Question 1

A driver who has been previously disqualified due to high blood pressure is examined a second time. In order to be considered for certification, the driver's blood pressure must have stabilized to which of the following?
A)Less than or equal to 140/90
B)Less than or equal to 145/100
C)Less than or equal to 150/80
D)The driver cannot be certified

Accepted Answer

The driver who is disqualified for the presence of high BP/uncontrolled hypertension should not be considered for recertification until the BP is stabilized at less than or equal to 140/90.
A potential driver who has been examined and shown to have a blood pressure greater than or equal to 140/90 but less than 160/100 has stage 1 hypertension. The driver should be encouraged to seek treatment with a primary care physician. The driver is not to be certified until the BP has stabilized to less than or equal to 140/90.

Question 2

Federal regulations require that a driver who is taking antihistamine therapy must abstain from those medications for how long before operating a vehicle?
A)Two weeks
B)One day
C)Twelve hours
D)Six hours

Accepted Answer

Twelve hours
Drivers who are using antihistamines to alleviate breathing issues must receive education on the sideeffects of those products from the examiner. Drivers must abstain from using antihistamines for twelve hours prior to operating a vehicle. It is the responsibility of those scheduling commercial drivers to relieve them until treatment has been completed.

Question 3

When performing a neurological examination on a driver, the examiner could appropriately ask each of the following questions EXCEPT:
A)Do you ever have episodes of fainting or dizziness?
B)Do you have episodes of altered consciousness?
C)Do you have experience with hallucinogenic drugs?
D)Do you have a history of brain injury or illness?

Accepted Answer

Do you have experience with hallucinogenic drugs?
When performing a neurological exam, a medical examiner should ask the following questions: Do you have episodes of fainting or dizziness? Do you have episodes of loss of or altered consciousness? Do you have a history of brain illnesses or injuries? Do you have seizures, epilepsy, or do you take anticonvulsant medications? Do you have a history of stroke with residual paralysis? Do you have spinal injury with residual paralysis? While drug use is a significant consideration for certification, it is not an appropriate question during a neurological exam.

Question 4

When examining a driver's vision, which of the following should be permitted?
A)The Snellen chart should be illuminated with white light.
B)The chart should be twenty feet away from the driver.
C)The driver should wear corrective lenses, if necessary.
D)All of the above

Accepted Answer

All of the above
When examining a driver's vision, each of the following should occur: The Snellen chart must be illuminated with white light; the chart should be twenty feet away from the driver; and if the driver normally wears corrective lenses, he/she should be permitted to wear them during the exam.

Question 5

In the event that a driver wears corrective lenses, the medical examiner should do which of the following?
A)Recommend that the driver not be certified.
B)Recommend that the driver be re-evaluated by an optometrist.
C)Mark the "wearing corrective lenses" on both the report and the certificate.
D)Recommend a one-year waiting period.

Accepted Answer

Mark the "wearing corrective lenses" on both the report and the certificate.
A driver who normally wears corrective lenses should do so during the exam. Wearing corrective lenses is not reason to refuse to certify a driver. If a driver wears corrective lenses, the medical examiner should mark "wearing corrective lenses" on the medical examination report and the medical examination certificate.

Question 6

Which of the following is an inflammatory myopathy and may be treated?
A)Polymyositis
B)Central core disease
C)Centronuclear myopathy
D)All of the above

Accepted Answer

Polymyositis
Inflammatory myopathies are acquired and can be treated. Polymyositis is an inflammatory myopathy. The others-central core disease and centronuclear myopathy-are congenital myopathies.

Question 7

If a driver has had spinal benign tumors removed and has a history of seizures, the medical examiner should do which of the following?
A)Certify with a six-month waiting period.
B)The driver cannot be certified.
C)Use the appropriate seizure guidelines.
D)None of the above

Accepted Answer

Use the appropriate seizure guidelines.
In the event that a driver has had spinal benign tumors removed and has a history of seizures, the medical examiner must use the appropriate seizure guidelines.

Question 8

A driver with a fixed deficit of an extremity who has been certified is required by federal regulations to do which of the following?
A)Use a prosthetic
B)Carry an SPE certificate
C)Use a co-driver
D)Have regular physical therapy

Accepted Answer

Carry an SPE certificate
A driver who has a fixed deficit of an extremity is not necessarily prevented from certification. A driver who has lost an extremity but has earned an SPE certificate can be certified. Following certification, the driver must carry the SPE certificate.

Question 9

A driver presents who has diabetes mellitus. While diabetes mellitus itself is not reason to disqualify a driver, it can lead to other conditions which can prevent certification, such as:
A)Asthma
B)Hearing loss
C)Multiple sclerosis
D)Neuropathy

Accepted Answer

Neuropathy
Diabetes mellitus alone does not disqualify a driver. It can lead to other conditions which are severe enough to prevent certification, such as neuropathy, retinopathy, and nephropathy.

Question 10

According to the Federal Motor Carrier Safety Administration (FMCSA), a severe hypoglycemic reaction is one that results in which of the following?
A)Loss of consciousness
B)Seizure
C)Need of assistance from another person
D)All of the above

Accepted Answer

All of the above
According to FMCSA guidelines, a severe hypoglycemic reaction is one that results in the following: loss of consciousness, seizure, need of assistance from another person, and period of impaired cognitive function that occurred without warning.

Question 11

A driver with diabetes mellitus who does not use insulin is eligible for certification unless:
A)The driver also has a comorbidity.
B)The driver has a history of seizures.
C)The driver wears corrective lenses.
D)The driver is obese.

Accepted Answer

The driver also has a comorbidity.
A driver with diabetes mellitus who does not use insulin is eligible for certification unless the driver also has a comorbidity, a disqualifying complication, or fails to meet one or more of the other standards for qualification.

Question 12

When performing a musculoskeletal exam, a medical examiner should ask which of the following questions?
A)Is there chronic low back pain?
B)Has there been an injury or disease of the spine?
C)Is there a muscular disease?
D)All of the above

Accepted Answer

All of the above
When performing a musculoskeletal exam, the medical examiner should ask each of the following questions: Is there chronic low back pain? Has there been an injury or disease of the spine? Is there a muscular disease?

Question 13

It is important for a driver with diabetes mellitus to manage blood glucose because it can be negatively affected by numerous aspects of commercial driving, such as:
A)Fatigue.
B)Stress.
C)Missed meals.
D)All of the above.

Accepted Answer

All of the above.
A driver who has diabetes mellitus must manage blood glucose. Blood glucose can be negatively affected by many aspects of commercial driving, including: fatigue, stress, missed meals, lack of sleep, poor diet, emotional conditions, and concomitant illness.

Question 14

A driver presents with diabetes mellitus. Federal guidelines require a medical examiner to follow up and discuss with the driver when the driver answers "yes" that he/she has diabetes mellitus or elevated blood glucose which is controlled by:
A)Pills.
B)Diet.
C)Insulin.
D)All of the above.

Accepted Answer

All of the above.
In the event that a driver has diabetes mellitus or elevated blood glucose, and answers that it is treated with pills, diet, or insulin, the medical examiner must follow up with a discussion.

Question 15

Although a driver who takes an incretin mimetic may be certified, FMCSA guidelines require the driver do which of the following?
A)Provide a written statement from the treating healthcare professional
B)Be examined monthly
C)Eat at least three meals daily
D)None of the above

Accepted Answer

Provide a written statement from the treating healthcare professional
FMCSA encourages a driver taking an incretin mimetic to provide documentation from the treating health care professional. The written statement should describe driver tolerance to the medication, indicate how frequently the driver is checked for blood glucose control, and include a statement of the medicine's effectiveness.

Question 16

A driver with a diabetes exemption must do which of the following?
A)Maintain a working cell phone at all times when driving
B)Carry a source of rapidly absorbable glucose while driving
C)Have a co-driver
D)All of the above

Accepted Answer

Carry a source of rapidly absorbable glucose while driving
In some cases, hypoglycemia can be self-treated by the ingestion of at least 20 grams of glucose tablets or carbohydrates. Consuming "rescue" glucose or carbohydrates may avert a hypoglycemic reaction for less than a 2-hour period. The driver with a diabetes exemption must carry a source of rapidly absorbable glucose while driving.

Question 17

A driver presents who has been diagnosed with depression and who takes Elavil. How should the medical examiner handle this case?
A)Drivers who use antidepressants should be handled on a case-by-case basis.
B)Drivers who take first generation antidepressants should not be certified.
C)Drivers who take either first or second generation antidepressants can be certified.
D)None of the above

Accepted Answer

Drivers who take first generation antidepressants should not be certified.
Many first generation antidepressants, such as Elavil, have been shown to interfere with safe driving. Drivers who are prescribed first generation antidepressants should not be certified.

Question 18

A driver who has been diagnosed with depression and is prescribed lithium may be certified if:
A)The driver is asymptomatic.
B)Has no impairment that interferes with safe driving.
C)Has lithium levels that are maintained in the therapeutic range.
D)All of the above

Accepted Answer

All of the above
Studies show there is little evidence to link lithium to driving accidents. A driver who currently takes lithium should be certified provided that: the driver is asymptomatic, the driver has no impairment that interferes with safe driving, and the driver has lithium levels that are maintained in the therapeutic range.

Question 19

When assessing a driver's ability to operate a commercial vehicle, a medical examiner should consider each of the following EXCEPT:
A)Driver's ability to manipulate the steering wheel.
B)The driver's family history.
C)Monitor and adjust to a complex driving situation.
D)Perform power grasping.

Accepted Answer

The driver's family history.
When assessing a driver's ability to successfully operate a CMV, a medical examiner should examine multiple physical functions, including the driver's ability to manipulate the steering wheel, monitor and adjust to a complex driving situation, and perform power grasping.

Question 20

The Medical Examination Report Form should document each of the following EXCEPT:
A)The medical examiner's educational background.
B)The driver's height and weight.
C)The need for corrective lenses while driving.
D)The reason for disqualification or deferral.

Accepted Answer

The medical examiner's educational background.
The Medical Examination Report Form should document numerous findings. These include the driver's height and weight, the need for corrective lenses, and the reason for disqualification or deferral.

Quiz 6: Physical Examination and Evaluation

A driver who has been previously disqualified due to high blood pressure is examined a second time. In order to be considered for certification, the driver's blood pressure must have stabilized to which of the following?

Federal regulations require that a driver who is taking antihistamine therapy must abstain from those medications for how long before operating a vehicle?

When performing a neurological examination on a driver, the examiner could appropriately ask each of the following questions EXCEPT:

When examining a driver's vision, which of the following should be permitted?

In the event that a driver wears corrective lenses, the medical examiner should do which of the following?

Which of the following is an inflammatory myopathy and may be treated?

If a driver has had spinal benign tumors removed and has a history of seizures, the medical examiner should do which of the following?

A driver with a fixed deficit of an extremity who has been certified is required by federal regulations to do which of the following?

A driver presents who has diabetes mellitus. While diabetes mellitus itself is not reason to disqualify a driver, it can lead to other conditions which can prevent certification, such as:

According to the Federal Motor Carrier Safety Administration (FMCSA) , a severe hypoglycemic reaction is one that results in which of the following?

A driver with diabetes mellitus who does not use insulin is eligible for certification unless:

When performing a musculoskeletal exam, a medical examiner should ask which of the following questions?

It is important for a driver with diabetes mellitus to manage blood glucose because it can be negatively affected by numerous aspects of commercial driving, such as:

A driver presents with diabetes mellitus. Federal guidelines require a medical examiner to follow up and discuss with the driver when the driver answers "yes" that he/she has diabetes mellitus or elevated blood glucose which is controlled by:

Although a driver who takes an incretin mimetic may be certified, FMCSA guidelines require the driver do which of the following?

A driver with a diabetes exemption must do which of the following?

A driver presents who has been diagnosed with depression and who takes Elavil. How should the medical examiner handle this case?

A driver who has been diagnosed with depression and is prescribed lithium may be certified if:

When assessing a driver's ability to operate a commercial vehicle, a medical examiner should consider each of the following EXCEPT:

The Medical Examination Report Form should document each of the following EXCEPT: