DOT Exam UPDATED Exam Questions and CORRECT Answers
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DOT Exam UPDATED Exam Questions
and CORRECT Answers
Upon examination of a 46 y/o male smoker, you detect an irregularly irregular heart rythm.
The rate is 140 bpm. This is unknown to the driver and he denies any symptoms of
lightheadedness, shortness of breath, dizziness, palpitations, nor a...
DOT Exam UPDATED Exam Questions
and CORRECT Answers
Upon examination of a 46 y/o male smoker, you detect an irregularly irregular heart rythm.
The rate is 140 bpm. This is unknown to the driver and he denies any symptoms of
lightheadedness, shortness of breath, dizziness, palpitations, nor any cardiac history. You
would: - Correct Answer- Disqualify and refer to his PMD or cardiologist for further
evaluation.
Concerning the medical certificate, which is false? - Correct Answer- Provide the original to
the driver being examined. Retain a copy for at least 3 years.
You may not provide a copy to the current or prospective employer, they must get it from the
driver. The driver must carry the original certificate during operation of a CMV.
How soon may a driver be certified after coronary artery bypass grafting (CABG) surgery? -
Correct Answer- 3 months with clearance by cardiologist, resting echocardiogram with an
LVEF >40% after CABG, and asymptomatic status with no angina.
FMCSA defines a severe hypoglycemic reaction as one that results in: - Correct Answer-
Need of assistance from another person, loss of consciousness, any period of impaired
cognitive function that occurs without warning, or seizure
Medical fitness for duty includes the ability to perform strenuous labor and to have good
judgment, impulse control, and _____________________. - Correct Answer- Problem
solving skills
All of the following may perform and certify vision test results except: - Correct Answer- A
chiropractor
Ophthalmologist
Optometrist
or Registered Nurse
The grace period for the expiration of a Medical Examiner's Certification is - Correct
Answer- There is no grace period, the certification expires at midnight on the date listed
, A 28 year old female presents for her CDL physical exam. She indicates she has been
enrolled in a Methadone program for three months secondary to a previous substance abuse
issue in the recent past. She presents a letter from the administrator of the program
documenting her compliance with the program and absence of any history of prior violations
of their agreement. According to medical guidance, can a driver be certified while taking
methadone. - Correct Answer- No, since Methadone is a habit-forming narcotic that can
produce drug dependence. Methadone is not an allowable drug for CMV operators.
Arriving for a recertification exam, a 48 y/o male non-smoker is 5'4", 275lbs. His supervisor
calls you ahead of time stating he recently went off the side of the road crashing into a guard
rail. There were no injuries and the truck sustained only minor damage. When the medical
assistant goes to bring him back, he is found asleep, snoring in the waiting room and she
needs to wake him by gently shaking him by the shoulder. She reports this to you. When you
arrive in the exam room the patient appears to be nodding off while sitting on the exam table.
Upon further questioning, he admits that his wife frequently elbows him because of his
snoring and that he gasps and snorts in his sleep. When asked, he denies nodding off while
driving. His exam is notable for obesity, Mallampati 4 oropharynx, HTN controlled with 2
medications, otherwise normal. Appropriate next steps: - Correct Answer- Disqualify and
refer to PMD for sleep study.
You examine a 37 male driver with missing fingers on his left hand, you must evaluate and
do all of the following, - Correct Answer- Document the effect that the deficit has on the
ability of the driver to safely operate a CMV Provide a copy of the Medical Examination
Report form and medical examiner's certificate for an SPE initial or renewal application
Ensure that the driver with an existing SPE certificate is complying with medical
requirements
You examine a 37 male driver with missing fingers on his left hand, you must evaluate and
obtained
Obtain approval from the primary care doctor - Correct Answer- no
When you perform a urinalysis (dip stick) test, you are to test for what? - Correct Answer-
Specific gravity, protein (proteinuria), blood (hematuria) and glucose (glycosuria)
Commercial drivers have a greater propensity to develop hypertension than their peers in
other professions. - Correct Answer- true
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