1. Who can the DOT exam be administered to? Anyone who re-
quests the exam, regardless of age
2. Who is responsible for ensuring the driver
... [Show More] meets the minimum age requirement of 21 years old?
3. When should a BP be confirmed with a second mea- surement during the exam?
4. What BP readings may be used for certification deci- sions?
Motor carrier
Any BP 140/90 or greater
Only BP read- ings taken during the DOT physical exam
5. What is stage 1 hypertension? 140-159/90-99
6. What is stage 2 hypertension? 160-179/100-109
7. What is stage 3 hypertension? Greater than 180/110
8. In what two scenarios would a one-time three month certificate be granted?
When the driver has a BP read- ing that indicates stage 2 hyperten- sion
OR
A driver that
was certified with stage 1 hyper- tension has not achieved BP less than 140/90 at re- certification
9. How can a driver pass the forced whisper test? Perceive the
forced whisper in ONE ear at a dis-
tance of 5 feet or more
10. How can a driver pass the audiometric test? Not have an
average hearing loss in ONE ear greater than 40
decibels at 500 Hz, 1,000 Hz, and 2,000 Hz
11. When should both hearing tests be administered to a driver?
When the dri- ver fails the initial hearing test
12. How can a driver's hearing be tested for certification? By administering
either the forced whisper or audio- metric test
13. When should medical examiner need to complete an online MCSA-5850 form?
14. Who should the medical examiner's certificate be giv- en to?
15. How long must a medical examiner retain driver med- ical records for?
When an exam is performed on a driver - Must sub- mit by midnight of the next calendar day
AND
Must report if no exams are per- formed during a calendar month
The original is giv- en to the driver
A copy may be giv- en to the employer upon request
3 years
16. Can work restrictions be given as part of certifica- tion?
17. What should be done when a driver returns after being given a 3 month certificate that is nearing expi- ration?
18. Medical examiners are not required to issue certifi- cates to:
19. Who is responsible for determining when a driver's new medical condition or injury warrants a new cer- tification exam?
20. Eye examination includes assessing which four things?
21. What is the only portion of the DOT exam that can be performed and certified by a provider other than a medical examiner?
No
Perform an entire- ly new DOT exam
Canadian or Mexi- can CDL holders
The motor carrier
Distant acuity Binocular acuity Horizontal field of vision / Peripheral vision
Ability to distin- guish colors
Vision
22. What is monocular vision? When the visu- al acuity require- ments are met in only one eye
23. What is monovision? When one eye is corrected for dis- tance and the oth- er eye is corrected for near vision
24. Are monovision or monocular visions disqualifying? No
25. Can a driver with one prosthetic eye be certified? Yes - As long as
they pass the visu- al exam with their other eye
26. How can a driver with monocular vision obtained a passing certificate?
27. What if a driver with monocular vision arrives for their DOT exam without the vision evaluation form completed by an ophthalmologist?
Visit an ophthal- mologist to have
a vision evaluation form completed THEN
Visit a medical ex- aminer within 45 days of being cleared by oph- thalmology for a full DOT exam
Cannot certify un- til cleared by oph- thalmology and the form is com- pleted
28. What is an early symptom of cataracts? Glare during night
driving when ap- proaching oncom- ing headlights
29. What is the treatment for cataracts? Surgical removal and placement of an intraocular lens
30. Can a driver with telescopic lenses for treatment of macular degeneration be certified?
31. Can a driver use a hearing aid to pass the forced whisper test?
32. 32.
No
Yes, but they must wear the hearing aid while driving
If a driver has a hearing aid or cochlear implant and fails the initial forced whisper test, what should be recommended?
33. In order to pass the vision test, a driver must have a binocular acuity of at least :
34. In order to pass the vision test, a driver must have distant acuity of at least in each eye:
35. In order to pass the vision test, a driver must have a horizontal field of vision of at least in each eye:
36. In order to pass the vision test, a driver must be able to distinguish which colors?
37. Name the four passing requirements for the vision exam:
An audiologist or hearing aid cen- ter should per- form the audio- metric test using appropriate equip- ment
20/40
20/40
70 degrees (Can be greater than 70 degrees but not less)
Red, amber, and green
Distant acuity of at least 20/40 in each eye Binocular acuity of at least 20/40 Horizontal field of vision of at least 70 degrees in each eye
Ability to recog- nize red, amber, and green colors
38. Which type of vertigo is disqualifying? Uncontrolled verti-
go
39. Waiting period for benign positional vertigo: 2 months symp-
tom free
40. Waiting period for acute and chronic peripheral vestibulopathy:
2 months symp- tom free
41. Which three otic diseases would disqualify a driver? Meniere's disease
Labyrinthine fistu- la
Nonfunctioning labyrinths
42. What is the most common cause of sudden driver incapacitation?
What is the most common etiology of this condition?
43. A passing echocardiogram for a driver should in- clude:
Arrhythmia Etiology = Coro- nary heart dis- ease
A left ventricu- lar ejection frac- tion greater than or equal to 40%
No pulmonary hy- pertension
44. What indicates pulmonary hypertension? Pulmonary artery
pressure greater than 50% of sys- temic systolic BP
45. What four components indicate a passing Exercise Tolerance Test?
Able to exercise to a workload capacity greater than 6 meta- bolic equivalents through Bruce protocol stage II Attain a HR greater than 85% of predicted max- imum (unless on beta blockers)
Have a rise in sys-
tolic BP greater than 20 mmHg without angina Have no ST seg- ment depression
46. Waiting period post-MI: 2 months
47. Maximum certification period for hx of MI: 1 year
48. A driver with a hx of MI should have an Exercise Tolerance Test how often?
49. For initial certification following an MI, what is ab- solutely required?
Every other year
A post-MI echocardiogram showing a LVEF of 40% or greater
50. Waiting period for angina pectoris: 3 months with no angina at rest or change in angina period
51. Maximum certification period for hx angina pectoris: 1 year
52. Waiting period after CABG: 3 months regard- less of the type of CABG surgery performed
53. Maximum certification period for hx CABG: 1 year
54. Besides the waiting period, what are two other factors the medical examiner should consider when certify- ing a driver post-CABG?
55. 55.
Has been exam- ined and approved to drive by cardiol- ogist
Has a healed ster- num
When should a driver with a hx of CABG should start obtaining an annual Exercise Tolerance Test?
56. Waiting period post-PCI for treatment of stable angi- na (without MI):
Starting at 5 years post-CABG
1 week
57. Maximum certification period for PCI: 1 year
58. Which of the following devices would disqualify a driver?
Pacemaker ICD
ICD / Pacemaker
59. Waiting period post-pacemaker implantation for si- nus node dysfunction or AV block:
60. Waiting period post-pacemaker implantation for hy- persensitive carotid sinus with syncope:
ICD and ICD/Pacemaker combination device
1 month
3 months
61. Maximum certification period for pacemakers: 1 year
62. During the exam, a driver with a pacemaker should provide the medical examiner with:
Documentation of pacemaker func- tion tests
63. Waiting period for new onset atrial fibrillation: 1 month if
asymptomatic and anti-coagulated
64. Waiting period post-isthmus ablation for atrial flutter: 1 month
65. Waiting period for supraventricular arrhythmias such as atrial tachycardia, junctional tachycardia, and Wolff-Parkinson White syndrome:
66. Maximum certification period for supraventricular ar- rhythmias:
1 month
1 year
67. Waiting period for ventricular arrhythmias: 1 month
68. Maximum certification period for ventricular arrhyth-
mias: 1 year
69. Which three diagnoses associated with ventricular arrhythmias would disqualify a driver? Hypertrophic car- diomyopathy Long QT interval syndrome Brugada syn- drome
70. Maximum certification period for heart failure: 1 year
71. Ventricular tachycardia is considered sustained and would disqualify a driver if: VT lasts 30 sec- onds or more Requires interven- tion
72. When should a driver with heart failure be disquali- fied? LVEF less than 40%
Symptomatic
73. Waiting period for syncope: 3 months
74. Maximum certification period for syncope: 1 year
75. Can a driver with a shunt be certified? No
76. Can a driver with atrial septal defect be certified? No
77. Maximum certification period for congenital heart disease: 1 year
78. Can a driver with mild cardiac enlargement be certi- fied? Yes
79. Can a driver with mild tricuspid anomaly be certified? Yes
80. Waiting period post-heart transplant: 1 year
81. 6 months
Maximum certification period for driver with hx heart transplant:
82. Which two forms of cardiomyopathy would disqualify a driver?
83. In what three scenarios can a driver with an abdomi- nal aortic aneurysm be certified?
84. Waiting period for post-surgical repair of abdominal aortic aneurysm:
Hypertrophic car- diomyopathy Restrictive car- diopyopathy
AAA less than 4 cm
AAA greater than 4 cm but less than 5 cm with clear- ance from cardiol- ogist
Has not increased in size more than 0.5cm in the last 6 months
3 months
85. Maximum certification period for AAA: 1 year
86. A driver with a thoracic aneurysm can be certified if: The thoracic
aneurysm is less than 3.5 cm
87. Waiting period post-surgical repair of thoracic aneurysm:
3 months
88. Maximum certification period for thoracic aneurysm: 1 year
89. Maximum certification period for hx DVT: 1 year
90. Maximum certification period for chronic thrombotic venous disease:
2 years
91. 1 year
Maximum certification period for intermittent claudi- cation:
92. Waiting period for post-surgical repair of intermittent claudication:
93. A driver with intermittent claudication would be dis- qualified if:
3 months
They have pain at rest
94. Waiting period for pulmonary emboli: 3 months
95. Maximum certification period for pulmonary emboli: 1 year
96. What three items must the medical examiner docu- ment on a driver who is on anticoagulant therapy?
The underlying condition requiring anticoagulation Control of the un- derlying condition Frequency in which the driver has INR checked
97. Waiting period after starting on anticoagulation: 1 month
98. Maximum certification period for anticoagulation: 1 year
99. A driver on anticoagulation should have their INR checked:
100. Maximum certification period for a driver with newly diagnosed stage 1 hypertension:
101. Maximum certification period for a driver with a hx of stage 1 hypertension who comes in for a re-certifica- tion and has a BP greater than 140/90:
102. Maximum certification period for stage 2 hyperten- sion:
Monthly if on War- farin
Never if on newer anticoagulants
1 year
One-time certifi- cate for 3 months
One-time certifi- cate for 3 months
103. Which hypertension stage would disqualify a driver? Stage 3 hyperten-
sion (180/110)
104. Maximum certification period for a driver with hx of stage 3 hypertension:
105. How long should the medical examiner certify a driver who comes in for re-certification and demonstrates stage 1 hypertension, but they were previously di- agnosed with stage 1 hypertension during their last certification and certified for one year?
6 months as long as BP remains less than 140/90
One-time 3 month certificate
106. A BP of 168/94 indicates: Stage 2 hyperten- sion
107. A BP of 148/104 indicates: Stage 2 hyperten- sion
108. A driver who was issued a 3 month certificate for hypertension comes in with a BP of 142/90, what should the medical examiner do?
109. A driver who was issued a 3 month certificate for hypertension comes in with a BP of 138/88, what should the medical examiner do?
110. When is screening pulse oximetry and/or ABG indi- cated?
111. A driver with a pulse oximetry level of less than 92% should have:
112. What three ABG results would disqualify a driver?
Disqualify until BP less than 140/90
Certify the driver for 1 year from the date of initial ex- amination (not fol- low-up date)
FEV1 is less than 65% of predicted FEV1/FVC ratio is less than 65% FVC is less than 60%
ABG analysis
113. How long should a driver abstain from taking an an- tihistamine prior to operating a CMV?
114. What three findings would warrant a driver with asth- ma to be disqualified?
PaO2 less than 65 below 5,000 feet PaO2 less than 60 above 5,000 feet PaCO2 greater than 45 at any al- titude
12 hours
Continual, uncon- trolled asthma Hypoxemia on ABG
FEV1 less than 65%
115. Maximum certification period for asthma: 2 years
116. CPAP compliance standard for certification is: CPAP use 4 or
more hours per night for 70% of nights
117. When should a driver with hx of pneumothorax be disqualified?
Hx of pneumoth- orax x2 on the same side with no surgical interven- tion to prevent re- occurrences
118. When is a driver considered to have epilepsy? After 2 or more un-
provoked seizures
119. A driver with a hx of epilepsy can be certified when: They have been
off anticonvulsant medication and seizure free for 10 years
120. Waiting period following initial unprovoked seizure: Off anticonvulsant
medication and seizure free for 5 years
121. What three requirements must be met before a driver Seizure free for 8
with epilepsy can obtain a seizure exemption?
122. What two requirements must be met before a driver with one unprovoked seizure can obtain a seizure exemption?
123. Maximum certification for a driver with epilepsy seizure exemption:
124. Maximum certification for a driver with single unpro- voked seizure exemption:
125. Maximum certification period for single provoked seizure:
126. Waiting period for mild TBI with seizures and moder- ate TBI without seizures:
years
Stable on cur- rent anticonvul- sant therapy No changes in
dose or frequency of medication for 2 years
Seizure free for 4 years
Stable on cur- rent anticonvul- sant therapy for 2 years
1 year
2 years
1 year
2 years
127. Waiting period for moderate TBI with seizures: 5 years seizure
free and off an- ticonvulsant med- ication
128. What TBI would disqualify a driver? Severe TBI with or without seizures
129. Waiting period for TIA: 1 year
130. Maximum certification period for TIA: 1 year
131. Waiting period for CVA / hemorrhage (not at risk for seizures):
132. Waiting period for CVA / hemorrhage (at risk for seizures):
133. Maximum certification period for hx CVA / hemor- rhage:
134. Waiting period for post-surgical removal of CNS tu- mor:
135. Which two CNS tumors require a 2 year waiting peri- od?
136. Waiting period for bacterial meningitis and viral en- cephalitis without seizures:
1 year
5 years
1 year
1 year
Benign supraten- torial tumors Spinal tumors
1 year
137. Waiting period for bacterial meningitis with seizures: 5 years seizure
free and off an- ticonvulsant med- ication
138. Waiting period for viral encephalitis with seizures: 10 years seizure
free and off an- ticonvulsant med- ication
139. Can a driver with a history of aseptic meningitis be certified?
Yes
140. 2 years
Maximum certification period for meningitis and en- cephalitis:
141. Which six neurological diagnoses would disqualify a driver?
Severe TBI Dementia Parkinson's Cerebellar ataxia Arteriovenous malformation Frequent or se- vere headaches
142. In what two scenarios would a Skill Performance Eval- When a driver has
uation (SPE) certified be granted?
loss of a hand, foot, leg, or arm When a driver has fixed impairment to an extremity
143. What deficit does a SPE not apply to? Deficits caused by progressive dis- eases
144. Maximum certification period for fixed deficit of an extremity:
145. SPE initial or renewal applications require medical evaluation by:
2 years
Either a psychia- trist or orthopedic surgeon
146. Does a driver missing fingers or toes need an SPE: No; unless the
medical examiner recommends SPE at their discretion
147. Are grip strength tests required during the DOT No
exam?
148. An SPE certificate is issued for a maximum of: 2 years
149. Does a driver with cubital tunnel syndrome require a SPE? Why or why not?
150. The FMSCA defines a severe hypoglycemia episode as one that results in one of three things:
151. Maximum certification period for non-insulin treated DM:
152. When should a non-insulin treated DM driver be dis- qulified?
153. When certifying a driver with insulin-treated DM, what two things are required?
No; It affects pri- marily the 4th and 5th fingers
Seizure
LOC or coma Need of assis- tance from anoth- er person
2 years
One severe hypo- glycemia episode in the last year OR
Two episodes within the last 5 years
Completion of the ITDM assessment form by treating clinician
DOT physical exam by med- ical examiner with- in 45 days of form completion
154. Maximum certification period for insulin-treated DM: 1 year
155. An insulin-treated DM driver must provide
to their treating clinician:
156. What if an insulin-treated DM driver does not provide 3 months of blood glucose monitoring records?
3 months of elec- tronic blood glu- cose monitoring records
They can only be certified for 3
157. How often does an insulin-treated DM driver need to self monitor the blood glucose level?
158. What is the process when an insulin-treated DM dri-
months and must provide records to be re-certified
No specific guide- lines; Dependent upon treating clin- ician recommen- dations
They are prohibit-
ver is already certified but has a severe hypoglycemia ed from operating
episode?
159. When would a driver with DM be automatically dis- qualified?
160. According to the FMSCA, a hemoglobin A1c level of
indicates poor blood glucose control:
161. Is hemoglobin A1c level monitoring required for DM driver certification?
162. Examples of schedule I drugs include:
a CMV
They must report the episode and be evaluated by their treating clini- cian
The clinician determines the cause of the episode and com- pletes a new ITDM form when they think the driver is stable to begin dri- ving again
When they have peripheral neu- ropathy or diabetic retinopathy
Greater than 10% No
163. Which schedule of drugs would automatically dis- qualify a driver?
164. Can a driver taking medical marijuana with a card be certified?
Heroin Marijuana
Schedule I No
165. Which schedule II drug would disqualify a driver? Methadone
166. Proper exam attire includes: Underwear and gown
167. Driver maximum work hours are: No more than 60 hours in 7 con- secutive days or no more than 70 hours in 8 consec- utive days
168. The driver must carry the driving log for the last
days:
169. Which four regulations related to alcohol abuse must always be evaluated during the exam:
Seven
Tremor Enlarged liver or spleen
Signs of alco- holism
Drug abuse
170. FMSCA blood alcohol concentration benchmark: 0.04%
171. Which antidepressants frequently interfere with safe driving and would disqualify a driver?
172. Maximum certification period for antidepressant ther- apy:
First generation antidepressants Amitriptyline and imipramine
1 year
173. Maximum certification period for antipsychotic ther- apy:
1 year
174. A driver taking a hypnotic can be certified if: The half-life of the
drug is less than 5 hours
AND
They are taking the lowest effec- tive dose
175. Maximum certification period for CNS stimulant ther- apy:
1 year
176. Which CNS condition is disqualifying? Narcolepsy
177. Waiting period after electroconvulsive therapy (ECT): 6 months symp-
tom free
178. Can a driver on maintenance ECT be certified? No
179. Can a driver taking lithium be certified? Yes; if asympto-
matic and levels are maintained in therapeutic range
180. Lithium therapy maximum certification period: 1 year
181. Adult ADHD maximum certification period: 1 year
182. Waiting period for nonpsychotic major depression without SI:
183. Waiting period for severe depressive episode, suicide attempt, or manic episode:
184. A driver with a history of a mood disorder must be evaluated by a mental health specialist every:
6 months
1 year
2 years
185. 1 year
Mood disorder (depression) maximum certification period:
186. Personality disorder maximum certification period: 1 year
187. Which two psychotic disorders automatically dis- qualifies a driver?
188. A driver with an alcohol concentration of greater than
0.02 but less than 0.04 should:
189. What should be done if the medical examiner believes immediate testing for alcohol is required?
190. What must a driver with alcoholism do before you can certify them?
191. Would ongoing attendance at self-help groups for alcoholism disqualify a driver?
Schizophrenia Active psychosis
Be removed from duty for 24 hours
Contact FMSCA or employer
Complete a sub- stance abuse pro- fessional (SAP) drug rehab pro- gram
No
192. Which five drugs are included in the urine drug test? Marijuana
Cocaine Amphetamines Opiates Phencyclidine (PCP)
193. What are the three requirements before certifying someone with a history of drug abuse?
Successful com- pletion of required rehab program Passes physical exam
Has a second drug urine test showing they are drug-free
194. Which three parts of the physical exam are non-dis- cretionary and the medical examiner must follow strict guidelines?
195. When should determination pending be used? How long is it valid for?
Vision, hearing, and epilepsy
When waiting for additional infor- mation or test re- sults in order to certify
Valid for 45 days
196. Maximum certification for vision exemption: 1 year
197. Maximum certification for hearing exemption: 2 years
198. What four exemptions are available to drivers? Hearing, vision,
seizures, skilled performance
199. What lab test is required for all certification exams? Urine dipstick
200. When would incomplete examination be checked by the medical examiner?
201. What should be done if a driver fails the hearing or vision test?
202. What action should be taken in a driver who demon- strates glycosuria:
203. 203.
Patient left the of- fice and did not want to complete the exam
Refer to a special- ist and have them return after they obtain the appro- priate corrective lenses or hearing aid to be re-exam- ined
Obtain a finger- stick glucose level Refer to PCP
What is the role of the substance abuse professional (SAP)?
Provide a plan for reinstatement for the driver
204. Difference between regulations and guidelines: Regulations- Med-
ical examiner can- not use discretion and must follow guidelines exactly Guidelines- Med- ical examiner can use their discre- tion
205. What is xanthelasma? Marker for hyperc- holesteremia
206. What is cyclothymia? Can a driver with cyclothymia be certified?
207. For the audiometric test, how is a hearing loss of less than 40 decibels calculated?
Mild form of bipo- lar that causes brief episodes of depression and el- evated mood Does not cause marked impair- ment; can be certi- fied
Taking the aver- age of 500 Hz, 1,000 Hz, and
2,000 Hz
208. Waiting period after suicide attempt: 1 year
209. The medical examiner can assess L4 nerve root pathology with:
210. What two conditions automatically warrant the need for pulmonary function tests in a driver?
Patellar reflex
Hx COPD
Cigarette smoking over the age of 35
211. What three physical abilities must all drivers pos- sess?
212. Can a driver who fails the Ishihara color blindness test still be certified?
213. Which kidney-related condition is automatically dis- qualifying?
214. What are the two main concerning findings on a UA for certification?
215. A driver with no known medical history who has 3+ glycosurira on exam should be:
Grip strength Upper body strength
Balance and flexi- bility
Yes, as long as they can distin- guish red, amber, and green colors
Dialysis
Proteinuria Glycosuria
Given a 3 month certification and referred to PCP
216. What is anisocoria? Pupils react ap- propriately to light but are different di- ameters
217. What is the most common findings associated with diabetic retinopathy?
Intraretinal hemor- rhage
218. Maximum certification period for sleep apnea: 1 year
219. All drivers with a mental health disorder must: Receive medical
clearance from the treating provider
220. How long can a driver taking levothyroxine for asymp- tomatic hypothyroidism be certified for?
221. Number 1 on the medical examiner form indicates:
2 years
General appear- ance
222. Number 2 on the medical examiner form indicates: Skin
223. Number 3 on the medical examiner form indicates: Eyes
224. Number 4 on the medical examiner form indicates: Ears
225. Number 5 on the medical examiner form indicates: Mouth / Throat
226. Number 6 on the medical examiner form indicates: Cardiovascular
227. Number 7 on the medical examiner form indicates: Lungs / Chest
228. Number 8 on the medical examiner form indicates: Abdomen
229. Number 9 on the medical examiner form indicates: Genitourinary
230. Number 10 on the medical examiner form indicates: Back / Spine
231. Number 11 on the medical examiner form indicates: Extremities /
Joints
232. Number 12 on the medical examiner form indicates: Neurological / Re-
flexes
233. Number 13 on the medical examiner form indicates: Gait
234. Number 14 on the medical examiner form indicates: Vascular System
235. A driver with a cervical rotation limitation can be certified for:
236. When can a driver with a history of one pneumotho- rax be certified?
2 years as long as they can view both side mirrors
When pulmonary function tests are met successfully and recovery is verified with an
X-ray
237. Can a driver who perceives a forced whisper in one ear at 6 feet be certified?
238. What urine dipstick findings mandates temporary disqualification of a driver?
239. What is the gross vehicle weight that will require a DOT medical exam for a driver?
Yes - Must hear from 5 feet away or more
None
10,001 pounds or more
240. Waiting period for a driver who had a cortical stroke? 5 years due to risk
of seizures
241. A vehicle that is used to transport which of the follow- ing number of persons (including the driver) would be defined as a CMV for interstate commerce?
242. Words that begin with which letter should be avoided during the forced whisper test?
243. A driver with a history of migraines may be certified for a maximum period of:
More than 8 peo- ple for compensa- tion or more than 15 people not for compensation
"S"
2 years
244. Can a driver with a hernia be certified? Yes, as long as
it does not cause discomfort or in- terfere with driving
245. Waiting period after starting on a medication for ADHD:
246. Which four components are apart of the urine dip- stick test?
247. 247.
No waiting period
Specific gravity Blood
Protein Glucose
Can a driver taking Sinemet be certified? Why or why not?
248. Which four conditions should the medical examiner assess for in a driver with diabetes?
No; Sinemet is used to treat Parkinson's and this condition is disqualifying
Retinopathy Neuropathy Coronary artery disease Cerebrovascular disease
249. Which three tests are recommended before certifying Ejection frac-
a recent post-MI driver?
250. What certification decision should be made in a dri- ver who has a slight antalgic gait favoring one side during the exam?
251. What certification decision should be given in a dri- ver who currently takes disulfiram?
252. When can a medical examiner provider a copy of a driver's medical examination report to the report carrier?
tion (greater than 40%)
Exercise tolerance test (greater than 6 METS)
EKG (no ST seg- ment changes)
Determination pending until medically cleared by orthopedist
Disqualify and re- fer to DOT sub- stance abuse pro- fessional d/t alco- holism
When signed re- lease of medical information is giv- en by the driver
253. The date of the fol-
low-up exam
A patient who reports for a follow-up after being in determination pending secondary to vertigo should be certified from:
254. A patient who reports for a follow-up after being given a one-time three month certificate for stage 2 hyper- tension should be certified from:
255. Waiting period for mild TBI causing LOC for 15 sec- onds:
256. What additional test should be ordered if a driver is found to have 1+ proteinuria on the urine dipstick?
257. What action should be taken for a driver who has a serum creatinine of 9mg/dL? Why?
The date of the ini- tial exam
No waiting period
Order serum crea- tinine
Disqualify be- cause dialysis is likely needed
258. The Romberg test is used to investigate the cause of: Ataxia
259. What medical examiner information should always be included on the report form?
260. Which abdominal condition cause RUQ pain is a con- cern for sudden incapacitation in a driver?
261. Which four primary patient data is always included on the medical report form?
Medical examin- er's office ad- dress, phone number, and state license
Cholelithiasis
Height, weight, BP, and HR
262. What is the average grip strength of a male? 105-113 lbs.
263. Can a driver with anisocoria who passes the vision test be certified?
Yes
264. Which agency are vision requirements based from? American Nation-
al Standards Insti- tute (ANSI)
265. What score on the CAGE questionnaire is considered clinically significant?
266. What certification decision should be made for a dri- ver who has an ear canal plugged with ear wax but passed the hearing test in both ears?
267. A driver who wears hearing aids should be educated to:
268. What action should be taken by the medical examiner when examining a driver with clubbing of the fingers?
269. Which eye condition is most likely to cause a restric- tion of peripheral vision?
270. A driver who complains of painless gradual loss of night vision, peripheral vision, and decreased color discrimination likely has:
271. A driver who complains of loss of central vision and difficulty recovering from bright headlights at night likely has:
272. A driver who complains of slow progressive dimin- ished distance visual acuity and glare at night with decreased contrast likely has:
273. A diabetic driver who reports partial loss of central vision, color discrimination, and obscured vision in other visual fields likely has:
274. A driver whose certification does not expire for one more year but suffers an injury that interferes with their ability to drive must:
Score of 2 or greater
Determination pending until the wax is removed
Carry extra batter- ies at all times while driving
Refer to pul- monary specialist prior to certifica- tion
Glaucoma Glaucoma
Macular degener- ation
Cataracts
Retinopathy
Return to the med- ical examiner for another medical examination
275. If a driver passes the hearing test in one ear, is it required for the medical examiner to complete the test for the other ear?
276. Functional evaluation of hand function is based upon:
Yes
Prehension and power grasping
277. Who gets the original copy of the exam report form? The medical ex-
aminer [Show Less]