DOT EXAM QUESTIONS AND
CORRECT ANSWERS ALREADY
PASSED
What drugs should you disqualify a driver for? - Answer- If taking Methadone. Has a
clinical diagnosis of alcoholism. Uses a controlled substance including a narcotic, an
amphetamine, or another habit forming drug without a prescription from a treating
physician
What does the form need to include - Answer- The examiner's name, examination date,
office address, and telephone number
The FMCSA is one of how many administrations within the US DOT - Answer- 9
What is the mission of FMCSA? - Answer- Reducing crashes, injuries, and fatalities
involving large trucks and buses
What entities does the FMCSA regulate - Answer- Drivers, vehicles, and motor carriers
What does of office of analysis, research, and technology do? - Answer- Provides info
about trends, costs, fatalities, and injuries involving large truck and bus crashes
Recommended questions to ask about drug use? - Answer- Dizziness/lightheaded?
Hypotension?
Sedation?
Depressed mood?
Cognitive deficit?
Decreased reflex response?
Unsteadiness?
What must you evaluate on physical exam in a patient who uses medicatoin? - Answer-
Desired effect on underlying disease?
SE that interfere with safe driving?
What mental health professionals may be needed for further evaluation of a driver with
an alcohol or substance abuse problem? - Answer- Breath alcohol technician
Designated employer representative
Medical review officer
SAPs
,CMV drivers are governed by __: Controlled substances and alcohol use and testing -
Answer- 49 CFR Part 382
What should be gathered in the history of the driver? - Answer- Any affirmative
responses in history
Illness/Sx/Injury within last 5 years
Any other hospitalizations/sx
Recent changes in health status
Medical conditions/ current complaints
Incidents of disability/physical limitations
Limitations placed during prior FMCSA exams
Current medications
What needs to be examined during the physical exam - Answer- Height, weight, eyes,
ears, mouth, throat, neck, heart, lungs, chest, thorax, abdomen, spine, extremities,
neurologic status, urine, and mental status
What needs to be examined in the urine? - Answer- Specific gravity, protein, blood, and
glucose
What should you advise a driver about if they wear contacts? - Answer- To carry
glasses with them
What should you advise a driver about if they have hearing aids? - Answer- Should
carry a spare power source for the device
What should you advise a driver about if they have had a DVT? - Answer- Risks
associated with inactivity while driving and interventions that could prevent another
thrombotic event
With a diabetes exemption, what should the driver do? - Answer- Have a rapidly
absorbable form of glucose while driving, self monitor glucose one hour before driving
and at least once every 4 hours while driving, and submit glucose monitoring logs for
each annual recertification
What are things that could delay/disqualify certification for the driver? - Answer-
Immediate post op period, vision disability, cardiac event, chronic pulm exacerpation,
uncontrolled HTN, endocrine dysfunction, musculoskeletal challenges, neuro events,
sleep disorders, mental/emotional health, mental health dysfunction
What should you consider about documented medical disorders of the driver - Answer-
The rate of progression, degree of control, and likelihood of gradual or sudden
incapacitation
How long do you have to keep all original medical examination reports with a copy or
electronic versions of operator's medical examiner certification? - Answer- At least 3
years from the date of exam
, A CMV operator must be how old? - Answer- 21 years
With the aging of CMV operators comes a greater risk for age related medical
conditions such as - Answer- Chronic disease
Fixed deficits
Gradual or sudden incapacitation
Co-morbidities
A CMV operator who is deemed medically fit for duty is capable of completing what
tasks - Answer- Coordinated movements
Joint flexion
Grip
Flexibility
Sensation
Does the CMV operator have to have a medical exam if they are returning from an
illness or injury that interferes with their driving abilities? - Answer- Yes even if they
have a valid certificate
The physical exam includes - Answer- Height/weight
ROS
VS
Abnormal findings
Certification status outcome
Testing of vision/hearing/ BP and pulse rate and urinalysis
Any health condition the CMV operator is positive for must have what documented
about it? - Answer- Date of onset
Diagnosis
Name and address of health care provider treating the condition
Any limitations secondary to the condition
Why does the CMV operator have to sign the form? - Answer- Validates the info is
accurate and acknowledges that providing inaccurate info would invalidate the exam
and lead to a fine
What medication side effects are important? - Answer- Visual disturbances
Drowsiness
Change in mental status
Behavioral changes
Hypotension
Hypoglycemia
What are physical exam findings that affect safety - Answer- Benign physical conditions
that can potentially affect driving, symptoms that can cause immediate incapacitation,
