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Sample CDRS Practice Questions

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1A comprehensive driving evaluation (CDE) conducted by a CDRS is most accurately described as consisting of which two main components?
A.A clinical (pre-driving) assessment followed by a behind-the-wheel (on-road) assessment
B.A written knowledge test followed by a vehicle inspection
C.A vision screening followed by a reaction-timer test only
D.A physician interview followed by a DMV road test
Explanation: A comprehensive driving evaluation has two core parts: a clinical (off-road, pre-driving) assessment of vision, perception, cognition, and physical/motor function, followed by an on-road (behind-the-wheel) assessment. The clinical portion screens driving-related abilities and guides what is tested on the road. Both components together inform recommendations.
2The Useful Field of View (UFOV) test primarily measures which set of abilities relevant to driving?
A.Static visual acuity and color discrimination
B.Visual processing speed, divided attention, and selective attention
C.Lower-extremity reaction time and braking force
D.Peripheral visual field extent in degrees only
Explanation: The UFOV is a computer-based measure of visual processing speed, divided attention, and selective attention over the area from which a person can extract information in a single glance without head or eye movements. Slowed UFOV performance is associated with increased at-fault crash risk in older drivers. It is not a measure of static acuity or motor function.
3On the Trail Making Test Part B (Trails B), what driving-related cognitive ability is most directly assessed?
A.Long-term episodic memory
B.Gross-motor coordination
C.Divided attention and cognitive flexibility (set-shifting)
D.Auditory comprehension
Explanation: Trails B requires alternating between numbers and letters in sequence, tapping divided attention, executive function, and mental set-shifting. Slow Trails B completion times have been linked to higher at-fault crash risk. It is widely used by driver rehabilitation specialists as a cognitive screen.
4The Assessment of Driving-Related Skills (ADReS) screening battery evaluates which three functional domains?
A.Hearing, balance, and reflexes
B.Mood, personality, and judgment
C.Reading level, math, and writing
D.Vision, cognition, and motor/physical function
Explanation: ADReS is a screening tool that evaluates the three key functional domains for safe driving: vision (acuity and visual fields), cognition (e.g., Trails B, clock drawing), and motor/physical function (rapid pace walk, range of motion, strength). Impaired performance flags the need for further evaluation. It is not a diagnostic test.
5A driver rehabilitation specialist uses the rapid pace walk during the clinical evaluation primarily to screen for what?
A.Lower-extremity mobility, balance, and overall physical fragility
B.Visual acuity at distance
C.Short-term working memory
D.Steering wheel grip strength
Explanation: The rapid pace walk (e.g., 10-foot walk and return) is a quick screen of lower-extremity strength, balance, and general mobility/fragility, all of which affect a driver's ability to operate pedals and transfer safely. Slow times can indicate fall risk and physical limitations relevant to driving. It does not measure vision or memory.
6Which standardized visual-perceptual test is among the most commonly reported tools used by driver rehabilitation specialists to assess visual perception?
A.Wechsler Adult Intelligence Scale (WAIS)
B.Motor-Free Visual Perception Test (MVPT)
C.Beck Depression Inventory (BDI)
D.Berg Balance Scale
Explanation: The Motor-Free Visual Perception Test (MVPT/MVPT-R) is widely used in driver rehabilitation because it assesses visual perception without requiring a motor response, isolating perceptual ability. Survey research identifies it among the most consistently used cognitive-perceptual tests in the field. It complements attention measures like the UFOV and Trails.
7During the on-road evaluation, the single most defensible reason to terminate the drive early is:
A.The client takes a wrong turn at an intersection
B.The client is driving slightly below the speed limit
C.A safety-critical error requiring the instructor to intervene with the dual brake
D.The client adjusts the radio without being prompted
Explanation: An on-road evaluation must be stopped when a safety-critical error occurs that requires examiner intervention (e.g., the evaluator must use the instructor brake or steering assist to prevent a collision). Such interventions indicate the client cannot safely continue. Minor route errors or slow speed alone are documented but do not by themselves justify ending the drive.
8A client passes a static visual acuity screen at 20/40 but demonstrates a left homonymous hemianopia. What is the primary driving concern?
A.Inability to read the speedometer
B.Poor color recognition of traffic signals
C.Excessive glare sensitivity at night only
D.Reduced detection of hazards and pedestrians on the left side of the visual scene
Explanation: Homonymous hemianopia is loss of the same half of the visual field in both eyes; a left hemianopia means the driver cannot see hazards, vehicles, or pedestrians appearing on the left. Adequate central acuity does not compensate for missing field, so hazard detection and lane positioning suffer. This often requires field-loss compensation strategies and may affect licensure.
9Left-side spatial neglect following a right-hemisphere stroke is most likely to manifest on the road as:
A.Drifting toward or failing to attend to objects and lane markings on the left side
B.Difficulty understanding verbal driving instructions
C.Inability to press the accelerator
D.Loss of color vision
Explanation: Hemispatial (unilateral) neglect is a failure to attend to or respond to stimuli on the side opposite the lesion, classically the left side after a right-hemisphere stroke. On the road this appears as drifting left, ignoring left-side traffic and signs, and poor left-lane positioning. It is an attention/awareness deficit, not a purely sensory loss, and is a serious safety concern.
10For a client with a complete C6 tetraplegia (quadriplegia), which functional capacity typically remains and supports adapted driving?
A.Full hand intrinsic function and finger dexterity
B.Active wrist extension allowing tenodesis grasp and use of upper-extremity controls
C.Functional lower-extremity movement for pedal use
D.Independent standing transfers
Explanation: A complete C6 spinal cord injury preserves wrist extension (extensor carpi radialis), enabling a tenodesis grasp, but lacks finger intrinsics and triceps. Drivers at this level typically use hand controls with adapted steering devices such as a tri-pin or cuff and cannot use foot pedals. Higher injuries (C4 and above) generally preclude driving.

About the CDRS Practice Questions

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