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

Accepted Answer

Refer the driver to a specialist.
The medical examiner's responsibility is to determine a driver's fitness to operate a commercial vehicle. It is not to diagnose or prescribe medication. If a driver is tested and found to have high blood pressure, the medical examiner should refer him/her to a specialist for treatment.

Question 2

Which of the following primary conditions may also lead to secondary hypertension?
A)Renovascular disease
B)Arthritis
C)Psoriasis
D)Tendonitis

Accepted Answer

Renovascular disease
Although it is not the responsibility of the medical examiner to diagnose underlying conditions, when a driver presents with secondary hypertension, the medical examiner should attempt to assess the underlying condition. Among the conditions that may contribute to secondary hypertension is 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

Accepted Answer

All of the above
Because the role of the medical examiner is to determine a driver's fitness for operating a commercial vehicle, and NOT to diagnose or treat, there are many instances in which a driver should be referred to a specialist. Among these are depression, emphysema, and obstructive sleep apnea.

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.

Accepted Answer

Drivers with asthma should be handled on a case-by-case basis.
Asthma is a condition that can vary widely from being virtually asymptomatic to potentially fatal. Since there is such a wide variation of severities, a medical examiner must examine each driver and determine each case individually.

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

Accepted Answer

Referred to a specialist.
Any driver with any of the following cardiac conditions should be referred to a specialist: myocardial infarction, coronary insufficiency, high blood pressure.

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.

Accepted Answer

The driver should be referred to a specialist.
Many conditions require that drivers be referred to a specialist. Conditions that impair a driver's vision, such as macular degeneration, should be referred to a specialist.

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.

Accepted Answer

Referred to a specialist.
When the medical exam exhibits evidence of serious conditions, the driver must be referred to a specialist. This is the case when a driver exhibits evidence of obstructive sleep apnea.

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

Accepted Answer

The driver should be referred for a Skill Performance Evaluation.
A driver who has limited or impaired usage of the extremities may or may not be certified, depending on the severity of the condition. A driver who has limited mobility of any extremities should be referred for a Skill Performance Evaluation.

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

Accepted Answer

The driver should be referred to a specialist.
As with most chronic conditions, a driver with arthritis should be referred to a specialist.

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

Accepted Answer

Refer the driver to a specialist.
Over the course of an examination, conditions may be discovered which do not affect a driver's certification. In those instances, it is the responsibility of the medical examiner to refer the driver to a specialist.

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

Accepted Answer

Understand the role of a commercial driver.
In order to accurately assess the health and fitness of the driver, any specialist to whom the driver is referred must have an adequate understanding of the role and function of the driver.

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

Accepted Answer

Information on what the driver can do to become qualified
In the event that a driver is disqualified, the medical examiner is required to provide a rationale for the disqualification. The medical examiner must also provide information on how the driver can be qualified at a later date.

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

Accepted Answer

Perform a stress test
This is the correct response because a medical examiner is not required to perform a stress test. A blood pressure test is an essential component of the medical exam. In the event that a driver has high blood pressure, a medical examiner must check pulse rate, strength, and rhythm; measure blood pressure; and confirm blood pressure 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

Accepted Answer

The denominator in the Snellen test result
When administering the Snellen test, a driver is asked to read numerous lines of text, each of which has a number. The number of the last line of text read accurately by the driver is recorded as the denominator in the 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

Accepted Answer

20/40
When a Snellen test is used to determine a driver's vision, the minimum qualification requirement for distant visual acuity is 20/40 in each eye. If a test other than the Snellen exam is used, the results should be recorded in Snellen equivalent values.

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?

Accepted Answer

Hallucinations?
Hallucinations are not related to hearing damage or loss, and there is no reason for a medical examiner to ask about a history of hallucinations during a hearing exam. However, it is acceptable to ask about ear disorders, loss of hearing and loss of balance, as these are all related to hearing loss and damage.

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

Accepted Answer

Forced whisper test
A required part of the hearing exam is a forced whisper test. This involves testing the driver's ability to perceive a forced whisper voice in the better ear at not less than five feet. If the driver normally uses a hearing aid, a hearing aid may be worn during the examination.

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

Accepted Answer

Either of these
Federal guidelines do not require a particular test be performed to assess grip strength. A dynamometer may be used as well as a sphygmomanometer.

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

Accepted Answer

Every two to four hours
The Federal Diabetes Exemption Program guidelines for blood glucose monitoring include using a device that records the results for later review and measuring blood glucose level both before driving and every two to four hours while driving.

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

Accepted Answer

All of the above
Medical examiners are required to perform a urinalysis on all drivers. The urinalysis tests for protein, specific gravity, glucose, and blood.

Quiz 2: Diagnostic Tests and Referrals

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

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

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

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

A driver who presents with a myocardial infarction should be:

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

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

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

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

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?

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

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?

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

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?

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

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

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

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

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

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