DOT Certification Exam: Questions &
Answers
An unrestricted Commercial Motor Vehicle Driver Medical
Certificate must
be renewed
(Ans - Every Two Years
A driver presents with history of an isolated TIA 6 months ago. He
has a return to work letter from his primary care
provider (PCP) and neurologist. He is taking and
tolerating well hydrochlorothiazide and simvastatin. All
other aspects of
the exam and history were normal. What should the medical
examiner do next?
(Ans - Disqualify driver for now
FMCSA regulates interstate commercial operation
including the (Ans - Driver, Vehicle, and Motor Carrier
During the CMV exam a driver perceived a whispered voice at 5
feet in his left year and 4 feet in his right year. Exam
was otherwise normal. What do you do as the medical
examiner? (Ans - Certify driver for 2 years
Which of the following is an assessment of L4 nerve root
pathology? A. Plantar flexion
B. Patellar
reflex C. Hip
extension D.
Babinski reflex
(Ans - Patellar reflex
A driver presents for medical exam and reports being a smoker
and having frequent shortness of breath. What do you
do next?
,(Ans - Order a spirometer test
According to regulation, which of the following must be evaluated
as part of the eye exam?
A. Pupil
reaction B. Iris
symmetry
C. Conjunctiva
injection D.
Tonometry pressure
(Ans - Pupil reaction
Continued certification of NRCE Medical Examiners requires which
of the following?
A. Periodic training at least every five years
B. Completion of recertification test every
five years C. Completion of certification test
every 10 years
D. Electronic transmission to FMCSA CMV Medical Examination
Results at least monthly
(Ans - Periodic training at least every five years, Completion of
certification test every 10 years, Electronic transmission to
FMCSA CMV Medical Examination Results at least monthly
A driver presents for recertification. The only condition he lists is
GERD, for which he takes OTC omeprazole. He says
that when he is driving and eating fast foods, he is more likely to
have heartburn than when off‐duty. You should
(Ans - Correlate history with abdominal exam
Which of the following findings is
disqualifying? A. Oxygen saturation 90%
B. LVEF 40%
C. FEV 68%
predicted D. All of
the above
(Ans - Oxygen saturation 90%
,The driver presents for recertification and submits an ultrasound
report indicating an abdominal aortic aneurysm
from two months ago, shortly before he had surgical correction. He
has surgical clearance and says he is doing well, has
no symptoms. You should
(Ans - Inform the driver of the 3 month waiting period before
he can be certified
The driver takes diphenhydramine twice a day to treat nasal
congestion.
What must you document in
order to certify?
(Ans - Cannot drive within 12 hours of taking diphenhydramine
The driver has a history of carpal tunnel repair of her right hand 2
months ago. Her grip strengths are symmetrical
and strong. What is necessary in order to qualify this
driver? (Ans - Document her findings for 2‐year
certification
Which of the following abdominal complaints is most
likely to be incapacitating?
A. IBS
B.
GERD
C. Urinary tract
infection D.
Nephrolithiasis
(Ans - Nephrolithiasis
The waiting period for benign positional
vertigo is (Ans - 2 months
The driver's BP is 148/96. You verify her history, which indicates
she has no prior history of hypertension. If
otherwise qualified, you may certify
her for (Ans - 1 year
, The driver's current BP is 135/76. Your records indicate at history
of Stage III hypertension 4 years ago. The
maximum certification for this
driver is (Ans - 6 months
The driver presents for examination with a recent history (five
weeks ago) of pneumothorax. He has no prior history
of pneumothorax. In order to be considered medically qualified,
his forced vital capacity (FVC) should be greater than
(Ans - 65%
The recommended waiting period (WP) and certification period
(CP) for a driver following surgical correction for
intermittent claudication
are (Ans - WP 3 months, CP
1 year
Which of the following are
disqualifying? A. Pacemaker
B. Implanted
defibrillator C. Both a
and b
D. Neither
(Ans - Implanted defibrillator
Five years post‐CABG, the driver must provide a copy of
in order to qualify for recertification
(Ans - ETT
The driver has a 5‐year history of asthma, described as "well‐
controlled".
He carries rescue inhaler for the times
when he becomes short of breath, but says this is rare. He
provides pulmonary functions performed last week and his
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