Deck 2: Diagnostic Tests and Referrals

Question 1

In the event that a medical examiner examines a driver and finds the driver to have high blood pressure, the medical examiner should:

A)Refer the driver to a specialist.
B)Diagnose the driver.
C)Prescribe medication to treat the condition.
D)None of the above

Answer 1

Refer the driver to a specialist.

Question 2

Which of the following primary conditions may also lead to secondary hypertension?

A)Renovascular disease
B)Arthritis
C)Psoriasis
D)Tendonitis

Answer 2

Renovascular disease

Question 3

It is the responsibility of the medical examiner to refer to a specialist a driver who exhibits which of the following?

A)Depression
B)Emphysema
C)Obstructive sleep apnea
D)All of the above

Answer 3

All of the above

Question 4

A driver has been diagnosed with asthma. What is the responsibility of the medical examiner in this scenario?

A)Drivers with asthma should be handled on a case-by-case basis.
B)No driver with asthma should be certified.
C)Any driver with asthma can be certified.
D)A driver with asthma may be certified provided there has been no attack in the last six months.

Question 5

A driver who presents with a myocardial infarction should be:

A)Disqualified.
B)Certified following a two-month waiting period.
C)Referred to a specialist.
D)None of the above

Question 6

A driver presents who has been diagnosed with macular degeneration. In this scenario, how should the driver's case be treated?

A)The driver should be certified after a six-month waiting period.
B)The driver should be referred to a specialist.
C)The driver should not be certified.
D)None of the above.

Question 7

A driver who exhibits evidence of obstructive sleep apnea should be:

A)Referred to a specialist.
B)Disqualified.
C)Certified following a two-week waiting period.
D)Certified following a two-month waiting period.

Question 8

A driver presents who has limited mobility of his/her non-dominant hand. How should the driver's case be handled?

A)The driver should be disqualified.
B)The driver should be referred for a Skill Performance Evaluation.
C)The driver should be referred to a specialist.
D)None of the above

Question 9

A driver presents who is treated for arthritis. How should the driver's case be handled by the medical examiner?

A)The driver should not be certified.
B)The driver should be referred to a specialist.
C)The driver should be certified without a waiting period.
D)None of the above

Question 10

In the event that a medical examiner evaluated a driver and discovers a condition that is not related to certification but could impact the driver's health, what is the responsibility of the medical examiner?

A)Refer the driver to a specialist.
B)Note the finding on the Medical Examiner's Certificate.
C)Certify the driver following a waiting period.
D)None of the above

Question 11

In the event that a follow-up examination with a specialist is required for any reason, it is imperative that the specialist:

A)Understand the role of a commercial driver.
B)Be licensed to drive a commercial vehicle.
C)Have graduated from a medical school within the United States.
D)All of the above

Question 12

In the event that a driver is disqualified, a medical examiner must provide the driver with a rationale for disqualification as well as which of the following?

A)A form with which to appeal the disqualification
B)Information on what the driver can do to become qualified
C)No additional information is necessary
D)A referral to a specialist

Question 13

For certification and recertification exams of drivers who have high blood pressure, an examiner must do which of the following?

A)Check pulse rate, strength, and rhythm
B)Measure blood pressure
C)Perform a stress test
D)Confirm BP greater than 139/89 with a second measurement taken later during the examination

Question 14

A Snellen chart is used most often when examining a driver's vision. The number of the last line of type read accurately by the driver is recorded as which of the following?

A)The numerator in the Snellen test result
B)The denominator in the Snellen test result
C)The alternator in the Snellen test result
D)The equivocator in the Snellen test result

Question 15

When administering a vision test, the minimum qualification requirement for distant visual acuity is which of the following?

A)20/20
B)20/60
C)20/40
D)30/50

Question 16

When testing a driver's hearing, an examiner should check for each of the following EXCEPT:

A)Ear disorders?
B)Loss of hearing?
C)Hallucinations?
D)Loss of balance?

Question 17

When a medical examiner is performing a hearing test on a driver, which of the following tests should be performed?

A)Forced whisper test
B)Snellen test
C)Rorschach test
D)Inner ear balance test

Question 18

In order to assess grip strength, federal guidelines require which of the following tests be performed?

A)Dynamometer designed to measure grip strength
B)Sphygmomanometer used as a screening test for grip by having the applicant repeatedly squeeze the inflated cuff while noting the maximum deflection on the gauge
C)Neither of these
D)Either of these

Question 19

Drivers with diabetes are required by federal guidelines to test blood glucose how often while driving?

A)Every two to four hours
B)Every four to six hours
C)Once daily
D)None of the above

Question 20

Medical examiners are required to perform urinalysis on all drivers. Urinalysis tests for which of the following?

A)Protein
B)Specific gravity
C)Glucose
D)All of the above

Question 21

When performing the cardiac portion of the exam, a medical examiner may obtain which of the following to supplement the original exam?

A)Stress test
B)Electrocardiogram
C)Vascular studies
D)All of the above

Question 22

A medical examiner must perform a urinalysis to test for which of the following?

A)Protein
B)Blood
C)Glucose
D)All of the following

Question 23

When examining a driver's hearing, a forced whisper test must be performed from a distance of:

A)Two feet.
B)Three feet.
C)Five feet.
D)Four yards.

Question 24

When a medical examiner performs a forced whisper test, he/she should avoid using only words that begin with only what letter?

A)B
B)T
C)P
D)S

Question 25

Which of the following are required tests according to FMCSA guidelines?

A)Hearing
B)Cholesterol
C)Bone density
D)All of the above

Question 26

In the event that a dipstick urinalysis of a driver has positive results, which of the following should happen?

A)The driver should not be certified.
B)The driver should have a second examination in two months.
C)There should be additional evaluation.
D)None of the above

Question 27

A driver who has been denied certification because of metabolic muscle disease may have that decision reconsidered on what basis?

A)Recommendation by a specialist to take a simulated driving test
B)It cannot be reconsidered
C)Successful treatment
D)None of the above

Question 28

According to federal guidelines, which of the following should be drug tested?

A)Owner-operators
B)For hire operators
C)Equivalently licensed drivers from foreign countries
D)All of the above

Question 29

Urinalysis will be performed on all drivers and tested for which of the following?

A)Opiates
B)Cocaine
C)Marijuana
D)All of the above

Question 30

Drug testing is the responsibility of which of the following?

A)The state in which a driver resides
B)The Department of Transportation
C)The driver
D)The employer

Question 31

In the event that a medical examiner feels immediate testing of a driver for alcoholism is warranted, the medical examiner must do which of the following?

A)Admit the driver to a substance abuse program
B)Contact FMCSA or the employer of the driver for information on alcohol testing
C)Certify the driver with a six-week waiting period
D)None of the above

Question 32

Which of the following must happen if a driver tests positive for alcohol or substance abuse?

A)The driver will lose his/her certification for a minimum of one year.
B)The driver will lose his/her certification indefinitely.
C)The driver must be evaluated by an SAP who does not make a clinical diagnosis of alcoholism.
D)All of the above

Question 33

If a driver is tested and has high blood pressure during the medical exam, but had blood pressure within the normal range in a prior, recent exam, may the prior blood pressure be used?

A)Yes, with approval from the driver's regular physician
B)Yes, with a two-month certification
C)No, only the information from the driving exam may be used
D)None of the above

Question 34

An employer may order a drug or alcohol test in which of the following circumstances?

A)Following an accident
B)When there is reasonable suspicion of substance abuse
C)Random testing
D)All of the above

Question 35

A consultation with a pulmonologist may be ordered when a physical examination reveals which of the following?

A)Prolonged expiration
B)Clubbing of the fingers
C)Decreased breath sounds
D)All of the above

Question 36

If a potential driver has had a heart transplant, which of the following circumstances is not a consideration for a medical examiner to recommend certification?

A)The driver has no signs of transplant rejection.
B)The driver received a heart from a donor younger than 35.
C)The driver has not required any follow-up medications.
D)The driver has three or fewer symptoms.

Question 37

When examining a driver with a history of migraines, a medical examiner should followup with which of the following questions?

A)Do you have a family history of migraines?
B)Are you a smoker?
C)Do you experience impaired vision along with the migraines?
D)Are the migraines stress-related?

Question 38

Federal regulations require that spirometry must be performed in all drivers who are both smokers and over the age of:

A)20
B)25
C)35
D)50