Question 1

A driver presents with atrial fibrillation. The major risk associated with this condition is which of the following?

Accepted Answer

A) Blindness 
B) Cardiac arrest 
C) Dementia 
D) Stroke 
A) Blindness 
B) Cardiac arrest 
C) Dementia 
D) Stroke D

Question 2

Which of the following types of headaches could possibly interfere with a driver's ability to drive safely?

Accepted Answer

A) Migraines 
B) Post-traumatic head injury syndrome 
C) Atypical facial pain 
D) All of the above 
A) Migraines 
B) Post-traumatic head injury syndrome 
C) Atypical facial pain 
D) All of the above D

Question 3

When evaluating a driver's medication (both prescription and over the counter), a medical examiner may ask which of the following questions to determine possible side effects?

Accepted Answer

A) Does the driver experience decreased sex drive? 
B) Does the driver experience decreased reflex responses? 
C) Does the driver have a history of mental illness? 
D) None of the above 
A) Does the driver experience decreased sex drive? 
B) Does the driver experience decreased reflex responses? 
C) Does the driver have a history of mental illness? 
D) None of the above B

Question 4

A driver with a prosthetic valve who also has LV dysfunction may not be certified if he/she has ejection fraction of less than what?

Accepted Answer

A) 80% 
B) 75% 
C) 50% 
D) 40% 
A) 80% 
B) 75% 
C) 50% 
D) 40%

Question 5

When assessing a driver's ability to operate a commercial vehicle, a medical examiner should consider all of the following regarding an identified disease EXCEPT:

Accepted Answer

A) Stability. 
B) Progression rate. 
C) Likelihood of gradual or sudden incapacitation. 
D) All of the above 
A) Stability. 
B) Progression rate. 
C) Likelihood of gradual or sudden incapacitation. 
D) All of the above

Question 6

Regarding the operation of a vehicle, a medical examiner should consider which of the following when performing a risk assessment of a driver?

Accepted Answer

A) Driver's ability to see in rearview mirror 
B) Driver's ability to manipulate an oversized steering wheel 
C) Driver's ability to hear the horn of an oncoming car 
D) All of the above 
A) Driver's ability to see in rearview mirror 
B) Driver's ability to manipulate an oversized steering wheel 
C) Driver's ability to hear the horn of an oncoming car 
D) All of the above

Question 7

When assessing the driver's mental health, which of the following might indicate a mental illness?

Accepted Answer

A) Flat affect 
B) Threatening behavior 
C) Auditory hallucinations 
D) All of the above 
A) Flat affect 
B) Threatening behavior 
C) Auditory hallucinations 
D) All of the above

Question 8

A driver who has suffered a stroke in the last two years should have which of the following assessed in a neurological exam?

Accepted Answer

A) Vision 
B) Concentration 
C) Cognitive abilities 
D) All of these 
A) Vision 
B) Concentration 
C) Cognitive abilities 
D) All of these

Question 9

During a respiratory exam, a medical examiner must document discussion with the driver about each of the following EXCEPT:

Accepted Answer

A) Family history of chronic bronchitis 
B) Any abnormal findings 
C) Potential negative effects of medication use 
D) A history of asthma 
A) Family history of chronic bronchitis 
B) Any abnormal findings 
C) Potential negative effects of medication use 
D) A history of asthma

Question 10

A medical examiner should note which of the following when examining a driver's abdomen?

Accepted Answer

A) Abdominal tenderness 
B) Abnormal breath sounds 
C) Scoliosis 
D) None of the above 
A) Abdominal tenderness 
B) Abnormal breath sounds 
C) Scoliosis 
D) None of the above

Question 11

The respiratory portion of a medical exam reveals prolonged expiration. How should this situation be handled?

Accepted Answer

A) Nothing needs to be done. 
B) The driver should not be certified. 
C) A detailed pulmonary function evaluation with a pulmonologist should be performed. 
D) The driver should be certified after a two-month waiting period. 
A) Nothing needs to be done. 
B) The driver should not be certified. 
C) A detailed pulmonary function evaluation with a pulmonologist should be performed. 
D) The driver should be certified after a two-month waiting period.

Question 12

According to federal regulations, a driver who answers affirmatively for substance abuse should be evaluated for which of the following?

Accepted Answer

A) Tremor 
B) Arthritis 
C) Hearing loss 
D) Enlarged heart 
A) Tremor 
B) Arthritis 
C) Hearing loss 
D) Enlarged heart

Question 13

A driver who is a long-time smoker is examined and is found to have a chronic cough and sputum production. These are likely an indication of which of the following?

Accepted Answer

A) Lung cancer 
B) Flu 
C) Congestive heart failure 
D) COPD 
A) Lung cancer 
B) Flu 
C) Congestive heart failure 
D) COPD

Question 14

The primary concern of any medical examiner when examining a driver with diabetes should be:

Accepted Answer

A) Minimizing target organ damage. 
B) Prescribing insulin. 
C) Assessing the risk of severe hypoglycemic episode. 
D) All of the above 
A) Minimizing target organ damage. 
B) Prescribing insulin. 
C) Assessing the risk of severe hypoglycemic episode. 
D) All of the above

Question 15

A driver with a history of seizures must be free of any neurological residual limitations which might interfere with which of the following?

Accepted Answer

A) Vision 
B) Concentration 
C) Attention 
D) All of the above 
A) Vision 
B) Concentration 
C) Attention 
D) All of the above

Question 16

A driver presents with congenital heart disease. Considering the likelihood of heart failure or sudden death due to congenital heart disease, a medical examiner's decision to certify should be based on which of the following?

Accepted Answer

A) Severity of the congenital defect 
B) Present fitness status 
C) Results of treatment 
D) All of the above 
A) Severity of the congenital defect 
B) Present fitness status 
C) Results of treatment 
D) All of the above

Question 17

A driver with diabetes mellitus who takes insulin must be evaluated by the medical examiner to determine which of the following?

Accepted Answer

A) The dosage 
B) The route 
C) The frequency 
D) All of the above 
A) The dosage 
B) The route 
C) The frequency 
D) All of the above

Question 18

Because many drivers of commercial vehicles will work long shifts and overnight hours, it is important for medical examiners to do which of the following?

Accepted Answer

A) Provide drivers with sleeping pills 
B) Teach drivers how to meditate in order to help them relax 
C) Consider adverse health effects associated with irregular driving patters 
D) Certify drivers only when they are limited to day shifts 
A) Provide drivers with sleeping pills 
B) Teach drivers how to meditate in order to help them relax 
C) Consider adverse health effects associated with irregular driving patters 
D) Certify drivers only when they are limited to day shifts

Question 19

When observing a driver's general appearance, a medical examiner should note which of the following?

Accepted Answer

A) Whether the driver is markedly overweight 
B) An irregular heartbeat 
C) Evidence of hearing loss 
D) All of the above 
A) Whether the driver is markedly overweight 
B) An irregular heartbeat 
C) Evidence of hearing loss 
D) All of the above

Question 20

When a medical examiner evaluates a driver who uses narcotic or habit-forming drugs, the medical examiner should determine if the driver has which of the following?

Accepted Answer

A) Therapeutic or habitual need 
B) Goal to alter mood, affect, or state of consciousness 
C) History of drug rehabilitation 
D) All of the above 
A) Therapeutic or habitual need 
B) Goal to alter mood, affect, or state of consciousness 
C) History of drug rehabilitation 
D) All of the above

A driver presents with atrial fibrillation. The major risk associated with this condition is which of the following?

Which of the following types of headaches could possibly interfere with a driver's ability to drive safely?

When evaluating a driver's medication (both prescription and over the counter), a medical examiner may ask which of the following questions to determine possible side effects?

A driver with a prosthetic valve who also has LV dysfunction may not be certified if he/she has ejection fraction of less than what?

When assessing a driver's ability to operate a commercial vehicle, a medical examiner should consider all of the following regarding an identified disease EXCEPT:

Regarding the operation of a vehicle, a medical examiner should consider which of the following when performing a risk assessment of a driver?

When assessing the driver's mental health, which of the following might indicate a mental illness?

A driver who has suffered a stroke in the last two years should have which of the following assessed in a neurological exam?

During a respiratory exam, a medical examiner must document discussion with the driver about each of the following EXCEPT:

A medical examiner should note which of the following when examining a driver's abdomen?

The respiratory portion of a medical exam reveals prolonged expiration. How should this situation be handled?

According to federal regulations, a driver who answers affirmatively for substance abuse should be evaluated for which of the following?

A driver who is a long-time smoker is examined and is found to have a chronic cough and sputum production. These are likely an indication of which of the following?

The primary concern of any medical examiner when examining a driver with diabetes should be:

A driver with a history of seizures must be free of any neurological residual limitations which might interfere with which of the following?

A driver presents with congenital heart disease. Considering the likelihood of heart failure or sudden death due to congenital heart disease, a medical examiner's decision to certify should be based on which of the following?

A driver with diabetes mellitus who takes insulin must be evaluated by the medical examiner to determine which of the following?

Because many drivers of commercial vehicles will work long shifts and overnight hours, it is important for medical examiners to do which of the following?

When observing a driver's general appearance, a medical examiner should note which of the following?

When a medical examiner evaluates a driver who uses narcotic or habit-forming drugs, the medical examiner should determine if the driver has which of the following?

Certification Outcomes and Intervals

Diagnostic Tests and Referrals

Documentation of Ancillary Information

Driver Identification and History

Health Education Counseling

Physical Examination and Evaluation

Filters

Exam 7: Risk Assessment

A driver presents with atrial fibrillation. The major risk associated with this condition is which of the following?

Which of the following types of headaches could possibly interfere with a driver's ability to drive safely?

When evaluating a driver's medication (both prescription and over the counter), a medical examiner may ask which of the following questions to determine possible side effects?

A driver with a prosthetic valve who also has LV dysfunction may not be certified if he/she has ejection fraction of less than what?

When assessing a driver's ability to operate a commercial vehicle, a medical examiner should consider all of the following regarding an identified disease EXCEPT:

Regarding the operation of a vehicle, a medical examiner should consider which of the following when performing a risk assessment of a driver?

When assessing the driver's mental health, which of the following might indicate a mental illness?

A driver who has suffered a stroke in the last two years should have which of the following assessed in a neurological exam?

During a respiratory exam, a medical examiner must document discussion with the driver about each of the following EXCEPT:

A medical examiner should note which of the following when examining a driver's abdomen?

The respiratory portion of a medical exam reveals prolonged expiration. How should this situation be handled?

According to federal regulations, a driver who answers affirmatively for substance abuse should be evaluated for which of the following?

A driver who is a long-time smoker is examined and is found to have a chronic cough and sputum production. These are likely an indication of which of the following?

The primary concern of any medical examiner when examining a driver with diabetes should be:

A driver with a history of seizures must be free of any neurological residual limitations which might interfere with which of the following?

A driver presents with congenital heart disease. Considering the likelihood of heart failure or sudden death due to congenital heart disease, a medical examiner's decision to certify should be based on which of the following?

A driver with diabetes mellitus who takes insulin must be evaluated by the medical examiner to determine which of the following?

Because many drivers of commercial vehicles will work long shifts and overnight hours, it is important for medical examiners to do which of the following?

When observing a driver's general appearance, a medical examiner should note which of the following?

When a medical examiner evaluates a driver who uses narcotic or habit-forming drugs, the medical examiner should determine if the driver has which of the following?

Certification Outcomes and Intervals

Diagnostic Tests and Referrals

Documentation of Ancillary Information

Driver Identification and History

Health Education Counseling

Physical Examination and Evaluation

Filters