Hypertension — All Questions

Which of the following is true in regards to blood pressure readings?

Which of the following is true in regards to pulse calculations?

A driver should receive more frequent blood pressure monitoring when a driver has which of the following?

Which of the following stages of hypertension calls for a medical certificate that expires in a year?

Which of the following reading ranges correspond to Stage 2 hypertension?

A driver with Stage 1 hypertension needs to obtain recertification after which of the following conditions?

A driver is diagnosed with Stage 3 hypertension? Which of the following is the most appropriate subsequent action?

Which of the following is not true regarding urinalysis?

Which of the following is not a likely risk associated with hypertension?

Which of the following is not true in regards to hypertension among drivers?

As a medical examiner, the fundamental obligation when examining the blood pressure of a driver is:

Which of the following questions is required for a medical examiner to ask a driver in regards to high blood pressure?

A medical examiner observes that a driver has a blood pressure of 160/100 and the driver had no prior knowledge of high blood pressure. Which of the following is the appropriate subsequent action for the medical examiner?

Following affirmative history of blood pressure, which of the following is not necessary to discuss?

Which of the following is not necessary to discuss in regards to high blood pressure?

Which of the following is true about Stage 1 hypertension (140-159/90-99 mmHg) certification for CMV drivers?

Which of the following describes Stage 3 hypertension?

Which of the following describes a reason to issue a one-time 3-month certification to a driver with Stage 1 hypertension?

A driver with Stage 1 hypertension has a history of Stage 3 hypertension and blood pressure greater than 140/90. Assuming otherwise medically fit, the medical examiner should:

A driver with Stage 1 hypertension has a one-time, 3-month certificate for hypertension and blood pressure greater 140/90. Assuming otherwise medically fit, the medical examiner should:

Which of the following is not true in regards to a driver with Stage 1 hypertension?

A driver has Stage 2 hypertension. The medical examiner can certify the driver for a maximum of:

A driver has Stage 2 hypertension. The medical examiner should certify the driver if he or she:

At the first examination, a medical examiner measures the blood pressure of a driver that corresponds to Stage 2 hypertension. Since the driver has no history of hypertension, assuming otherwise medically fit, the medical examiner should:

A medical examiner certifies a driver with Stage 2 hypertension with a one-time, 3-month certificate. The medical examiner will inform the driver all but which of the following?

A medical examiner measures a driver’s blood pressure to be 165/105. The driver has a history of Stage 3 hypertension. Assuming otherwise medically fit, the medical examiner should:

A medical examiner measures a driver’s blood pressure to be 170/107. The driver tolerates treatment with no side effects that interfere with driving. Assuming otherwise medically fit, the medical examiner should:

A medical examiner measures a driver’s blood pressure at 185/120. The driver does not have a history of Stage 3 hypertension. Assuming otherwise medically fit, the medical examiner should:

A medical examiner measures a driver’s blood pressure at 183/118. The driver has received treatment for the hypertension over the course of the last 6 months. Assuming otherwise medically fit, the medical examiner should:

After a medical examiner discovers that a driver has Stage 3 hypertension, the examiner should:

What is the maximum certification for a driver with history of Stage 3 hypertension?

A driver is taking maximum doses of multiple antihypertensive medications. If the driver does not achieve a blood pressure at or less than 140/90, Assuming otherwise medically fit, the medical examiner should:

All but which of the following are primary conditions that could lead to secondary hypertension?

What is the minimum waiting period for a driver that has secondary hypertension?

A driver with secondary hypertension has more than one waiting period. The medical examiner should examine the driver for certification:

A driver has been diagnosed with secondary hypertension. Post-surgical correction, the medical examiner can certify the driver for a maximum of:

How often should a driver with secondary hypertension attend a follow-up medical examination?

At what blood pressure level is a driver classified as having Stage 3 hypertension and should not be certified?

Which of the following measurements are required as part of the DOT physical examination for CMV drivers?

What is the certification interval for a driver certified for 3 months due to a blood pressure of 164/103, who achieves a BP < 140/90?

A driver with Stage 3 hypertension has been treated and now presents with a blood pressure of 138/88 that is well tolerated. What is the appropriate certification period?

An elevated blood pressure finding during a physical qualification examination should be confirmed by what method?

A driver presents with a blood pressure of 138/88 mmHg. What is the maximum certification period?

A driver’s blood pressure is 148/94 mmHg. What certification period is appropriate?

A driver’s blood pressure reading is 184/112 mmHg. What determination should the examiner make?

Which blood pressure reading qualifies for Stage 1 hypertension under FMCSA guidelines?

A driver has a systolic BP of 175 and diastolic of 95. Which stage of hypertension is this?

What blood pressure target must a driver with hypertension achieve to maintain medical certification?

What is the proper patient position for measuring blood pressure during a DOT physical?

Using a blood pressure cuff that is too small for a driver’s arm will likely result in what?

Which arm should be used for blood pressure measurement during a DOT physical?

A driver’s BP is 158/92 on the first reading and 142/88 five minutes later. Which reading should be used?

What should the examiner do if a driver’s blood pressure reading varies between arms by more than 10 mmHg?

Which blood pressure measurement technique error is most common during DOT physicals?

Which class of antihypertensive medication is generally well-tolerated and acceptable for CMV drivers?

What is the primary concern with beta-blocker use in CMV drivers?

A CMV driver on hydrochlorothiazide should be monitored for which potential side effect?

Which antihypertensive medication side effect is most directly concerning for CMV driver safety?

A driver taking amlodipine for hypertension reports ankle swelling but no dizziness. What is the appropriate action?

An ACE inhibitor-associated dry cough in a CMV driver should be managed how?

Which combination of antihypertensive medications would raise the most concern for a CMV driver?

A driver recently started a new antihypertensive medication 2 weeks ago. What should the examiner evaluate?

Which ARB is commonly prescribed for hypertension in CMV drivers?

Clonidine use in a CMV driver should raise what concern?

A 52-year-old driver presents with BP of 152/96. He has no prior hypertension diagnosis. What should the examiner do?

A driver with BP of 138/86 on lisinopril returns for recertification. What certification period is appropriate?

A driver has BP of 134/84 and takes no medications. The examiner previously issued a 1-year cert for Stage 1 HTN. What now?

How often should a CMV driver with Stage 1 hypertension on medication have their blood pressure rechecked?

During a physical qualification examination, a driver’s initial blood pressure reading is 168/104 mmHg. The ME takes a second reading later during the exam, which is 156/96 mmHg. What should the ME do?

A driver with consistently elevated BP in the office setting but normal BP on 24-hour ambulatory monitoring may have what condition?

How should a medical examiner handle suspected white coat hypertension in a CMV driver?

What is masked hypertension?

A driver presents with ambulatory BP monitoring showing average daytime BP of 132/84. Office readings have been 156/96 twice. What certification is appropriate?

Which evaluation should be performed when a CMV driver has longstanding, poorly controlled hypertension?

Hypertensive retinopathy in a CMV driver should prompt evaluation of what?

What renal finding on urinalysis might indicate hypertensive kidney damage?

Left ventricular hypertrophy (LVH) found on ECG in a hypertensive CMV driver indicates what?

A hypertensive driver with serum creatinine of 2.5 mg/dL should receive what additional consideration?

Which ECG finding would be most concerning in a hypertensive CMV driver?

What percentage of CMV drivers examined have some degree of hypertension?

A young driver aged 28 with BP of 168/104 and no family history should be evaluated for what?

Which of the following is a common secondary cause of hypertension?

A driver is found to have elevated blood pressure and episodic headaches, palpitations, and sweating. What secondary cause should be considered?

Primary aldosteronism as a cause of secondary hypertension is suggested by what laboratory finding?

A driver suspected of secondary hypertension due to Cushing syndrome would show what clinical features?

What lifestyle modification is most effective for reducing blood pressure in CMV drivers?

Which dietary approach is recommended for hypertension management?

What sodium intake is recommended for blood pressure management?

Regular physical activity is recommended to reduce blood pressure by approximately how much?

Excessive alcohol consumption contributes to hypertension. What is the recommended limit?

Smoking cessation affects blood pressure and cardiovascular risk in what way?

A driver presents with BP of 192/124 and reports severe headache and blurred vision. What is this condition?

What distinguishes a hypertensive urgency from a hypertensive emergency?

A driver arrives at the DOT exam with BP of 186/118 but is completely asymptomatic. What should the examiner do?

Which acute end-organ damage symptom would indicate a hypertensive emergency requiring immediate referral?

A driver with Stage 3 hypertension who is treated and achieves BP of 138/86 can be recertified after how long?

A driver taking three antihypertensive medications has a BP of 134/82. What should the examiner consider?

A driver had a blood pressure of 145/94 one year ago and was given a 1-year certificate. Now BP is 136/84 without medication. What certification?

What is the appropriate certification for a driver with BP 139/89?

A driver presents with BP of 156/88. How is this classified?

What is the systolic threshold that separates Stage 2 from Stage 3 hypertension per FMCSA guidelines?

Which diastolic blood pressure value separates Stage 1 from Stage 2 hypertension?

A driver’s BP reads 140/90 exactly. What stage is this and what certification period applies?

Why do FMCSA blood pressure staging thresholds differ from current clinical hypertension guidelines?

An obese driver with a BMI of 38, BP of 154/96, and type 2 diabetes should receive what hypertension-related consideration?

A driver on antihypertensive medication misses several doses and presents with BP 178/108. What stage is this?

What percentage of hypertensive CMV drivers have essential (primary) hypertension versus secondary hypertension?

A 45-year-old driver with well-controlled BP on medication wants to know if they can ever get a 2-year certificate. What should the examiner explain?

A driver’s BP is 142/86. What is the staging based on?

A driver presents with BP readings of 146/92, 140/90, and 138/88 taken over 15 minutes. Which reading should be used?

Resistant hypertension is defined as blood pressure that remains above goal despite what?

A driver with resistant hypertension on 4 medications still has BP of 158/98. What should the examiner consider?

Obstructive sleep apnea is associated with hypertension through what mechanism?

A driver with a BMI of 42, neck circumference of 19 inches, and BP of 156/98 should be evaluated for what condition that may be contributing to the hypertension?

A driver with stage 3 hypertension (BP ≥180/110) at examination should receive what determination?

A commercial driver has blood pressure that remains above 140/90 mmHg despite maximally tolerated doses of three antihypertensive medications from different classes, including a diuretic. What is this condition called?

When evaluating a driver with resistant hypertension, which of the following should the medical examiner assess first?

A driver with resistant hypertension is being evaluated for pseudo-resistance. Which factor is the most common cause of falsely elevated blood pressure readings?

Which dietary factor should the medical examiner specifically ask about when evaluating a driver with resistant hypertension?

A driver presents on four antihypertensive medications with a blood pressure of 136/84 mmHg. How should this be classified?

Which substance commonly used by commercial drivers can contribute to resistant hypertension by interfering with antihypertensive medications?

A driver with resistant hypertension is found to have obstructive sleep apnea. What is the relationship between these conditions?

When a commercial driver with resistant hypertension is referred to a specialist, which type of specialist is most appropriate?