Question 1

When performing an examination of a driver's eyes, at a minimum, the medical examiner should check for which of the following?
A)Ocular motility
B)Extraocular movement
C)Nystagmus
D)All of the above

Accepted Answer

All of the above
A medical examiner should check each of the following when performing an exam of a driver's eyes: ocular motility, extraocular movement, and nystagmus.

Question 2

When a driver is temporarily disqualified, the medical examiner is required to include which of the following?
A)Reason for the disqualification
B)Length of the waiting period
C)Conditions that would restart the waiting period
D)All of the above

Accepted Answer

All of the above
In the event that a driver is disqualified, the medical examiner must document each of the following: the reason for the disqualification, the length of the waiting period, the conditions that would restart the waiting period, and any documentation the driver is required to provide.

Question 3

Medical examiners are required to keep driver medical records for how long?
A)One year
B)Two years
C)Six months
D)Three months

Accepted Answer

Three months
Medical examiners are required to keep driver medical records for a minimum of three years.

Question 4

Medical examiners are required to measure the blood pressure of a driver with a BP of 140/90 a second time. Sometimes, high blood pressure can be the result of poor techniques. Which of the following is a poor technique which might result in an incorrect measure of blood pressure?
A)Placing the BP cuff over clothing instead of skin
B)Positioning the arm incorrectly
C)Using inappropriately-sized cuff
D)All of the above

Accepted Answer

All of the above
When a driver's blood pressure is measured and found to be higher than 140/90, it should be measured a second time. A high reading is sometimes the result of poor technique. Each of the following may cause an incorrect measurement: placing the BP cuff over clothing instead of skin, positioning the arm incorrectly, and using and inappropriately-sized cuff.

Question 5

A driver who uses a pacemaker may be disqualified under which of the following conditions?
A)The driver has a family history of heart disease.
B)The driver has not been evaluated by a cardiologist in more than six months.
C)The driver also has a disqualifying underlying condition.
D)None of the above

Accepted Answer

The driver also has a disqualifying underlying condition.
A driver who uses a pacemaker may be qualified. However, if the driver also has an underlying condition which would disqualify him/her, the driver may not be qualified.

Question 6

In the event that a driver is undergoing treatment which may interfere with his/her ability to safely operate a commercial vehicle and the medical examiner makes a decision to disqualify, the medical examiner has a responsibility to ask for which of the following?
A)Birth certificate
B)Credit history
C)Specialist reports
D)All of the above

Accepted Answer

Specialist reports
When determining a driver's fitness to operate a commercial vehicle, a medical examiner has a responsibility to request supporting documentation. This includes documents such as test reports and specialist reports.

Question 7

A driver presents who has had coronary artery bypass grafting. Which of the following should happen before the driver can be certified?
A)The driver should have a specialist's approval.
B)The driver's sternum should be completely healed.
C)The driver should wait a minimum of two years.
D)All of the above

Accepted Answer

The driver's sternum should be completely healed.
Generally speaking, a driver who has undergone coronary artery bypass grafting can return to work. The sternum should be completely healed before the driver can resume work, however.

Question 8

Which of the following is NOT a key point of a respiratory exam?
A)Asthma
B)Sleep disorder
C)Blurred vision
D)Emphysema

Accepted Answer

Blurred vision
When performing a respiratory exam, a medical examiner must question the driver regarding a number of key points. These include asthma, sleep disorder, emphysema, chronic bronchitis, loud snoring, daytime sleepiness, shortness of breath, pauses in breathing while sleeping, and lung disease.

Question 9

A Medical Examination Report completed by the medical examiner must include which of the following?
A)The reason(s) for disqualification or deferral
B)The driver's complete employment history
C)A brief medical history of the driver's immediate family
D)All of the above

Accepted Answer

The reason(s) for disqualification or deferral
There are numerous elements which are included in the Medical Examination Report. Among these are the reasons for any disqualifications or deferrals. In the event that a driver has been disqualified or deferred, supporting documentation may also be required.

Question 10

A driver who has affirmative responses to any questions in his/her medical history must also have which of the following in his/her Medical Examination Report?
A)Immediate disqualification
B)Specifics regarding affirmative answers
C)Family medical history
D)All of the above

Accepted Answer

Specifics regarding affirmative answers
If a driver answers in the affirmative to any question in his/her medical history, it is the responsibility of the medical examiner to follow up with specifics. This may include date of onset, duration, severity, etc.

Question 11

When examining a driver's spine, the medical examiner should note which of the following?
A)Tenderness and muscle spasm
B)Painful motion
C)Any deformities
D)All of the above

Accepted Answer

All of the above
When a medical examiner examines a driver's spine, there are a number of considerations to keep in mind. The medical examiner should note any of the following: tenderness and muscle spasm, painful motion, deformities and surgical scars, and kyphosis, scoliosis, or other spinal deformities.

Question 12

If a driver has been qualified under a vision exemption, his/her Medical Examination Report must also include which of the following?
A)A statement from the state department of transportation
B)An annual optometrist's or opthalmologist's report
C)A hearing exam
D)None of the above

Accepted Answer

An annual optometrist's or opthalmologist's report
In the event that a driver is qualified under a vision exemption, the Medical Examination Report must also include an annual optometrist's or opthalmologist's report.

Question 13

If a driver is found to have a condition which requires a care plan, it is the responsibility of the medical examiner to do which of the following?
A)Disqualify the driver.
B)Inform the driver of the consequences of noncompliance.
C)File a report with the American Medical Association.
D)All of the above

Accepted Answer

Inform the driver of the consequences of noncompliance.
There are many circumstances under which a driver may be required to maintain a care plan. In some cases, these are required in order to be certified. It is the responsibility of the medical examiner to inform the driver of the consequences of noncompliance.

Question 14

In the event that a driver requires a Skill Performance Evaluation (SPE), the medical examiner must do which of the following?
A)Identify the conditions put forth in the SPE.
B)Accompany the driver on any required follow-up exams.
C)Refuse to certify the driver.
D)None of the above

Accepted Answer

Identify the conditions put forth in the SPE.
In the event that a driver is required a SPE, one of the responsibilities of the medical examiner is to explain the SPE. This includes identifying the conditions and explaining any terms in the document.

Question 15

A driver presents with a history of severe migraines. How should the medical examiner handle this case?
A)Because migraines can interfere with driving, the medical examiner should not certify the driver until treatment has been shown to be safe and effective.
B)Migraines have no bearing on whether a driver is certified or not.
C)The driver can be certified, following a one-month waiting period.
D)None of the above

Accepted Answer

Because migraines can interfere with driving, the medical examiner should not certify the driver until treatment has been shown to be safe and effective.
While many people who have migraines are able to go about their daily lives in normal fashion, others suffer debilitating migraines or have impaired vision as a result. Drivers with migraines should be evaluated on a case-by-case basis, and the driver should be certified only if treatment has been shown to be safe and effective.

Question 16

A driver who has a federal diabetes exemption should provide the medical examiner with which of the following?
A)Endocrinologist Annual Evaluation Checklist
B)Cardiologist Annual Evaluation Checklist
C)Statement of Exemption from the state department of transportation
D)None of the above

Accepted Answer

Endocrinologist Annual Evaluation Checklist
A driver who has a federal diabetes exemption must have an annual recertification exam. The driver must provide the medical examiner with an Endocrinologist Annual Evaluation Checklist.

Question 17

In the event that a driver has a hearing impairment and uses a hearing aid, a medical examiner should do which of the following?
A)Disqualify the driver
B)Stipulate that the driver must not drive alone
C)Report the driver to the state department of transportation
D)Note the hearing aid on the Medical Examiner's Certificate

Accepted Answer

Note the hearing aid on the Medical Examiner's Certificate
The driver's certification status should always be noted on the Medical Examiner's Certificate. This may include the driver's use of a hearing aid.

Question 18

When examining a driver's vision, a medical examiner should check which of the following?
A)Color recognition
B)Horizontal field of vision in each eye
C)Reactivity to light
D)All of the above

Accepted Answer

All of the above
When examining a driver's vision, a medical examiner must evaluate multiple functions. Among these are color recognition, horizontal field of vision in each eye, and reactivity to light.

Question 19

A driver who wears contact lenses should also:
A)Drive with a partner.
B)Carry a pair of glasses in the vehicle.
C)Have monthly examinations by an optometrist.
D)None of the above

Accepted Answer

Carry a pair of glasses in the vehicle.
A driver who wears contact lenses can be certified to drive a commercial vehicle. The driver is required to keep a pair of glasses in the vehicle, however.

Question 20

A driver presents with compromised mobility and difficult climbing stairs and ladders. How should a medical examiner handle this case?
A)A driver's inability to perform arduous physical tasks should be strongly considered.
B)Limited mobility should not factor into the medical examiner's decision.
C)The driver should not be certified.
D)None of the above

Accepted Answer

A driver's inability to perform arduous physical tasks should be strongly considered.
A driver of a commercial vehicle may have to regularly perform numerous physical tasks. These may include climbing stairs or ladders. The medical examiner should carefully consider a driver's fitness to perform such tasks before making a decision to certify.

Quiz 6: Physical Examination and Evaluation

When performing an examination of a driver's eyes, at a minimum, the medical examiner should check for which of the following?

When a driver is temporarily disqualified, the medical examiner is required to include which of the following?

Medical examiners are required to keep driver medical records for how long?

Medical examiners are required to measure the blood pressure of a driver with a BP of 140/90 a second time. Sometimes, high blood pressure can be the result of poor techniques. Which of the following is a poor technique which might result in an incorrect measure of blood pressure?

A driver who uses a pacemaker may be disqualified under which of the following conditions?

In the event that a driver is undergoing treatment which may interfere with his/her ability to safely operate a commercial vehicle and the medical examiner makes a decision to disqualify, the medical examiner has a responsibility to ask for which of the following?

A driver presents who has had coronary artery bypass grafting. Which of the following should happen before the driver can be certified?

Which of the following is NOT a key point of a respiratory exam?

A Medical Examination Report completed by the medical examiner must include which of the following?

A driver who has affirmative responses to any questions in his/her medical history must also have which of the following in his/her Medical Examination Report?

When examining a driver's spine, the medical examiner should note which of the following?

If a driver has been qualified under a vision exemption, his/her Medical Examination Report must also include which of the following?

If a driver is found to have a condition which requires a care plan, it is the responsibility of the medical examiner to do which of the following?

In the event that a driver requires a Skill Performance Evaluation (SPE) , the medical examiner must do which of the following?

A driver presents with a history of severe migraines. How should the medical examiner handle this case?

A driver who has a federal diabetes exemption should provide the medical examiner with which of the following?

In the event that a driver has a hearing impairment and uses a hearing aid, a medical examiner should do which of the following?

When examining a driver's vision, a medical examiner should check which of the following?

A driver who wears contact lenses should also:

A driver presents with compromised mobility and difficult climbing stairs and ladders. How should a medical examiner handle this case?