DOT Exam questions

The waiting period after pacemaker implantation for treatment of sinus node dysfunction if the driver is not pacemaker dependent is: a) 1 week. b) 2 weeks. c) 1 month. d) 3 months

1 month

A driver underwent surgical repair of a 6 cm abdominal aortic aneurysm 3 months ago. The driver may be certified for ? a) 3 months. b) 1 year. c) 2 years. d) Medically disqualified

1 year

A driver with stable angina can be certified for _______. a) 3 months. b) 6 months. c) 1 year. d) 2 years

1 year

The driver on anticoagulant treatment for a cardiovascular condition can be certified for a maximum of . a) 3 months. b) 6 months. c) 1 year. d) 2 years.

1 year

The maximum certification period for a driver status post aortic valve surgery is _______. a) 6 months. b) 1 year. c) 2 years. d) Driver should be disqualified

1 year

A driver on anticoagulant treatment for a cardiovascular condition can be certified for up to _______ while a driver on anticoagulant treatment for a neurological condition can be certified for _______, a) 6 months, 6 months. b) 6 months, 1 year. c) 1 year, 1 year. d) 1 year, do not certify.

1 year, do not certify.

A driver with congestive heart failure (CHF) recently had an echocardiogram demonstrating an ejection fraction of 44%. The driver may be certified for _______: a) 1 year. b) 2 years. c) 6 months. d) Do not certify

1 year.

The maximum period for which a driver with a cardiovascular condition should be certified is: a) 3 months. b) 6 months. c) 9 months. d) 1 year

1 year.

What is the recommended certification interval for a driver with diabetes mellitus who does not use insulin? a) 3 months. b) 6 months. c) 1 year. d) 2 years

1 year.

Certification criteria for now stable cardiovascular conditions include: a) 2 months for myocardial infarction (MI). b) 6 months for unstable angina c) 1 month for percutaneous coronary intervention (PCI). d) 2 months for coronary artery bypass surgery (CABG).

2 months for myocardial infarction (MI). The waiting period following MI is 2 months, for PCI 3 weeks, and for CABG 3 months. Drivers with unstable angina should not be cleared until unstable angina has converted to stable angina, the driver tolerates medications, has an LVEF > 40%, and has clearance from a cardiovascular specialist

The waiting period after pacemaker implantation for treatment of neurocardiogenic syncope is: a) 1 month. b) 6 weeks. c) 3 months. d) 6 months

3 months

The waiting period for coronary artery bypass graft (CABG) surgery is _______. a) 6 weeks. b) 2 months. c) 3 months. d) 6 months.

3 months

Drivers who are diagnosed with a vision impairment but who have been qualified using the Alternative Vision Qualification Standard must be re-examined at least ________. a. Every 3 months. b. Every 6 months. c. Annually. d. Every 2 years.

Annually

Which of the following is a guideline for medical certification following device implantation: a) 6 months after implantation of cardiac defibrillator. b) 3 months after pacemaker implantation for atrioventricular block. c) 3 months after pacemaker implantation for neurocardiogenic syncope. d) 6 months after pacemaker implantation for 1 or more episodes of vasovagal syncope

3 months after pacemaker implantation for neurocardiogenic syncope Implantable cardiac defibrillators are a disqualifying condition; there is no waiting period. The waiting period after pacemaker implantation for atrioventricular block is 1 month. The waiting period after pacemaker implantation for 1 or more episode of vasovagal syncope is 3 months

The minimum waiting period for a driver status post pulmonary embolism is _______. a) 6 weeks. b) 3 months. c) 6 months. d) 1 year.

3 months.

The waiting period for a driver following abdominal aortic aneurysm repair is . a) 1 month. b) 6 weeks. c) 3 months. d) 1 year.

3 months.

The waiting period for coronary artery bypass surgery (CABG) is _______. a) 6 weeks. b) 2 months. c) 3 months. d) 6 months

3 months.

The minimum waiting period after percutaneous coronary intervention (PCI) is: a) 1 week. b) 2 weeks. c) 3 weeks. d) 3 months.

3 weeks

For mild aortic stenosis, an echocardiogram should be repeated as deemed appropriate by a cardiologist or every _______ years. For moderate aortic stenosis, an echocardiogram should be repeated every_______ years; a) 2, 2 b) 3-5, 1-2. c) 1,1 d) 5,5

3-5, 1-2.

The maximum thoracic aneurysm size that allows driver certification is _______. a) 2.9 cm. b) 3.4 cm. c) 3.9 cm. d) 4.9 cm.

4.9 cm

After a heart transplant, the minimum waiting period is _______ and the maximum certification period is _______. a) 6 months, 6 months. b) 6 months, 1 year. c) 1 year, 6 months. d) 1 year, 1 year.

6 months, 6 months

Standard metabolic equivalents (METS) that should be achieved on exercise tolerance testing (ETT) for drivers is at least _______ METS. a) 4. b) 5. c) 6. d) 7.

6.

Driver examination 3/14/2022. Driver describes dizziness with last symptoms 2/18/22. The driver was disqualified and advised to return after a 2-month symptom-free interval. The driver returned on 7/12/2022 with medical records documenting last dizziness symptoms on 5/4/2022, a new examination is performed, and the driver confirms he has been symptom free since that date. The medical examiner determines the driver should be certified for a 2-year certification interval. What is the expiration date of the certification? a. 2/18/2024. b. 3/14/2024. c. 5/4/2024. d. 7/12/2024

7/12/2024.

A driver has an indication for obtaining a cardiac stress test. If the driver is not taking a beta blocker, what is the percentage of maximum heart rate that the driver should meet to indicate a satisfactory stress test: a. 60%. b. 75%. c. 85%. d. 100%.

85%

Which of the following is not required by 49 CFR Part 391.46 which describes requirements for the evaluation of a driver with Insulin-Treated Diabetes Mellitus (ITDM)? a. Evaluation by the treating clinician (TC), the provider responsible for managing the driver's diabetes and prescribing insulin. b. A requirement for drivers to carry a rapidly absorbable form of glucose. c. Completion by the treating clinician (TC) of form MCSA-5870, the InsulinTreated Diabetes Mellitus Assessment Form. d. Examination by the Medical Examiner no more than 45 days after completion of form MCSA-5870, the Insulin-Treated Diabetes Mellitus Assessment Form

A requirement for drivers to carry a rapidly absorbable form of glucose

A 21-year-old driver presents with a history of ADHD for 10 years, taking stable dosing of Adderall. He describes no side effects. Which of the following is true? a. A significant percentage of individuals with adult ADHD show a moderate to marked degree of improvement on central nervous system stimulant medication. b. ADHD is a disqualifying condition. c. Adderall is a Schedule 1 drug. d. Medical Examiners should test for serum drug levels of Adderall.

A significant percentage of individuals with adult ADHD show a moderate to marked degree of improvement on central nervous system stimulant medication

When audiometric testing is performed, what is the standard that should be used? a. ISO - International Organization for Standards. b. ANSI - American National Standards Institute. c. OSHA - Occupational Safety and Health Administration. d. SDHE - Standard Diagnostic Hearing Evaluation.

ANSI - American National Standards Institute.

The driver gives a history of a recent right shoulder injury. The following measurements are described in the shoulders. Abduction R 90 L 160 IR R 40 L 50 Flexion R 100 L 170 ER R 30 L 50. The Medical Examiner should note which of the following? a. Instability. b. Normal ROM. c. Abnormal ROM. d. Weakness

Abnormal ROM.

The driver is taking Celexa and melatonin. The Medical Examiner should: a. Advise the driver to only take these medications more than 12 hours before driving. b. Advise the driver to stop melatonin as it can cause drowsiness. c. Recommend an alternative to Celexa. d. Advise the driver to discuss benzodiazepines as an alternative treatment. with the driver's prescribing provider

Advise the driver to only take these medications more than 12 hours before driving.

Which of the following conditions is disqualifying for a driver with a diagnosis of abdominal aortic aneurysm? a) Aneurysm has increased more than 1 cm in a 6-month period. b) Abdominal aneurysm size 3.0 cm. c) Thoracic aneurysm size 3.4 cm. d) Surgically repaired 4 months previously

Aneurysm has increased more than 1 cm in a 6-month period Abdominal aneurysm size of > 5.0 cm is disqualifying for females, > 5.5 cm for males. Thoracic aneurysm size of > 5.0 cm is disqualifying for both males and females. The waiting period following abdominal aortic aneurysm repair is 3 months.

Drivers with insulin dependent diabetes mellitus (ITDM) who have a severe hypoglycemic episode: a) May be certified for a maximum of 6months. b) Must maintain a hemoglobin A1c level of less than 7 to qualify for certification. c) Cannot be certified if they have a history of myocardial infarction. d) Are disqualified from driving and must be evaluated by their TC and may only return to driving if so advised by the treating clinician (TC).

Are disqualified from driving and must be evaluated by their TC and may only return to driving if so advised by the treating clinician (TC).

The driver reports taking Digoxin. What findings would raise the most significant concerns regarding certification? a. Arrhythmias. b. Anorexia. c. Nausea and vomiting. d. Diarrhea.

Arrhythmias.

The driver has a BMI of 37 and 2+ edema in the lower extremities. The Medical Examiner's next step is to: a. Advise the driver to elevate legs above heart. b. Assess cardiac risk factors. c. Refer the driver for a cardiology evaluation. d. Recommend a diuretic medication

Assess cardiac risk factors

The driver has a history of coronary artery bypass grafting (CABG) 3 years ago. He is now describing shortness of breath. The Medical Examiner's next step is: a. Refer the driver for cardiac stress testing. b. Refer the driver for cardiology evaluation. c. Disqualify the driver. d. Assess cardiac risk factors and further characterize the driver's symptoms

Assess cardiac risk factors and further characterize the driver's symptoms

Drivers with which of the following conditions should be disqualified? a) Cancer requiring chemotherapy treatment. b) Umbilical hernia not surgically repaired. c) Carpal tunnel syndrome with weak grip strength d) Renal failure on peritoneal dialysis.

Carpal tunnel syndrome with weak grip strength A driver with weak grip strength should not be qualified due to a likely inability to grip the steering wheel or perform other essential driving tasks. The other conditions described should be evaluated on a case-by-case basis for possible impact on driver safety.

The driver tells the Medical Examiner he has recently been prescribed contact lenses. He notes that after 3-4 hours of use the contacts cause irritation and he has to take them out. The driver passes the vision test only with contacts and does not have eyeglasses. The Medical Examiner should: a. Advise the driver to carry a spare pair of contact lenses. b. Certify the driver wearing corrective lenses. c. Refer the driver for evaluation under the Alternative Vision Qualification standard. d. Certify the driver without qualifications

Certify the driver wearing corrective lenses.

The driver describes a history of alcoholism last treated 2 years ago. He denies alcohol use since that treatment. What is the most appropriate next step for the Medical Examiner? a. Refer the driver for evaluation by a substance abuse professional (SAP). b. Perform an alcohol test. c. Qualify the driver for 1 year. d. Confirm that the driver was evaluated by a substance abuse professional and has followed any follow-up recommendations made.

Confirm that the driver was evaluated by a substance abuse professional and has followed any follow-up recommendations made.

The driver gives a history of a seizure 14 years ago due to an adverse medication reaction. What is the next step for the Medical Examiner? a. Disqualify the driver. b. Indicate that the driver is only medically qualified with a seizure/epilepsy exemption/waiver. c. Check pharmacy records for anti-seizure medications. d. Confirm the driver's medical history with the driver's primary care provider.

Confirm the driver's medical history with the driver's primary care provider

Minimally invasive cardiovascular procedures that a lay person may not consider "surgical" or significant for listing on a health history include: a) Coronary stenting. b) Exercise tolerance testing (ETT). c) Echocardiography. d) EKG

Coronary stenting

The driver smokes and describes long hours of prolonged driving. Which of the following is the most important condition or symptom that the Medical Examiner should discuss with the driver? a. Fatigue. b. COPD. c. Deep vein thrombosis and possible pulmonary embolus. d. Acute cardiac conditions

Deep vein thrombosis and possible pulmonary embolus

Which of the following is true? a) A driver with diabetes who uses insulin must apply for a diabetes waiver/exemption. b) The most important concern related to medication use for treating diabetes is hyperglycemia. c) Drivers with hemoglobin A1c values over 7 should not be certified. d) Diabetes is a coronary heart disease (CHD) equivalent condition

Diabetes is a coronary heart disease (CHD) equivalent condition.

The driver reports a recent diagnosis of atrial fibrillation 6 weeks ago. He is taking warfarin (Coumadin). What is the most appropriate next step for the Medical Examiner? a. Disqualify pending receipt of INR testing results. b. Qualify for 1 year with monthly INR checks. c. Qualify 3 months to assess INR stability. d. Consider Determination Pending

Disqualify pending receipt of INR testing results - Drivers who are on warfarin are required to have monthly INR checks. When warfarin treatment is started, measurements of INR function should be required to assure that INR treatment is therapeutic and stable. After this is established, FMCSA guidance recommendations are for monthly INR testing

The driver reports a history of a TIA and is taking Clopidogrel for history of atrial fibrillation. The Medical Examiner should: a. Disqualify the driver. b. Refer the driver for a cardiology evaluation. c. Require that the driver provide evidence of monthly INR checks. d. Place the driver in Determination Pending

Disqualify the driver - FMCSA guidance (not regulatory) recommendations include disqualification of drivers with neurologic conditions who are on blood thinning medications. Since this is a guidance recommendation, the Medical Examiner could (and should) obtain a detailed medical history of both the driver's neurologic and cardiac conditions and could consider referral for neurologic and cardiac evaluations

The driver gives a recent history of a right wrist fusion. Grip strength is 10# on the right and 60# on the left. The most appropriate Medical Examiner next step is: a. Qualify the driver for 1 year. b. Disqualify the driver. c. Place the driver in Determination Pending and refer for an orthopedic evaluation. d. Qualify the driver with a requirement that the driver wear a wrist brace

Disqualify the driver The measured grip strength on the right is significant and likely to be functionally impairing with respect to the many driver duties that require firm grasping.

Which of the following is not a criteria that the FMCSA uses to define a severe hypoglycemic reaction? a) Seizure or coma. b) Dizziness. c) Need of assistance from another person. d) Loss of consciousness.

Dizziness.

The driver describes recent back pain and on examination the Medical Examiner detects a bruit and pulsatile mass in the abdomen. The most important next step for the Medical Examiner should be to: a. Document a probable aortic aneurysm and disqualify the driver. b. Place the driver in Determination Pending. c. Certify the driver for 1 year. d. Recommend that the driver have an abdominal ultrasound

Document a probable aortic aneurysm and disqualify the driver

The driver has swollen tonsils. What is the Medical Examiner's best next action? a. Determine if the driver is under the care of an ENT specialist. b. Treat the driver for infection. c. Place the driver in Determination Pending. d. Document abnormal findings and assess whether the condition affects the driver's risk of gradual or sudden incapacitation.

Document abnormal findings and assess whether the condition affects the driver's risk of gradual or sudden incapacitation.

The driver has a lipoma that is not impairing. The Medical Examiner should: a. Refer the driver for surgical evaluation. b. Place the driver in Determination Pending. c. Assess driving risk related to the lipoma. d. Document the examination finding.

Document the examination finding.

What is appropriate preparation for the physical examination? a. Dress and stockings. b. Examination gown and underwear. c. Shorts and tennis shoes. d. Loose fitting clothing.

Examination gown and underwear

Which of the following is not a suggested annual requirement for a driver with congestive heart failure due to idiopathic dilated cardiomyopathy? a) Echocardiography. b) Evaluation and clearance from a cardiologist who understandsthe functions and demands of commercial driving. c) LVEF > 40%. d) Exercise tolerance test(ETT).

Exercise tolerance test(ETT).

) If glucose is detected on urinalysis in a driver with no history of diabetes, an appropriate next step is: a) Endocrinology consultation. b) 1-year clearance and recommendation to see personal physician. c) Fingerstick or blood glucose determination. d) Temporary disqualification

Fingerstick or blood glucose determination.

Which of the following is true? a) For drivers on Coumadin (warfarin), treatment should be stabilized for a minimum of 1 month and a copy of anticoagulation therapy results should be provided at the driver examination. b) On cardiac stress testing, a driver should exercise to greater than a 10 MET capacity to meet minimum qualification standards. c) Left ventricular ejection fraction (LVEF) of at least 60% is required for certification. d) The waiting period for pacemaker implantation for cardiogenic syncope is 2 months

For drivers on Coumadin (warfarin), treatment should be stabilized for a minimum of 1 month and a copy of anticoagulation therapy results should be provided at the driver examination.

The driver describes alcohol use including 2 drinks a night during the week and a 6 pack on the weekends. The Medical Examiner's next step should be to: a. Refer the driver for evaluation by a substance abuse professional. b. Further assess the driver's history of and current use of alcohol. c. Disqualify the driver. d. Test the driver for drugs and alcohol

Further assess the driver's history of and current use of alcohol

Which of the following should raise the greatest concern for the Medical Examiner's assessment? a. History of lumbar fusion 2 years ago. b. Grade 1 ankle sprain 1 month ago. c. Prepatellar bursitis 3 months ago. d. Rotator cuff injury 6 months ago.

Grade 1 ankle sprain 1 month ago.

The driver presents after having had a PCI procedure 3 days prior. The driver indicates no symptoms and has a letter from his cardiologist indicating he is cleared to drive. The Medical Examiner should: a. Have the driver return for evaluation at least 3 weeks after the date of the PCI. b. Refer the driver for a cardiac stress test. c. Certify the driver for 6 months. d. Certify the driver for 2 years

Have the driver return for evaluation at least 3 weeks after the date of the PCI - Current FMCSA guidelines in the reference table in the 2022 Draft version of the Medical Examiner's Handbook include: Asymptomatic; Minimum 3 weeks after elective procedure; LVEF > 40%; Adherence to cardiovascular specialist-recommended appropriate medical therapy for a minimum of 1 year after receiving drug-eluting stent; Clearance by cardiologist.

What is the driver required to sign for on MCSA-5875? a. Health history. b. Release of information. c. Acknowledgement of testing results. d. Acceptance of the Medical Examiner's certification determination

Health history.

Which conditions are disqualifying by regulation? a. Hearing loss and seizures/epilepsy. b. Seizures/epilepsy and insulin-dependent diabetes. c. Insulin-dependent diabetes and monocular vision. d. Hearing loss and insulin-dependent diabetes.

Hearing loss and seizures/epilepsy.

Which of the following are required testing by the Medical Examiner? a. Height, weight, blood pressure, pulse oximetry. b. Blood pressure sitting and standing, pulse. c. BMI, blood pressure, pulse. d. Height, weight, blood pressure, pulse

Height, weight, blood pressure, pulse.

Which diabetes mellitus risk poses the greatest threat to public safety? a) Hyperglycemia. b) Peripheral neuropathy. c) Hypoglycemia. d) Metabolic encephalopathy.

Hypoglycemia

Cardiac "do not certify" diagnoses include: a) Stable angina. b) Implantable defibrillator. c) Atrial fibrillation. d) Asymptomatic congestive heart failure

Implantable defibrillator.

Cardiovascular disease not to certify diagnoses include: a) Congestive heart failure. b) Angina. c) Implantable defibrillator. d) Supraventricular tachycardia

Implantable defibrillator.

Ongoing voluntary attendance at self-help groups (e.g., 12-step programs) for maintenance of recovery from alcoholism __________. a. Is required for all drivers recovering from alcoholism. b. Is disqualifying. c. Is allowed but not required for drivers recovering from alcoholism. d. Fulfills the requirement for rehabilitation following a violation of alcohol rules

Is allowed but not required for drivers recovering from alcoholism A current diagnosis of alcoholism is disqualifying. Drivers diagnosed with a current diagnosis of alcoholism, or who otherwise violated FMCSA alcohol rules, must be evaluated by a substance abuse professional (SAP) and complete any recommended treatment prior to consideration of certification

The driver describes pain to the right of the thoracolumbar junction. What condition would be of most concern for the Medical Examiner for risk of sudden incapacitation? a. Kidney stones. b. Subluxations. c. Low back pain. d. Pancreatitis

Kidney stones.

The driver has a history of L4-5 lumbar laminectomy 2 years ago. Which of the following is the most important for the Medical Examiner to assess: a. Knee flexion. b. Ankle dorsiflexion. c. Hip ROM. d. Lumbar subluxations.

Knee flexion Knee flexion weakness could limit driver use of the lower extremity and can occur with compression of the L5 nerve which is associated with L4-5- disc herniation.

Following myocardial infarction, a driver must meet all of the following guidelines except: a) Asymptomatic and tolerates medications. b) Clearance by a cardiovascular specialist. c) Left ventricular ejection fraction (LVEF) > 45%. d) No ischemic electrocardiogram changes.

Left ventricular ejection fraction (LVEF) > 45%

Which of the following is not a condition for certification for drivers with hypertrophic cardiomyopathy? a) No history of cardiac arrest b) Left ventricular septum thickness < 50 mm c) No ventricular tachycardias (VTs) d) No syncope

Left ventricular septum thickness < 50 mm For drivers with hypertrophic cardiomyopathy left ventricular septum thickness should be < 30 mm to be considered for certification

Medical examiners should certify a driver with limitations on heavy lifting for drivers with __________. a. A diagnosis of lumbar disc herniation. b. A diagnosis of surgically repaired rotator cuff injury. c. A diagnosis of carpal tunnel syndrome. d. Limitations on heavy lifting is not an allowed driver limitation

Limitations on heavy lifting is not an allowed driver limitation.

The driver describes a history of dizzy spells. Which examination finding is not indicated? a. Test the driver for nystagmus. b. Romberg testing. c. Orthostatic blood pressure measurements. d. Liver and spleen palpation

Liver and spleen palpation Guidance (not regulatory) recommendations are that drivers with dizziness or vertigo should not be qualified until the driver has achieved a 2-month symptom free interval regardless of examination findings.

A driver with congestive heart failure (CHF) is having dyspnea at rest. What is the certification decision? a) Medically qualified for 3months. b) Medically qualified for 1 year. c) Medically qualified pending ETT. d) Medically disqualified.

Medically disqualified.

A male driver has an abdominal aortic aneurysm. The abdominal sonogram report submitted to the Medical Examiner indicates the aneurysm is 5.8 cm in diameter. The Medical Examiner determines the driver is: a) Medically qualified for 3months. b) Medically qualified for 1 year. c) Medically qualified for 6 months. d) Medically disqualified

Medically disqualified.

A driver presents with a history of coronary artery bypass graft (CABG) surgery 4 months ago. An echocardiogram at 3 months showed LVEF of 45%. The driver was cleared by his cardiologist and has no chest pain. What is the certification decision? a) Medically qualified for 3months. b) Medically qualified for 1 year. c) Medically qualified pending ETT. d) Medically disqualified

Medically qualified for 1 year

Which of the following is a requirement for drivers with Insulin-Treated Diabetes Mellitus (ITDM)? a) Must be evaluated by the Treating Clinician using form MCSA-5870, the Insulin-Treated Diabetes Mellitus Assessment Form. b) Self-monitor blood glucose 1 hour before driving and at least once every 2 hours while driving. c) Plan to submit blood glucose monitoring logs every 6 months. d) Maintain a hemoglobin A1c value less than7.

Must be evaluated by the Treating Clinician using form MCSA-5870, the Insulin-Treated Diabetes Mellitus Assessment Form.

Guidelines for hypertrophic cardiomyopathy do not include which of the following? a) No history of cardiac arrest. b) No ventricular tachycardia (VT) c) No syncope d) Maximum 6 months certification.

No history of cardiac arrest. Maximum recertification interval is 1 year for hypertrophic cardiomyopathy.

The driver reports a recent concussion. Which of the following is most important for the Medical Examiner to assess: a. Nystagmus. b. Hearing loss. c. Patellar and ankle reflexes. d. Muscle weakness.

Nystagmus

The driver describes shortness of breath. What findings would be potentially disqualifying? a. Respiratory rate of 14/minute. b. PaO2 less than 65 at elevations less than 5,000 feet. c. Oxygen saturation of 93% on room air. d. PaCO2 of 35 mmHg.

PaO2 less than 65 at elevations less than 5,000 feet PaO2 less than 65 at elevations less than 5,000 feet or less than 60 at elevations above 5,000 feet are potentially disqualifying as is PaCO2 of > 45 mmHg.

Which of the following is the most important examination finding that requires additional evaluation? a. Acrochordon. b. Hyperopia. c. Palpable calf cords. d. Verruca vulgaris.

Palpable calf cords

The driver has a history of a lumbar laminectomy. What finding would raise concern? a. Hip ROM. b. Mild lumbar tenderness. c. Positive Lasegue's sign. d. Quadriceps stretch sign.

Positive Lasegue's sign Lasegue's sign or straight leg raising test (SLRT) is a neurodynamic exam to assess nerve root irritation in the lumbosacral area and it used to help identify the likelihood of lumbar radiculopathy

The driver presents with a SPE Certificate. The Medical Examiner's next step should be:

Proceed with the examination.

The driver has 1,000 ng/ml of glucose on urinalysis. What is the next appropriate step for the Medical Examiner? a. Disqualify the driver. b. Refer the driver for evaluation by a kidney specialist. c. Refer the driver for evaluation under the Insulin-Treated Diabetes Alternative Qualification Standard. d. Recommend the driver check blood glucose 4x per day.

Recommend the driver check blood glucose 4x per day.

Which of the following is not a qualification recommendation following CABG surgery? a) Minimum 3 months after CABG. b) Sternum has healed. c) Resting echocardiogram left ventricular ejection fraction (LVEF) > 45%. d) Tolerance and adherence to medications

Resting echocardiogram left ventricular ejection fraction (LVEF) > 45%

The driver resides in Canada and does not have a US driver's license. What is the Medical Examiner required to confirm? a. Where the driver is domiciled. b. The driver's identity. c. The driver's application for a US driver's license. d. The driver's international driver's license number.

The driver's identity

Which of the following is true? a) A driver who has had an acute myocardial infarction (AMI) can be qualified to drive 4 weeks after the AMI as long as the driver meets all the other recommended cardiac qualification criteria, and the driver meets all other standards. b) Drivers with angina should always be certified since physically demanding non-driving tasks such as moving freight are unlikely to precipitate exertional angina. c) The Medical Examiner need not discuss drug and/or food interactions with the driver taking cardiovascular agents. d) Some supplements like ginko or licorice root may interfere or affect useof prescription medications or may otherwise affect cardiovascular condition

Some supplements like ginko or licorice root may interfere or affect use of prescription medications or may otherwise affect cardiovascular condition

Required urinalysis tests required for driver physical examination include __________. a. Specific gravity, blood, protein, and creatinine. b. Specific gravity, blood, protein, and glucose. c. Specific gravity, blood, glucose, and creatinine. d. Specific gravity, protein, creatinine, and glucose

Specific gravity, blood, protein, and glucose Creatinine is not a required urinalysis test

Which of the following is usually found in persons with congestive heart failure (CHF)? a) Chest pain. b) Swelling in the legs, ankles, or other parts of the body. c) Electrocardiogram demonstrating ischemia. d) Slow pulse rate

Swelling in the legs, ankles, or other parts of the body

The driver gives a recent history of a diagnosis of carpal tunnel syndrome (CTS). What should the Medical Examiner do next? a. Refer the driver for orthopedic evaluation. b. Test grip strength and prehension. c. Disqualify the driver. d. Advise the driver to apply for a SPE Certificate.

Test grip strength and prehension.

The driver fails an Ishihara color test. The next step for the Medical Examiner should: a. Refer the driver for an ophthalmology evaluation. b. Disqualify the driver. c. Test the driver for the ability to recognize red, amber, and green. d. Qualify the driver for 1 year.

Test the driver for the ability to recognize red, amber, and green FMCSA requirements are that a driver is able to recognize the colors of a stoplight (and warning signs): red, green, amber. An Ishihara test is a relatively sophisticated color vision test and many drivers who fail an Ishihara test are able to still recognize and distinguish between red, green, and amber

The driver is missing the 4th finger of his right hand. The Medical Examiner should: a. Refer for orthopedic evaluation. b. Indicate the driver will need a SPE Certificate. c. Test the driver's grasp and prehension. d. Disqualify the driver

Test the driver's grasp and prehension.

The driver does not indicate any medical conditions on health history. During the exam the Medical Examiner notes the presence of a hearing aid in one ear. The driver says that he doesn't need the hearing aid to drive and doesn't think it should be required. The next step for the Medical Examiner is: a. Test the driver's hearing without the hearing aid. b. Examine the driver's ears. c. Refer the driver for hearing assessment by a specialist with specialized audiometric testing capabilities for testing drivers while wearing a hearing aid. d. Certify the driver with the qualification "wearing hearing aid

Test the driver's hearing without the hearing aid.

Vision testing may be performed by: a. The Medical Examiner, an optometrist, or ophthalmologist. b. Only an ophthalmologist. c. Only the Medical Examiner. d. Only an optometrist

The Medical Examiner, an optometrist, or ophthalmologist

Who is responsible to maintain a copy of the Medical Examination form MCSA5875? a. The driver. b. The employer. c. The Medical Examiner. d. The medical office where the examination was performed

The Medical Examiner.

The most commonly used system to describe the impact of heart failure on a patient's daily activities is: a) The New Hampshire Cardiac Assessment (NHCA) b) The New York Heart Association (NYHA) classification c) Cardiac scoring d) Septum thickness ratings

The New York Heart Association (NYHA) classification

Which of the following is a requirement in order for a driver with congestive heart failure (CHF) to be qualified? a) The driver must have a normal electrocardiogram. b) The driver must have completed an exercise stress test to at least 8 METS (metabolic equivalents). c) The driver must have a left ventricular ejection fraction of >45%. d) The driver must be asymptomatic and tolerate medications.

The driver must be asymptomatic and tolerate medications

What criteria must be met in order for the FMCSA Medical Examiner to qualify a driver with a known diagnosis of congestive heart failure (CHF)? a) The driver must be asymptomatic. b) The driver must have normal blood pressure. c) The driver must have a left ventricular ejection fraction (LVEF) >35%. d) The driver must be taking a diuretic

The driver must be asymptomatic.

The driver had a stroke 3 months ago. He has a medical clearance letter from a neurologist to return to driving without restrictions. What is most important for the Medical Examiner to consider? a. The driver's physical examination findings. b. Whether the neurologist is aware of the driving responsibilities of a commercial motor vehicle driver. c. The highest risk of stroke is within the first year of a prior stroke. d. The State guidelines for return to driving after a stroke.

The highest risk of stroke is within the first year of a prior stroke

Which of the following is true for a diagnosis of a hernia? a) The driver should be referred to a surgeon to determine whether surgical repair of a hernia is necessary. b) The waiting period following hernia surgery is 2 weeks. c) Inguinal hernias have been associated with an increased risk for CMV accidents. d) The maximum certification interval for a driver with a hernia is 2 years

The maximum certification interval for a driver with a hernia is 2 years

Which of the following is true of nephropathy? a) Nephropathy is a disqualifying condition. b) The maximum certification interval for nephropathy is 2 years. c) A driver with 3+ proteinuria should not be certified. d) A renal specialist should make the certification determination for a driver with nephropathy

The maximum certification interval for nephropathy is 2 years.

The driver is taking theophylline. Which of the following is not true? a. Serum levels may be checked. b. The primary indication for theophylline is in the treatment of neurological conditions. c. Cardiac toxicity is a significant risk of theophylline use. d. Theophylline can be administered orally or intravenously (IV

The primary indication for theophylline is in the treatment of neurological conditions.

Cardiovascular not to certify diagnoses include: a) Myocardial infarction. b) Atrial fibrillation. c) Asymptomatic congestive heart failure(CHF). d) Unstable angina

Unstable angina.

Which conditions would be appropriate for the Medical Examiner to consider for Determination Pending? a. Urinalysis with 500 mg/dL of glucose. b. Blood pressure of 175/80. c. Hearing whisper test with first detected results at 3 feet R, 4 feet L. d. Driver with history of myocardial infarction 3 weeks ago

Urinalysis with 500 mg/dL of glucose

If a significant abnormal finding for urinalysis specific gravity, protein, or blood is found, the Medical Examiner should: a) Disqualify the driver. b) Request that a renal specialist determine if the driver is medically qualified. c) Use clinical expertise to determine a certification decision and to determine if additional evaluation is required or recommended. d) Obtain blood chemistries for renal function

Use clinical expertise to determine a certification decision and to determine if additional evaluation is required or recommended.