DOT questions

Question 1

Vision standard is at least __/__ in each eye with or without correct

Answer 1

20/40 acuity

Question 2

Minimum visual acuity requirements are __/__ binocular

Answer 2

20/40

Question 3

For vision, at least ___ field of vision in horizontal median measured in each eye

Answer 3

70 degrees

Question 4

A driver on coumadin (warfarin) must have an INR test every __

Answer 4

30 days

Question 5

Hearing requirements are first perceive a forced whispered voice, in one ear, at not less than___

Answer 5

Five feet

Question 6

A driver must have an average hearing loss, in on ear, less than or equal to ___

Answer 6

40 decibels

Question 7

A driver with Lewy Body Dementia may be qualified/disqualified?

Answer 7

Disqualified

Question 8

To calculate audiometric test results:

Answer 8

1. Record hearing test results for each ear at 500 Hz, 1,000 Hz, and 2,000 Hz (ANSI standard).
2. Average the readings for each ear by adding the test results and dividing by 3.
3. To pass, one ear must show an average hearing loss that is less than or equal to 40 dB.

Question 9

To pass an exercise tolerance test, a driver must exercise to a workload capacity greater than ___

Answer 9

6 METS (metabolic equivalents)

Question 10

To pass an exercise tolerance test, a driver must attain a heart rate greater than or equivalent to__

Answer 10

85% (unless on beta blockers)

Question 11

To pass an exercise tolerance test, a driver must have a rise in systolic BP greater than or equal to ___ without angina

Answer 11

20mm Hg

Question 12

To pass an exercise tolerance test, on an ECG, a driver must have no __

Answer 12

significant ST segment depression

Question 13

A driver on methadone is (qualified/disqualified) from driving a CMV per FMCSA regulations

Answer 13

Disqualified

Question 14

Glaucoma may affect ___ on a vision test

Answer 14

Peripheral visual fields

Question 15

True/false: a driver with monocular may qualify for a medical certificate

Answer 15

True: they do not meet standards, but may qualify for a vision certificate under the alternative vision standards outlined in (CFR 49 391.44).

Question 16

A driver with insulin treated diabetes mellitus are required to___

Answer 16

See their PCP for completion of the ITDM Assessment Form, MCSA-5870, which must be presented to the Certified Medical Examiner within 45 days of completion by the Treating Clinician.

Question 17

A driver with stable angina may be certified if they are____ (x3)

Answer 17

> Asymptomatic
Tolerates medications
Has a satisfactory exercise tolerance test (ETT)

Question 18

Scarring of the tympanic membrane may indicate___

Answer 18

Prior perforation, infection or inflammation and directly lead to hearing loss

Question 19

A patient’s urine must be tested for all of the following except:

a) Specific gravity
b) Blood
c) Glucose
d) Bacteria

Answer 19

D) Bacteria

Question 20

A driver with a AAA is recommended not to be certified if the driver has ___ (x2)

Answer 20

> Symptomatic, regardless of AAA size
Recommendation for surgical repair, regardless of AAA size, from a CV specialist who understands the functions and demands of commercial driving

Question 21

A driver with a AAA is recommended not to be certified if the AAA: (x3)

Answer 21

> Is greater than 4cm but less than 5cm and the driver does not have medical clearance for commercial driving from CV specialist
Is greater than or equal to 5cm
Has increased more than 0.5cm during a 6 month period, regardless of size

Question 22

FMCSA guidelines mandate that at least every ____ the driver with a history of a major mood disorder should have evaluation and clearance from a mental health specialist, such as a psychiatrist or psychologist, who understands the functions and demands of commercial driving

Answer 22

2 years

Question 23

___ is an early symptom of cataracts

Answer 23

Glare, especially at night

Question 24

According FMCSA guidelines, the definition of a severe hypoglycemic reaction in a driver with diabetes includes___

Answer 24

Period of impaired cognitive function that occurs without warning

Question 25

In a driver with interstitial lung disease (often associated with occupational and environmental exposures), recommend not to certify if the driver has__ (x3)

Answer 25

> Hypoxemia at rest > Chronic respiratory failure > History of continuing cough

Question 26

FMCSA guidelines recommend not certifying if the patient’s INR ___

Answer 26

Is not being monitored or is not therapeutic

Question 27

Therapeutic INR is ___

Answer 27

between 2-3

Question 28

The FMCSA recommends a driver with an ICD (implantable cardioverter defibrillator)__

Answer 28

Not be certified

Question 29

If the driver has had CABG surgery the driver must obtain approval from their cardiologist and provide documentation of a LVEF of ___

Answer 29

>40%

Question 30

The Conference on Neurological Disorders and Commercial Drivers report recommends disqualification when there is a diagnosis of? A. Meniere's Disease B. Benign Positional Vertigo C. Chronic otitis media D. Scarring of the tympanic membranes.

Answer 30

A. Meniere's Disease

Question 31

A driver with stage 1 HTN (140/90-159/99) may be certified for___

Answer 31

1 year

Question 32

Stage 1 HTN is described as___

Answer 32

140/90-159/99

Question 33

A driver with stage 2 HTN (160/100-179/109) should be treated and a one-time certificate for ___ may be issued

Answer 33

3 month

Question 34

Stage 2 HTN is described as

Answer 34

160/100-179/109

Question 35

A driver with stage 3 HTN (>/ 180/110) should not certified until BP is reduced to

Answer 35

Every 6 months

Question 36

In the case of a driver with monocular vision, the certified medical examiner __

Answer 36

Must refer the driver to an optometrist/ophthalmologist as part of the certification process

Question 37

Which of the following msk disorders mandates denial of certification? A. A missing finger B. A missing toe C. A nonfunctioning hand D. A broken toe

Answer 37

C. A nonfunctioning hand

Question 38

When performing a PFT, if the forced expiratory volume in the first second of expiration is ___, ABG measurements should be evaluated

Answer 38

<65%

Question 39

The CMV driver utilizing insulin for blood glucose control is not physically qualified to operate a commerical motor vehicle up to the maximum 12-month period under regulation 391.45(e) until he or she provides the treating clinician with:

Answer 39

At least the preceding 3 months of electronic blood glucose self-monitoring records

Question 40

According to the FMCSA regulations, the driver utilizing insulin for glucose control with a diagnosis of severe proliferative retinopathy can be qualified for a period of

Answer 40

Disqualified

Question 41

A driver with a fixed limb deficit must have a valid___

Answer 41

Skill Performance Evaluation (SPE) certificate

Question 42

In a driver with a history of TIA, the risk of having another TIA, stroke, or other vascular event is highest___

Answer 42

The first few weeks or months following the initial event

Question 43

A driver taking anticonvulsants may be certified for a maximum period of ____ as long as the nature and severity of the underlying condition does not interfere with safe driving and the effects of medication used while operating a commercial motor vehicle do not endanger the safety of the driver and the public.

Answer 43

2 years

Question 44

The driver who is being treated for sleep apnea should ___

Answer 44

remain symptom free and must agree to continued uninterrupted therapy and undergo yearly objective testing, i.e., multiple sleep latency test or maintenance of wakefulness test

Question 45

The driver with a current history of epilepsy on anticonvulsant drugs____

Answer 45

Must be disqualified

Question 46

The driver with a diagnosis of epilepsy must be seizure free and off anticonvulsants drugs for ____ before he or she can be certified to drive a CMV.

Answer 46

10 years