsprovidesthesresults.
TospasssthesinterstatesCMVsdriversvisionsexam,sasvisualsacuitysofs___/
___correctedsorsuncorrectedsissrequired.s-
sans✔✔20/40sonsSnellenschartsinseachseyesindividuallysANDsinsbothseyesscombined.
WhatseyesconditionssmuststhesMEsasksthesdriversaboutsandsifsindicated,srequestsspecialist
sevaluation?s-
sans✔✔Retinopathy,scataracts,saphakia,sglaucoma,sandsmacularsdegeneration.
Ptsexample:
Mr.sBrown,s48sy/
osmale.sNoscurrentsmeds,sinjurys5syearssago.sHuntingsaccidents2syearssagoswithsfacialstra
umasandsleftsorbitalsfracture.sPresentedsas"maysdrive"snotesfromseyessurgeons(dateds3smo
nthsspriorstosexamination).sUncorrectedsvision,srightseyes20/20.sleftseyes20/40.sBoths20/20
.sHorizontalsfieldsofsvisionsRights80sdegrees,sleftseyesissinconclusive.sNosmonocularsvision
.sNoshearingsaids.sWhisperstests5'sbilaterally.sN/
Asaudiometricstest.sUAsnormal.sBPs122/74,sps80,sregular.s-
sans✔✔Examsfindings:sLeftseyesmusclessdosnotsmoveseyestosthesleft,sdiscussedsdisqualifi
cationspendingseyesexamsbysspecialist.sExplainedsthesspecialistswillsgetsprecisesvisualsfiel
dsmeasurements.sProvidedsdriverswithsappropriatesmedicalsreleasesandscopysofsmedicals
examsreportswithsvisionssectionshighlighted.s
Driversdoessnotsmeetsrequirements.sHesisspendingsspecialistsvisionsexam.sDiminishedsvisi
onsinsleftseyesnoted.sPtscouldsbesfunctionallysmonocular.
WhatsissthespurposesofsthesinterstatesCMVsdriversphysicalsexamination?s-
sans✔✔Tosdetectsthespresencesofsphysical,smental,sorsorganicsconditionssofssuchscharact
ersandsextentsasstosaffectsthesdriversabilitystosoperatesasCMVssafely.sThissexamsissforspubli
cssafetysdeterminationsandsissconsideredsbysFMCSAstosbesas"medicalsfitnesssforsduty"sex
amination.
Examplessofs"yes"sanswerssforshearingsandsearssonstheshealthshistorysthatsmaysrequiresfu
rthersexaminationsbeforesascertificationsdecisionscansbesmades-sans✔✔Earsdisorders
INSTITUTE MATERIAL QUESTIONS
WITH 100% CORRECT ANSWERS A
GRADED
WhatsissthesmissionsofsFMCSA?s-
sans✔✔FMCSAsissfocusedsonsreducingscrashes,sinjuries,sandsfatalitiessinvolvingslargestru
ckssandsbuses.
WhosandswhatsdoessthesFMCSAsregulate?s-
sans✔✔Interstatescommercialsoperation,sincludingsthesdriver,svehicle,smotorscarrier,sandst
hestransportsofshazardoussmaterials.
ExamplessofsCMVsdriversstresssfactorss-
sans✔✔Interruptionsofsnormalssleep,sexercising,seatingspattern,sandsaccessstossocialssup
portsnetworkssresultingsinsfatigue,sobesity,sandsor/
alienationsofsaffection.sEnvironmentsthatsmayshavesexcessivesvibration,snoise,sandsextre
messinstemperaturesandsor/
adversesroadsorstrafficsconditionssthatscansinterfereswithsdriversabilitystosrecognizesasdrivin
gshazard,scausestemporarysorspermanentsphysicalsdamagestossensorysperceptionsorsaffe
ctsdriversbehavior.sIncreasedspotentialsforsinjurysandsfatalitiessshouldstheresbesascrashswh
ensdriversissresponsiblesforspassengerssafetysorshazardousscargo.
Whatsaresthesdifferencessbetweensthesmedicalsstandardssandsmedicalsguidelines?s-
sans✔✔Regulationssareslawsandsaresmandatory.sThesMEsmustsusesstandardsstosdetermi
nesinterstatesCMVsdriversmedicalsfitnesssforsduty.sMedicalsguidelinessaresnotsregulatorysa
ndsthesMEsmayschoosesnotstosfollowsthesmedicalsguidance.
InswhichsregulationssaresthesdriversphysicalsqualificationsstandardssandsMedicalsExaminer
sscited?s-
sans✔✔Driversphysicalsqualificationsstandardssaresfoundsins49sCFRs391.41.sMEsresponsi
bilitiessaresfoundsins49sCFRs391.43
Whatsobjectivestestssandsmeasurementssaresrequiredsasspartsofsthesdriversphysicalsexami
nation?s-sans✔✔Heights&sweight
,Vision
Hearing
BPs&spulse
Urinalysiss(specsgravity,sprotein,sblood,sglucose)
Whatsaresthespossiblesoutcomessofsthesdriversphysicalsexamination?s-
sans✔✔Certification
Disqualification
Determinationspending
Whatsdatesissusedstosdeterminesmedicalsexaminersscertificatesexpiration?s-
sans✔✔Thesdatesofsthesexamsissusedsassthesbasissforscertificatesexpiration,sexceptswhens
determinationspendingsisschosen.
Whensdeterminationspendingsisschosen,sifsthesdriversreturnsswithsthesnecessarysinformati
onspriorstosthesexpirationsofsthesdriver'sscurrentscertificatesandsthesdriversissqualifiedsbased
sonsthatsinformationsprovided,sthesdatesusedsforsthesbasissofsthescertificationstimeframesisst
hesdatesthesdriversreturnedswithsthesnecessarysinformation.
WhatsissthesMEscertificatesexpirationsdatesforsthesfollowingsdrivers?
As-sExams4/16/2011,smeetssstandardssins49sCFRs391.41,squalifiessfors2syearscertificate.
Bs-
sExams4/16/2011,smeetssstandards,sbutsperiodicsmonitoringsrequiredsduestosHTN,squalifie
ssfors1syearscertificate.
Cs-sExams4/16/2011,sdeterminationspendingsduestosnotshavingsresultssofspost-
CABGsstressstest,sptsreturnssandsprovidessthatsinfosons4/25/2011,sdriversissqualifiedsfors1s
year.s
Ds-
sExams4/16/2011,sdisqualifiedsduestosbenignspositionsvertigosons3/15/2011,sreturnedstosM
Esforscertificationsexaminationsons5/20/11.sHeshassbeensasymptomaticssinces3/11/2011.s
Qualifiedsforstwosyears.s-sans✔✔A:s4/16/2013
B:s4/16/2012
C:s4/25/2012
D:s5/20/2013
Patientsexample:
Karen,srecertificationsexam
42sy/osfemale
Noshealthshistory,snosmedications.s
Visionsacuity:srights20/20,slefts20/30.sBoths20/20.sHorizontalsfieldsofsvisionsRts80sdegrees,s
Lts80sdegrees.sNotscorrectedsvision.
Nosmonocularsvision.
Noshearingsaids,sWhisperstests5'sbilaterally.sN/Asaudiometricstesting
UA:sspecsgravs1.020,sproteins1+,sbloods4+,sglucosesneg.
Hgbs12.4
BPs134/88,sPs80,sregular.
, PE:sons4thsdaysofsmensesswithsheavysbleeding.sAdvisedstosconsultsPCPsorsGYNsforsevals
ofsexcessivesbleedingsthatscouldsleadstosanemia,sleadingstosfatiguesthatswouldsaffectshersd
riving.s-sans✔✔Twosyearscertifications-
snosdisqualifyingshealthshistorysorsPEsabnormalities.s
Asksaboutsmedicationsuse,sincludingsOTCsmedications.
MEsobtainedshemoglobinstestingsbasedsonsPEsfindings.s(notsrequired)
ThesMEsshouldscorrectlysnotesthesbodyssystemsinswhichsthereswassansabnormalsfinding.sT
hesnotesreflectssinquirysasstosthesaffectsonsdrivingsabilitysandsissalsossupportedsbysHgbstes
tsresults.sMEsalsosdocumentedsmedicalsfollowsupsadvice.
WhoscansperformsthesvisionsportionsofsthesinterstatesCMVsdriversphysicalsexamination?s-
sans✔✔ThescertifiedsME,soptometrist,sorsansopthalmologist. sIfsthesspecialistsprovidersperf
ormssthesexam,stheysshouldscompletesandssignsthesprovider'ssinformationsonsthesreportsfo
rmsandsprovidesthesresults.
TospasssthesinterstatesCMVsdriversvisionsexam,sasvisualsacuitysofs___/
___correctedsorsuncorrectedsissrequired.s-
sans✔✔20/40sonsSnellenschartsinseachseyesindividuallysANDsinsbothseyesscombined.
WhatseyesconditionssmuststhesMEsasksthesdriversaboutsandsifsindicated,srequestsspecialist
sevaluation?s-
sans✔✔Retinopathy,scataracts,saphakia,sglaucoma,sandsmacularsdegeneration.
Ptsexample:
Mr.sBrown,s48sy/
osmale.sNoscurrentsmeds,sinjurys5syearssago.sHuntingsaccidents2syearssagoswithsfacialstra
umasandsleftsorbitalsfracture.sPresentedsas"maysdrive"snotesfromseyessurgeons(dateds3smo
nthsspriorstosexamination).sUncorrectedsvision,srightseyes20/20.sleftseyes20/40.sBoths20/20
.sHorizontalsfieldsofsvisionsRights80sdegrees,sleftseyesissinconclusive.sNosmonocularsvision
.sNoshearingsaids.sWhisperstests5'sbilaterally.sN/
Asaudiometricstest.sUAsnormal.sBPs122/74,sps80,sregular.s-
sans✔✔Examsfindings:sLeftseyesmusclessdosnotsmoveseyestosthesleft,sdiscussedsdisqualifi
cationspendingseyesexamsbysspecialist.sExplainedsthesspecialistswillsgetsprecisesvisualsfiel
dsmeasurements.sProvidedsdriverswithsappropriatesmedicalsreleasesandscopysofsmedicals
examsreportswithsvisionssectionshighlighted.s
Driversdoessnotsmeetsrequirements.sHesisspendingsspecialistsvisionsexam.sDiminishedsvisi
onsinsleftseyesnoted.sPtscouldsbesfunctionallysmonocular.
WhatsissthespurposesofsthesinterstatesCMVsdriversphysicalsexamination?s-
sans✔✔Tosdetectsthespresencesofsphysical,smental,sorsorganicsconditionssofssuchscharact
ersandsextentsasstosaffectsthesdriversabilitystosoperatesasCMVssafely.sThissexamsissforspubli
cssafetysdeterminationsandsissconsideredsbysFMCSAstosbesas"medicalsfitnesssforsduty"sex
amination.
Examplessofs"yes"sanswerssforshearingsandsearssonstheshealthshistorysthatsmaysrequiresfu
rthersexaminationsbeforesascertificationsdecisionscansbesmades-sans✔✔Earsdisorders
