DOT Medical Examiner Certification Practice Test

60 Questions | Total Attempts: 4168

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DOT Medical Examiner Certification Practice Test

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Questions and Answers
  • 1. 
    Using cardiovascular medical guidance, for each driver, is the driver medically qualified or medically disqualified?Driver with percutaneous coronary intervention (PCI) nine months ago; he or she has not followed up with cardiologist and has not had exercise tolerance test (ETT) since procedure. 
    • A. 

      Medically Qualified

    • B. 

      Medically Disqualified

  • 2. 
    Using cardiovascular medical guidance, for each driver, is the driver medically qualified or medically disqualified?Coronary artery bypass graft (CABG) surgery four months ago; echo at three months showed LVEF 55%; driver was cleared by cardiologist and has no chest pain. 
    • A. 

      Medically Qualified

    • B. 

      Medically Disqualified

  • 3. 
    Using cardiovascular medical guidance, for each driver, is the driver medically qualified or medically disqualified? Driver with CHF having dyspnea at rest.   
    • A. 

      Medically Disqualified

    • B. 

      Medically Qualified

  • 4. 
    Using cardiovascular medical guidance, for each driver, is the driver medically qualified or medically disqualified? Driver has recently had increasing angina which lasted 20 minutes after tarping a load; he or she is unresponsive to nitroglycerin.  
    • A. 

      Medically Qualified

    • B. 

      Medically Disqualified

  • 5. 
    What are the differences between the medical standards and the medical guidelines? The regulations are law and are mandatory. The medical examiner must use the standards found in 49 CFR 391.41 to determine interstate CMV driver medical fitness for duty.
    • A. 

      True

    • B. 

      False

  • 6. 
    What are the differences between the medical standards and the medical guidelines?    The recommendations in advisory 49 CFR 391.41(b) are simply guidance established to help the medical examiner determine a driver's medical qualifications pursuant to Section 391.41 of the Federal Motor Carrier Safety Regulations (FMCSRs).
    • A. 

      False

    • B. 

      True

  • 7. 
    A driver presents for examination with a history (last month) of a pneumothorax. The records provided by the driver indicate that the pneumothorax reduced the driver’s forced vital capacity (FVC) to 58% of predicted forced vital capacity. Can this driver be certified? If not, when can the driver be certified? 
    • A. 

      Certify Driver

    • B. 

      Do Not Certify Driver

  • 8. 
    Which of the following conditions require the driver to complete qualifying procedures under 49 CFR 391.49?  Check each case that does require complete qualifying procedures for certification.
    • A. 

      Missing fourth and fifth fingers of right hand; has strong hand grasp. No does not require qualifying procedures under 49 CFR 391.4 for certification.

    • B. 

      Missing fourth and fifth fingers of right hand; has strong hand grasp. Yes does require qualifying procedures under 49 CFR 391.4 for certification.

    • C. 

      Missing right foot since age two; uses prosthesis and runs marathons. No does not require qualifying procedures under 49 CFR 391.4 for certification. 49 CFR 391.4

    • D. 

      Missing right foot since age two; uses prosthesis and runs marathons. Yes requires qualifying procedures under 49 CFR 391.4 for certification.

    • E. 

      Status post-crush injury to left arm; has atrophy and weakness in ulnar distribution. Yes requires qualifying procedures under 49 CFR 391.4 for certification.

    • F. 

      Status post-crush injury to left arm; has atrophy and weakness in ulnar distribution. No does not require qualifying procedures under 49 CFR 391.4 for certification.

    • G. 

      Suffering from carpal tunnel syndrome; has weak hand grasp. No does not require qualifying procedure under 49 CFR 391.4 for certification.

    • H. 

      Suffering from carpal tunnel syndrome; has weak hand grasp. Yes does require qualifying procedure under 49 CFR 391.4 for certification.

  • 9. 
    When evaluating a driver with a psychological disorder that might interfere with safe operation of a CMV, what behaviors should an examiner look for?  Check all that apply
    • A. 

      Talkative behaviors and a friendly personality

    • B. 

      Any suspicious, evasive, threatening, or hostile behaviors

    • C. 

      Signs of flat affect or lack or emotional response

    • D. 

      Good communication skills

    • E. 

      Displays of unusual or bizarre ideas, auditory or visual hallucinations, dishonesty

  • 10. 
    What is the purpose of the Interstate CMV driver physical examination?
    • A. 

      The purpose of the CMV exam is to detect the presence of physical, mental, or organic conditions of such character & extent as to affect driver ability to operate a CMV safely

    • B. 

      The purpose of the CMV exam is to give drivers an annual physical before they become employed with a transportation company.

  • 11. 
    What is the mission of FMCSA? 
    • A. 

      The FMCSA is focused on helping new drivers keep their commercial vehicle drivers license

    • B. 

      The FMCSA is focused on reducing crashes, injuries & fatalities involving large trucks & buses.

  • 12. 
    1. Who and what does FMCSA regulate? 
    • A. 

      The FMCSA regulates interstate commercial operation, including driver, vehicle, motor carrier, & transport of hazardous materials.

    • B. 

      The FMCSA regulates pilots, aircraft carriers and safety airline employees to protect the public from fatal car crashes

  • 13. 
    1. Give some examples of CMV driver stress factors. 
    • A. 

      Interruption of normal sleep, exercise, & eating patterns

    • B. 

      Limited access to social support networks resulting in fatigue

    • C. 

      Environment that may have excessive vibration, noise, & extremes temperature

    • D. 

      Obesity, with no health program

  • 14. 
    What is ME certificate expiration date for this driver? Joe came in for exam on 2/1/2011 – met standards in 49 CFR 391.41; qualifies for 2 year certificate.
    • A. 

      Expiration date 2/1/2012

    • B. 

      Expiration date 2/1/2013

  • 15. 
    What is the expiration date for this driver? Pat came in for exam on 2/1/2011 – met standards but periodic monitoring required due to hypertension – driver qualified 1 year.  
    • A. 

      Expiration date 2/1/2012

    • B. 

      Expiration date 2/1/2013

    • C. 

      Expiration date 2/1/2014

  • 16. 
    What is the ME certificate expiration date for this driver? Sandy came in for exam on 2/1/2011 – Disqualified due to not having results of post-CABG stress test for review.   2/15/2011 – Return to ME’s office with test results (attached) – driver qualified 1 yr. 
    • A. 

      Expiration date 2/1/2013 ok to give an additional year with followup

    • B. 

      Expiration date 2/1/2012

  • 17. 
    What is the ME Certificate expiration for this driver? Stan came in for exam on 2/1/2011 – Disqualified due to diagnosis of benign positional vertigo on 3/10/2011.   4/3/2011– Returns to ME’s office for Certification Exam. (Note: asymptomatic since 3/8/2011 but periodic.)  Driver qualified for 2 years. 
    • A. 

      Expiration date 4/3/2013

    • B. 

      Expiration date 4/3/2014

    • C. 

      Expiration date 4/3/2012

  • 18. 
    Which one do you like?
    • A. 

      Option 1

    • B. 

      Option 2

    • C. 

      Option 3

    • D. 

      Option 4

  • 19. 
    Who can perform the vision portion of the interstate CMV driver physical examination? Check all that apply.
    • A. 

      Medical Examiner

    • B. 

      Medical Examiner Only

    • C. 

      Medical Assistant

    • D. 

      Ophthalmologist/Optometrist

  • 20. 
    To pass the interstate CMV driver vision exam, a visual acuity of __________ corrected or uncorrected is required. 
    • A. 

      Less than or equal to 20/40

    • B. 

      Less than or equal to 20/20

    • C. 

      Less than or equal to 40/40

  • 21. 
    • A. 

      Glaucoma

    • B. 

      Retinopathy

    • C. 

      Aaphakia

    • D. 

      Macular degeneration

    • E. 

      Cataracts

    • F. 

      All of the above

  • 22. 
    Does this driver meet hearing standards for interstate CMV driver certification? Whisper test results | Rt. Ear: 4 Feet | Lt. Ear: 4 Feet.
    • A. 

      Yes minimum distance is 3 ft

    • B. 

      No minimum distance in one ear must be 5 ft

    • C. 

      There is no minimum distance

  • 23. 
    Does this driver meet hearing standards for interstate CMV driver certification? 
Audiometric test results [Hearing loss in decibels (dB) 500 Hz, 1,000 Hz, 2,000 Hz] Rt. Ear: 30, 45, 40 | Lt. Ear: 45, 45, 35.
    • A. 

      Yes the driver meets the hearing standard

    • B. 

      No the driver does not meet the standard

  • 24. 
    Can an interstate CMV driver who has had an acute myocardial infarction (AMI) be qualified to drive?
    • A. 

      No they can not qualify

    • B. 

      Yes if they get a check from their primary care doctor

    • C. 

      Yes, if AMI was at least 2 mos ago and driver meets all requirements

    • D. 

      Option 4

  • 25. 
    The driver provides the medical examiner with a copy of records, including a cardiologist’s report indicating a diagnosis of congestive heart failure and that the driver’s ejection fraction is 38%. Can the driver be certified? 
    • A. 

      No, the EF must be at least 40% to certify the driver

    • B. 

      Yes the report of 38% is sufficient to certify the driver