DOT Certification Practice Exam

Which pulmonary condition includes hemoptysis as a disqualifying factor?

1. Asthma

2. Bronchiectasis

3. Sleep apnea

4. Chronic obstructive pulmonary disease

The correct answer is: Bronchiectasis

Bronchiectasis is the condition associated with hemoptysis as a disqualifying factor. Hemoptysis, which is the coughing up of blood, indicates underlying issues with the airways and lung tissues, often due to chronic infections or other serious pulmonary conditions. In the context of DOT certification, the presence of hemoptysis raises concerns about the patient's ability to safely operate a commercial vehicle, as it can be a sign of significant pulmonary compromise or risk for acute exacerbations. Asthma is characterized by reversible airway obstruction and may lead to coughing, wheezing, or shortness of breath, but it does not inherently list hemoptysis as a disqualifying symptom unless there are additional complicating factors. Sleep apnea primarily involves disturbances in breathing during sleep and is not directly associated with hemoptysis. Chronic obstructive pulmonary disease (COPD) also does not typically include hemoptysis as a disqualifier unless the condition is advanced and involves other serious complications. Therefore, bronchiectasis is the most relevant condition in which hemoptysis serves as a significant indicator of a potential safety risk.