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DOT Medical Examiner Testing questions and answers graded A+ by experts 2024/2025
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DOT Medical Examiner Testing questions and answers graded A+ by experts 2024/2025
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DOT Medical Examiner TestingThe driver was recently prescribed insulin for the control of his diabetes. The examiner
would?
a. Certify the driver for 2 years with medical clearance provided by their treating physical.
b. Certify the driver for 1 year with medical clearance provided by their treating physician.
c. Permanently disqualify the driver.
d. The driver is disqualified until the driver obtains a diabetic exemption. - ANSCorrect
answer is "d". An insulin dependant diabetic is disqualified until they obtain a diabetic
exemption.
The driver first perceives a whispered voice at 5 feet in his right ear and 4 feet in his left ear.
All other aspects of his physical examination are unremarkable. The examiner would?
a. Permanently disqualify the driver because he "failed" the whispered voice test.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require an audiometric test to determine the extent of hearing loss in his left ear. -
ANSCorrect answer is "b". The driver is qualified to drive without restriction as long as he is
able to perceive a whispered voice at 5 feet in 1 ear.
The medical examiner notices that the driver has recently been prescribed "Chantix" to help
him stop smoking while reviewing the drivers history. The driver is?
a. Qualified for 2 years if the rest of his exam is within normal limits. b. Provided a 1-time,
3-month certificate so that the examiner can monitor how well the driver is doing with
smoking cessation.
c. Disqualified until it has been confirmed he is no longer taking Chantix and that he has
suffered no ill effects from withdrawal from the medication.
d. Qualified for only 1 year while taking Chantix, and then he may be qualified for 2 years
once he no longer needs the medication. - ANSCorrect answer is "c". A driver may not use
Chantix and drive a CMV and it must be confirmed that they are no longer taking the
medication and that there are no effects from withdrawal, by the treating provider.
The driver reports for an examination 6 weeks after suffering a mild heart attack and
presents a note from the cardiologist stating that he is able to return to work immediately
without restriction. Included within the note, the cardiologist provides recent testing
information showing that the driver had an ETT that showed that the driver was able to reach
12 METS during the test. His ECG showed an ejection fraction of 65%. The examination of
the driver was unremarkable. The examiner should?
a. Temporarily disqualify the driver.
b. Qualify the driver for 1 year.
c. Qualify the driver for 2 years.
d. Consult with the cardiologist to determine if the driver suffers from angina. - ANSCorrect
answer is "a". The driver has not completed the required 2-month waiting period, but all
other requirements for medical clearance and required testing have been met. The driver
,would be certified for 1 year at the completion of the remaining for the waiting period (2
weeks). The date of the certification would be from the date of the original examination.
A driver provides an audiometric test listing the following findings: 500 Hz: 35 Right ear; 40
Left ear
1000 HZ: 40 Right ear; 45 Left ear
2000 HZ: 40 Right ear; 45 Left ear
4000 Hz: 50 Right ear; 50 Left ear
The medical examiner should:
a. Disqualify the driver because he does not meet minimum hearing requirements to drive.
b. Certify the driver for 2 years.
c. Certify the driver for 1 year.
d. Require the driver to obtain a hearing exemption. - ANS5: Correct answer is "b". The
examiner would average the results from 500 Hz, 1000 Hz and 2000 Hz (required). This
average is 38.33 in the Right and 43.33 in the Left ear. A driver must have an average
hearing loss of les than or equal to 40 in the better ear. They do not have to meet this in both
ears.
The medical examiner notes that the driver is taking Metformin for the treatment of diabetes,
Antabuyse, and Crestor to reduce serum cholesterol levels. He reports no side effects from
any of the medications. The rest of the examination is unremarkable. The examiner should:
a. Disqualify the driver.
b. Request clearance for all medication due to side effects.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ANSCorrect answer is "a". The driver is taking Antabuse
which is used to treat alcohol addiction. This indicates that the driver currently suffers from a
current clinical diagnosis of alcoholism.
The following are symptoms of Congestive Heart Failure EXCEPT:
a. Shortness of breath on exertion or at rest in severe cases.
b. Need to urinate at night.
c. Headache.
d. Swelling in the ankles and the abdomen. - ANSCorrect answer is "c". Headache is not a
typical symptom of congestive heart failure. Additional symptoms include wheezing,
enlargement or prominent neck and facial veins, raised jugular venous pulse, bluish
discoloration of face, presence of abnormal heart sounds, fatigue, weight gain and more.
During the examination, the examiner notices that the driver's peripheral vision is 70 degrees
to the left and 80 degrees to the right. The examiner should?
a. Qualify the driver for 2 years.
b. Require the driver to obtain a vision exemption because of the limitation in the driver's left
peripheral field.
c. Disqualify the driver.
d. Have the driver consult with an Ophthalmologist to determine if the driver's peripheral
vision meets minimum standards. - ANSCorrect answer is "a". A driver must exhibit a
minimum peripheral vision of 70 degrees bilaterally.
,During the examination, the examiner notices that the driver is distant, lacks eye contact and
shows absolutely no emotional response during the exam. The examiner's best response
should be? a. Provide the driver with a "CAGE" questionnaire to determine if they suffer from
alcoholism.
b. Disqualify the driver and refer them to a mental health profession prior to consideration for
certification.
c. Certify the driver with a 1-time, 3-month certificate to determine if there is any effect on the
driver's ability to drive a CMV.
d. Require a skill performance evaluation to ascertain if the driver has any limitations with
driving - ANSCorrect answer is "b". The driver exhibits what may be considered a "Flat
affect" which is seen in schizophrenia and in severe depression. The driver should be
evaluated by a mental health expert to make a diagnosis prior to certification.
The driver reports that he had surgery on his cervical spine 2 years ago. It involved a fusion
of C4, 5 and 6. He has recovered fully and been provided a release to return to work without
restriction. He reports no pain and does not require medication of any kind. During the
examination, the examiner notices that the driver exhibits only 30 degree of cervical rotation
to both the right and the left. The examiners best decision would be to?
a. Disqualify the driver.
b. Certify the driver for 1 year.
c. Certify the driver for 2 years.
d. Request additional information and clearance from the specialist who performed the
surgery relating to any possible limitations the driver may have and provide the job
description for a truck driver. - ANSCorrect answer is "a". The driver does not meet minimum
requirements for cervical rotation to drive a truck.
The driver admits to the use of marijuana for the treatment of his glaucoma, which is legal in
the State he lives in. He provides medical documentation for the glaucoma indicating he is
able to drive a truck. He began using the marijuana about three months ago. His current
medical card has no limitations listed and is for 2 years. His certification examination is WNL.
The medical examiner should?
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ANSCorrect answer is "a". Use of marijuana is prohibited
by Federal law while driving a CMV and trumps State law regarding this.
The driver has a blood pressure of 136/92. This is?
a. Within normal limits and would not affect the driver's certification. b. Stage 1 Htn.
c. Stage 2 Htn.
d. Stage 3 Htn. - ANSCorrect answer is "b". This is Stage 1 Htn, which is defined as
140-159/90 to 99.
The driver reports for a new certification at a local trucking school. He reports in his history
that he was treated for epilepsy 14 years ago but stopped taking medication on his own
since his move to your area 11 years ago. He has not seen a neurologist in greater than 10
years and reports no seizures since then. The examiner should?
a. Request medical clearance and, if obtained, the driver may be certified for 1 year.
, b. Request medical clearance and, if obtained, the driver may be certified for 2 years.
c. Have the driver obtain a neurologic waiver.
d. Disqualify the driver. - ANSCorrect answer is "d". Even though the driver has exceeded 10
years (required waiting period), it was not under medical supervision and the driver had
discontinued his medication on his own. The waiting period would begin when the
neurologist provides confirmation that the driver no longer requires medication (medical
supervision).
A driver reports having been diagnosed with sleep apnea 3 years earlier. He reports seeing
his "sleep doc" a few months ago and that he had a new sleep study. His exam is essentially
normal other than he is overweight (BMI of 38.33). The best decision for the examiner is to?
a. Disqualify the driver because he has sleep apnea.
b. Certify the driver for 1 year.
c. Certify the driver for 2 years.
d. Provide a temporary certificate so the driver may obtain required testing results and a
CPAP compliance report. - ANSCorrect answer is "d". The driver who is diagnosed with OSA
must have an annual sleep study (can be a sleep Latency, wakefulness or Epworth test) and
a CPAP compliance report. Since the exam is WNL the driver would be a limited risk and
allowing enough time to provide this information to the examiner. If it meets minimum
requirements or better, the driver may be certified for 1 year.
A driver must exhibit a minimum of what % compliance of CPAP usage?
a. 60%
b. 70%
c. 80%
d. 100% - ANSCorrect answer is "b". The driver must show at least 70% compliance.
A driver is taking "Celexa" for the treatment of what he calls a "mild depression." He reports
he has not considered or attempted suicide. The examiner should?
a. Temporarily disqualify the driver until he obtains written clearance for the depression and
the medication from the treating provider.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the treatment of
depression. - ANSCorrect answer is "a". Medical clearance is required for all mental
disorders. Celexa is an SSRI or 2nd. Generation anti-depressant and is OK for use with
clearance also.
The driver reports for a re-certification examination. In his history he reports he was
hospitalized 8 months ago for what was diagnosed as a "TIA". In addition he is being treated
for and he has been taking Coumadin to manage atrial fibrillation for which he has been
treated during the past 2 years. He provides a note from his cardiologist stating he has no
restrictions and he may drive a CMV. The examiner would?
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Request an electrocardiogram.
d. Disqualify the driver. - ANSCorrect answer is "d". A driver with a history of TIA on
anticoagulation therapy is automatically disqualified.
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