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Exam (elaborations)

DOT EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • Nrcme
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  • Nrcme

DOT EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • September 4, 2024
  • 96
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Nrcme
  • Nrcme
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DOT EXAM QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
TheRdriverRpresentsRwithRaRSPERCertificate.RTheRMedicalRExaminer'sRnextRstepRshouldRbe:R-
RANSWERRProceedRwithRtheRexamination.




AR21-year-
oldRdriverRpresentsRwithRaRhistoryRofRADHDRforR10Ryears,RtakingRstableRdosingRofRAdderall.RHeRdescribesRn
oRsideReffects.RWhichRofRtheRfollowingRisRtrue?

Ra.RARsignificantRpercentageRofRindividualsRwithRadultRADHDRshowRaRmoderateRtoRmarkedRdegreeRofRimpro
vementRonRcentralRnervousRsystemRstimulantRmedication.R

b.RADHDRisRaRdisqualifyingRcondition.R

c.RAdderallRisRaRScheduleR1Rdrug.R

d.RMedicalRExaminersRshouldRtestRforRserumRdrugRlevelsRofRAdderall.R-
RANSWERRARsignificantRpercentageRofRindividualsRwithRadultRADHDRshowRaRmoderateRtoRmarkedRdegreeRof

RimprovementRonRcentralRnervousRsystemRstimulantRmedication




WhichRofRtheRfollowingRisRtheRmostRimportantRexaminationRfindingRthatRrequiresRadditionalRevaluation?R

a.RAcrochordon.R

b.RHyperopia.

c.RPalpableRcalfRcords.R

d.RVerrucaRvulgaris.R-RANSWERRPalpableRcalfRcords



TheRdriverRreportsRtakingRDigoxin.RWhatRfindingsRwouldRraiseRtheRmostRsignificantRconcernsRregardingRcert
ification?R

a.RArrhythmias.

b.RAnorexia.R

c.RNauseaRandRvomiting.R

d.RDiarrhea.R-RANSWERRArrhythmias.



TheRdriverRisRtakingRtheophylline.RWhichRofRtheRfollowingRisRnotRtrue?R

a.RSerumRlevelsRmayRbeRchecked.R

,b.RTheRprimaryRindicationRforRtheophyllineRisRinRtheRtreatmentRofRneurologicalRconditions.R

c.RCardiacRtoxicityRisRaRsignificantRriskRofRtheophyllineRuse.R

d.RTheophyllineRcanRbeRadministeredRorallyRorRintravenouslyR(IVR-
RANSWERRTheRprimaryRindicationRforRtheophyllineRisRinRtheRtreatmentRofRneurologicalRconditions.




TheRdriverRisRtakingRCelexaRandRmelatonin.RTheRMedicalRExaminerRshould:



a.RAdviseRtheRdriverRtoRonlyRtakeRtheseRmedicationsRmoreRthanR12RhoursRbeforeRdriving.R

b.RAdviseRtheRdriverRtoRstopRmelatoninRasRitRcanRcauseRdrowsiness.R

c.RRecommendRanRalternativeRtoRCelexa.R

d.RAdviseRtheRdriverRtoRdiscussRbenzodiazepinesRasRanRalternativeRtreatment.RwithRtheRdriver'sRprescribing
RproviderR-RANSWERRAdviseRtheRdriverRtoRonlyRtakeRtheseRmedicationsRmoreRthanR12RhoursRbeforeRdriving.




TheRdriverRtellsRtheRMedicalRExaminerRheRhasRrecentlyRbeenRprescribedRcontactRlenses.RHeRnotesRthatRafte
rR3-
4RhoursRofRuseRtheRcontactsRcauseRirritationRandRheRhasRtoRtakeRthemRout.RTheRdriverRpassesRtheRvisionRtes
tRonlyRwithRcontactsRandRdoesRnotRhaveReyeglasses.RTheRMedicalRExaminerRshould:R



a.RAdviseRtheRdriverRtoRcarryRaRspareRpairRofRcontactRlenses.

b.RCertifyRtheRdriverRwearingRcorrectiveRlenses.R

c.RReferRtheRdriverRforRevaluationRunderRtheRAlternativeRVisionRQualificationRstandard.R

d.RCertifyRtheRdriverRwithoutRqualificationsR-RANSWERRCertifyRtheRdriverRwearingRcorrectiveRlenses.



TheRdriverRdoesRnotRindicateRanyRmedicalRconditionsRonRhealthRhistory.RDuringRtheRexamRtheRMedicalRExa
minerRnotesRtheRpresenceRofRaRhearingRaidRinRoneRear.RTheRdriverRsaysRthatRheRdoesn'tRneedRtheRhearingRai
dRtoRdriveRandRdoesn'tRthinkRitRshouldRbeRrequired.RTheRnextRstepRforRtheRMedicalRExaminerRis:



a.RTestRtheRdriver'sRhearingRwithoutRtheRhearingRaid.R

b.RExamineRtheRdriver'sRears.R

c.RReferRtheRdriverRforRhearingRassessmentRbyRaRspecialistRwithRspecializedRaudiometricRtestingRcapabilitie
sRforRtestingRdriversRwhileRwearingRaRhearingRaid.Rd.RCertifyRtheRdriverRwithRtheRqualificationR"wearingRhea
ringRaidR-RANSWERRTestRtheRdriver'sRhearingRwithoutRtheRhearingRaid.

,ARdriverRhasRanRindicationRforRobtainingRaRcardiacRstressRtest.RIfRtheRdriverRisRnotRtakingRaRbetaRblocker,Rwh
atRisRtheRpercentageRofRmaximumRheartRrateRthatRtheRdriverRshouldRmeetRtoRindicateRaRsatisfactoryRstressR
test:R



a.R60%.R

b.R75%.R

c.R85%.R

d.R100%.R-RANSWERR85%



TheRdriverRisRmissingRtheR4thRfingerRofRhisRrightRhand.RTheRMedicalRExaminerRshould:R



a.RReferRforRorthopedicRevaluation.R

b.RIndicateRtheRdriverRwillRneedRaRSPERCertificate.R

c.RTestRtheRdriver'sRgraspRandRprehension.R

d.RDisqualifyRtheRdriverR-RANSWERRTestRtheRdriver'sRgraspRandRprehension.



TheRdriverRdescribesRaRhistoryRofRdizzyRspells.RWhichRexaminationRfindingRisRnotRindicated?R

a.RTestRtheRdriverRforRnystagmus.R

b.RRombergRtesting.R

c.ROrthostaticRbloodRpressureRmeasurements.R

d.RLiverRandRspleenRpalpationR-RANSWERRLiverRandRspleenRpalpation



GuidanceR(notRregulatory)RrecommendationsRareRthatRdriversRwithRdizzinessRorRvertigoRshouldRnotRbeRqua
lifiedRuntilRtheRdriverRhasRachievedRaR2-monthRsymptomRfreeRintervalRregardlessRofRexaminationRfindings.



VisionRtestingRmayRbeRperformedRby:R



a.RTheRMedicalRExaminer,RanRoptometrist,RorRophthalmologist.R

b.ROnlyRanRophthalmologist.R

, c.ROnlyRtheRMedicalRExaminer.R

d.ROnlyRanRoptometristR-RANSWERRTheRMedicalRExaminer,RanRoptometrist,RorRophthalmologist



TheRdriverRhasR1,000Rng/mlRofRglucoseRonRurinalysis.RWhatRisRtheRnextRappropriateRstepRforRtheRMedicalRE
xaminer?




a.RDisqualifyRtheRdriver.R

b.RReferRtheRdriverRforRevaluationRbyRaRkidneyRspecialist.R

c.RReferRtheRdriverRforRevaluationRunderRtheRInsulin-TreatedRDiabetesRAlternativeRQualificationRStandard.R

d.RRecommendRtheRdriverRcheckRbloodRglucoseR4xRperRday.R-
RANSWERRRecommendRtheRdriverRcheckRbloodRglucoseR4xRperRday.




TheRdriverRpresentsRafterRhavingRhadRaRPCIRprocedureR3RdaysRprior.RTheRdriverRindicatesRnoRsymptomsRand
RhasRaRletterRfromRhisRcardiologistRindicatingRheRisRclearedRtoRdrive.RTheRMedicalRExaminerRshould:




a.RHaveRtheRdriverRreturnRforRevaluationRatRleastR3RweeksRafterRtheRdateRofRtheRPCI.R

b.RReferRtheRdriverRforRaRcardiacRstressRtest.R

c.RCertifyRtheRdriverRforR6Rmonths.R

d.RCertifyRtheRdriverRforR2RyearsR-
RANSWERRHaveRtheRdriverRreturnRforRevaluationRatRleastR3RweeksRafterRtheRdateRofRtheRPCI




-
RCurrentRFMCSARguidelinesRinRtheRreferenceRtableRinRtheR2022RDraftRversionRofRtheRMedicalRExaminer'sRHa

ndbookRinclude:RAsymptomatic;RMinimumR3RweeksRafterRelectiveRprocedure;RLVEFR>R40%;RAdherenceRtoRc
ardiovascularRspecialist-
recommendedRappropriateRmedicalRtherapyRforRaRminimumRofR1RyearRafterRreceivingRdrug-
elutingRstent;RClearanceRbyRcardiologist.



TheRdriverRdescribesRalcoholRuseRincludingR2RdrinksRaRnightRduringRtheRweekRandRaR6RpackRonRtheRweeken
ds.RTheRMedicalRExaminer'sRnextRstepRshouldRbeRto:R

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