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Exam (elaborations)

DOT Cert UPDATED Exam Questions and CORRECT Answers

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DOT Cert UPDATED Exam Questions and CORRECT Answers An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed - Correct Answer- 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 prov...

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  • August 12, 2024
  • 33
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • DOT Cert
  • DOT Cert
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DOT Cert UPDATED Exam Questions and
CORRECT Answers

An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed -
Correct Answer- 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? - Correct
Answer- Disqualify driver for now


FMCSA regulates interstate commercial operation including the - Correct Answer- 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? - Correct Answer- 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 - Correct Answer- Patellar reflex


A driver presents for medical exam and reports being a smoker and having frequent shortness
of breath. What do you
do next? - Correct Answer- 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 - Correct Answer- 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 -
Correct Answer- 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 - Correct Answer- 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 - Correct Answer- 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 - Correct Answer- 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? - Correct Answer- 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? - Correct Answer- 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 - Correct Answer- Nephrolithiasis


The waiting period for benign positional vertigo is - Correct Answer- 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 - Correct Answer- 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 - Correct Answer- 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 - Correct Answer- 65%


The recommended waiting period (WP) and certification period (CP) for a driver following
surgical correction for
intermittent claudication are - Correct Answer- WP 3 months, CP 1 year


Which of the following are disqualifying?

, A. Pacemaker
B. Implanted defibrillator
C. Both a and b
D. Neither - Correct Answer- Implanted defibrillator


Five years post‐CABG, the driver must provide a copy of _________ in order to qualify for
recertification - Correct Answer- 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
FEV1 is 62% of predicted and his Pa02 is 62 mm. You should - Correct Answer- Disqualify
and recommend that he return to his personal provider


What is the Primary mission of FMCSA? - Correct Answer- To promote the safety of the
roadways.


During a driver's history, she describes her role and responsibilities as limited to the driving
component and
excluding strenuous activities. You should - Correct Answer- Conduct the full and standard
physical examination


During the examination, a driver reveals, "I had a touch of sugar" two years ago, but stopped
taking the prescribed
medication when it ran out, the name of which was forgotten. Driver did not indicate "yes" on
the medical history for
diabetes. The examination and urinalysis are unremarkable. What is the appropriate action
you would take to complete
this examination? - Correct Answer- Correct the medical history in your narrative and discuss
the signs, symptoms and health impact of diabetes and
the need for regular follow‐up in certifying the driver


Which of the following tests is recommended as medical guidance for initial pulmonary
function testing?

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