Question 1

Which one of the following best completes the below statement regarding affirmative questions in the driver's health history? The medical examiner must identify, query and note:

Accepted Answer

A) Any illness, surgery, or injury during the past five (5) years, recent changes inhealth, vehicle size, and prescription medications and supplements' side effects. 
B) Any illness, surgery, or injury during the past five (5) years and limitations noted from previous FMCSA examinations. 
C) Any illness, surgery, or injury during the past three (3) years and prescription medications and supplements' side effects. 
D) Any illness, surgery, or injury during the past five (5) years, recent changes inhealth, current medical conditions or complaints, limitations noted from previous FMCSA examinations, prescription medications and supplements' side effects.

Question 2

A 50-year-old male CMV driver has chronic kidney failure and is on hemodialysis (Mon, Wed, & Fri) for the past 2 years. His treating physician provided him with a medical report indicating that he can work normally except on the days he is undergoing dialysis. He is also suffering from hypertension. This CMV driver would be:

Accepted Answer

A) Qualified normally for 2 years. 
B) Disqualified. 
C) Qualified for 1 year. 
D) Qualified for 6 months.

Question 3

A 44-year-old male presents for examination. He has undergone a surgery for repair of a 5.0 cm abdominal aortic aneurysm 1 year ago. He provides a clearance report by a cardiovascular specialist indicating he is asymptomatic. Is this person qualified? If yes, for how long?

Accepted Answer

A) Yes, for 6 months 
B) No 
C) Yes, for one year 
D) Yes, for two years

Question 4

Why is it important to ask a person who has given negative responses to health history questions about any supplements taken?

Accepted Answer

A) Supplements may affect the mental well-being of a person. 
B) Supplements give insight on any possible cardiovascular diseases. 
C) Persons may not consider supplements as medications and are unaware of their implications. 
D) All of the above.

Question 5

When performing a risk assessment of a driver's current medical treatment, the medical examiner must determine if the treatment taken is:

Accepted Answer

A) Qualifying, because it controls the physical and/or mental conditions. 
B) Qualifying, because it controls the physical and/or mental conditions and allows the driver to operate the vehicle more safely than without treatment. 
C) Qualifying, because the side effects, even if medically optimal, interfere with safe driving. 
D) None of the above

Question 6

A 43-year-old male who was previously certified as a CMV driver presents for re-certification. He wears a hearing aid device in his left ear since 5 years ago. He provides a recent audiometer test report indicating that his left ear has a hearing loss of 50 Db at 500Hz with the use of a hearing aid. His right ear is normal. Is this person eligible for re-certification? If yes, under what conditions?

Accepted Answer

A) No, cannot be re-certified as he must not have hearing loss of more than 40Db at 500Hz in the impaired ear. 
B) Yes, if he perceives a forced whispered voice in the right ear at not less than 5 feet with or without the use of the hearing aid. 
C) Yes, if he perceives a forced whispered voice in the left ear at not less than 4 feet with the use of the hearing aid. 
D) Yes, as he has a hearing impairment of not less than 5 years.

Question 7

According to FMCSA's guidelines, which of the following physical health history conditions is immediately disqualifying?

Accepted Answer

A) Stage2 hypertension controlled with medication 
B) Coronary artery bypass grafting (CABG) surgery 1 year before with LVEF >?40% 
C) Stage5 chronic kidney failure, on dialysis 3 days a week 
D) All of the above

Question 8

Which of the following health history condition(s) require(s) referral to a specialist for consultation and evaluation before conducting medical examination for the purpose of CMV driving?

Accepted Answer

A) Symptoms of cold and flu 
B) Cataracts 
C) Springtime allergy 
D) All of the above

Question 9

A 34-year-old male presents for examination. He has a cast on his left forearm as a result of falling down the stairs 2 weeks ago. On questioning of his past and current health condition, he states that he is currently feeling dizziness, fatigue, irritability and nausea. Also 1 month before he broke his hand he had a bacterial infection in his right inner ear, he was prescribed amoxicillin pills and 1 week later he had an allergic reaction. Which one of the below mentioned is most likely to be the cause of the symptoms and must be investigated further?

Accepted Answer

A) The allergy to amoxicillin 
B) A psychological disorder 
C) A vestibular disorder 
D) The forearm fracture

Question 10

A 46-year-old male driver presents for examination. He has a history of pneumothorax as a result of a car accident 4 years ago. He is a smoker. Since the last 2 weeks, he decided on his own to use Ventolin inhalers to ease his symptoms. He experiences frequent chest pain and shortness of breath.His only medical record provided is a pulmonary function evaluation showing a FVC of 60%. Can this driver be certified and why?

Accepted Answer

A) Yes, he is controlling his pneumothorax symptoms by using Ventolin inhalers. 
B) No, he must be asymptomatic, provide x-ray examination report, and have a FVC >?65%. 
C) Yes, his symptoms are not related to pneumothorax and his FVC level is acceptable. 
D) No, he is a smoker.

Question 11

According to FMCSA, what annual examinations are required for an interstate CMV driver who is certified under the Federal Diabetes Exemption Program for 2 years?

Accepted Answer

A) Vision, kidney function, and respiratory diseases 
B) Hearing, neurological function, and respiratory diseases 
C) Vision, neurological function, and cardiovascular diseases 
D) Hearing, respiratory diseases, and cardiovascular diseases

Question 12

The driver must fill out section 1 of the Medical Examination Report. For the purpose of confirming the driver's identification, the medical examiner is responsible to check the following information in section 1:

Accepted Answer

A) Driver's name (in the following order Last, First, Middle), birthdate (in the following order Month, Day, Year), social security number, and driver's license number and license class. 
B) Driver's name (in the following order Last, Middle, First), age, social security number, and driver's license number and license class. 
C) Driver's name (in the following order First, Middle, Last), birthdate (in the following order Year, Month, Day), and driver's license number. 
D) None of the above

Question 13

A 50-year-old female driver informs you that 2 years ago she had a mastectomy as a result of breast cancer. She has healed completely andis now following an annual screening program. She is taking Enjuvia (Conjugated Estrogen) as a hormone replacement therapy (HRT) as she is suffering from severe menopause symptoms. Other than possible side effects from HRT medications, what important issues in relation to her medical history must you discuss and query?

Accepted Answer

A) The date when she started suffering from menopause 
B) Recent changes inher health condition and the side effects of HRT medications 
C) Recent changes inher health condition, the symptoms of menopause, and her overall psychological well-being 
D) No other issues

Question 14

The purpose of the health history questions is to obtain information for any pre-existing physical, mental, or organic health conditions. While you perform the health history assessment for a 37-year-old male CMV driver, he answered Yeswhen asked if he has high blood pressure. For this answer you need to discuss with or ask the driver for additional information, except for:

Accepted Answer

A) The treating physician's contact information. 
B) The prescribed medications used in relation to his high blood pressure condition. 
C) The over-the-counter medications he takes. 
D) None of the above

Question 15

A 29-year-old female army veteran presents for examination to qualify as a CMV driver. She admits that she has had a head surgery after a bullet penetrated her head 3 years ago. She lost consciousness for 36 hours after the incident occurred. No history of seizures post injury. No current medication or any other health issues. She is a smoker. Is this person qualified to drive a CMV and why?

Accepted Answer

A) Yes, the brain injury occurred more than 2 years ago. 
B) Yes, she is taking no medication and has had no post-trauma seizures. 
C) No, she is a smoker. 
D) No, she is at high risk of post-traumatic brain seizures.

Question 16

While reviewing and discussing a person's health history, which of the following condition(s) indicate(s) a weight disorder that requires further assessment and querying?

Accepted Answer

A) Excessive exercise 
B) Irregular heartbeats 
C) Frequent gastrointestinal disturbances 
D) All of the above

Question 17

According to FMCSA's guidelines, which of the following neurological health history conditions is immediately disqualifying?

Accepted Answer

A) Transient global amnesia 
B) Transient sleep disorders causing excessive daytime somnolence (EDS) 
C) A number of unprovoked seizures within a period of 6 years 
D) All of the above

Question 18

A 49-year-old male presents for examination to qualify as an interstate CMV driver. While you interview him he admits drinking alcohol whenever he has a headache and inability to sleep, and sometimes alcohol helps him overcome any feeling of nausea. He has no other significant health issues. He used to exercise 3 times a week but stopped 6 months ago as he doesn't find time for it. What is the most probable health history of this person and what would be your decision regarding his medical examination process?

Accepted Answer

A) Alcoholism; he must be referred to a specialist before being certified 
B) Obstructive sleep apnea; he is disqualified 
C) Anxiety, he must be evaluated further for any mental disorders 
D) Depression, he must be evaluated further for any mental disorders

Question 19

A 25-year-old male presents for examination. In the health history section he answers "yes" to the question "Regular, frequent alcohol use." What should the medical examiner query and discuss with this person in relation to his answer?

Accepted Answer

A) The route of alcohol ingestion 
B) The type of alcohol consumed 
C) The type and quantity of alcohol consumed 
D) The frequency/time pattern and quantity of alcohol consumption

Question 20

A 47-year-old female admits to being diagnosed with asthma 7 years ago and that she's using a Ventolininhaler for at least 5 timesaday. She was hospitalized 3 times in the past year as a result of her condition. Is this person qualified to be a CMV driver, and why?

Accepted Answer

A) Yes, her asthma condition is well controlled by Ventolin inhalers, thus not affecting her ability to drive safely. 
B) Yes, regardless of its severity, asthma is not a disqualifying condition. 
C) No, this person's health history indicates a chronic respiratory dysfunction, which may interfere in her ability to drive safely. 
D) No, Ventolin inhalers are classified as a habit-forming narcotic medication.

Exam 4: Driver Identification and History