Question 1

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

Accepted Answer

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

Question 2

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?

Accepted Answer

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 3

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

Accepted Answer

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

Question 4

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

Accepted Answer

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 5

A driver who presents with a myocardial infarction should be:

Accepted Answer

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

Question 6

Drug testing is the responsibility of which of the following?

Accepted Answer

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

Question 7

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

Accepted Answer

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

Question 8

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

Accepted Answer

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

Question 9

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

Accepted Answer

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

Question 10

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

Accepted Answer

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

Question 11

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

Accepted Answer

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

Question 12

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

Accepted Answer

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 13

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

Accepted Answer

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

Question 14

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

Accepted Answer

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 15

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?

Accepted Answer

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 16

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

Accepted Answer

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 17

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

Accepted Answer

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

Question 18

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?

Accepted Answer

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

Exam 2: Diagnostic Tests and Referrals