DOT Exam Study Guide Questions and Answers 2023

DOT Exam Study Guide Questions and Answers 2023 5 Feet A CMV driver must perceive a forced whispered voice in the better eat at not less than ___ with or w/o a hearing aid Audiogram This test is performed only when the Forced Whisper Test is failed in both ears 40 decibels If tested by the use of an audiometric device, they must not have an AVERAGE hearing loss in the better ear greater than ____ at 500Hz, 1000Hz, and 2000Hz One ___ ear and two eyes certifies! Audiologist A driver with a hearing aid usually must go to an ____ or a hearing aid center for audiometry testing 2 Years How long can a driver who meets the hearing requirements in one ear be certified? Acute and Peripheral Vesitbulopathy Inflammation of the inner ear that causes a sudden onset of vertigo. This requires a 2 month waiting period. Benign Positional Vertigo This occurs when a small piece of bone-like calcium breaks free and floats inside the Eustachian tube sending confusing messages to your brain about your body's position. This requires a 2-month waiting period. False T/F It is OK to certify someone with Uncontrolled Vertigo, Meniere's Disease, Labrythine Fistula, or Non-Functioning Labryinthes Meniere's Disease An inner ear disorder that affects balance and hearing. Labrythine Fistula An abnormal opening in the bony capsule of the inner ear resulting in the leakage of the peri lymph from the semicircular canals of the middle ear. Non-Functioning Labryinths Loss of vestibular function in both Labryinths leading to characteristic dysfunction in vision and balance. These symptoms reflect how crucial our Labryinth sense is for generating proper reflexes so that we can see clearly when we are moving and not lose our balance when we are standing or walking. Inner Ear Another name for the Labryinth Elevated Blood Pressure 1 or 2 readings greater than or equal to 140/90 on the same day Hypertension Two readings greater than or equal to 140/90 on consecutive exams on two different days The examiner Who should remeasure abnormal BP and or pulse rate or rhythm, especially if they are significant factors in determining certification? Even with the Sternum or right atrium of the driver When measuring a driver's BP they should sit in the chair for at least 5 min, back is supported, legs are uncrossed, and feet are touching the ground. Support the drivers arm at the elbow so the midpoint of the BP cuff is... 140-159/90-99 Stage 1 HTN 1 year How long can you certify someone who comes in for certification for the first time and has Stage 1 HTN? 1 year on BP meds If someone with Stage 1 HTN comes into the clinic for recertification how long can you certify them for if they are on BP meds and their BP is less than 140/90? 1-2 years if not on any BP meds If someone with Stage 1 HTN comes into the clinic for recertification how long can you certify them for if they are not on any BP meds? 1 time, 3 month certification card If a patient with Stage 1 HTN comes in for recertification and their BP is 140-159/90-99 what type of certification would they receive? 1 year from the date of the of the complete exam If a patient with Stage one HTN who comes back in for a 3-month recheck and their BP is 140/90 how long can they be certified for? 160-179/100-109 What is Stage 2 HTN? 3 months When does a person need to come back to be seen with Stage 2 HTN after their first exam for recertification? 1 year from the date of the complete exam A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can they be certified if their BP is 140/90 and they are on BP meds? 1-2 years from the date of the complete exam A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can they be certified if their BP is 140/90 and they are not on BP meds? Providers discretion A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can they be certified if their BP is 140/90? 180/11 Stage 3 HTN Disqualified If a person comes in for an exam and their BP is 180/110 then they should be ...? Certify for 6 months with recertification every six months Stage 3 HTN patient returns for a recheck. How long can they be certified and how often should they be recertified? The patient should be disqualified. What should happen if a Stage 3 HTN patient comes in for a recheck and their BP is greater than 140/90?? One Time 3 month card This certificate is included in the annual certification interval and is not an extension of the certification period. It can not be used in consecutive increments. Drivers who must be tested for drugs and alcohol Drivers who operate CMVs of 26,001 pounds or more, transport 16 or more passengers, or who carry placarded hazardous material on the public roadway -- All drivers operating CMVs in interstate commerce --- All drivers required to have a CDL If they were in a testing program within the last 30 days and was tested within the last 6 months or a was a program for the previous 12 months When is a driver exempt from Pre-Employment testing? 8 hours for ETOH and 32 hours for drugs What is the time frames for ETOH and drug testing after a crash? Post-Accident Testing Testing that has to occur when the crash involves the loss of human life, the driver receives a citation within 8 hours of the accident, there is bodily injury to a person who immediately received medical treatment away from the scene, or if 1 or more MVs must be transported away by tow truck 6 drug tests within the first year When a driver returns to duty after violating drug and ETOH standards, how many f/u drug and ETOH tests would they need in the first year of returning to driving? Directly Observed Testing Employee must raise shirt and lower underpants to mid-thigh to show no device is being worn during what kind of urine testing? 2 drinks/day for men 1 drink/day for women Heavy drinking average for men and women? Binge Drinking A pattern of ETOH consumption that brings the Blood Alcohol Concentration (BAC) level to 0.08% or more in a 2-hour period - Men 5 or more drinks and Women 4 or more drinks Alcohol Abuse A pattern of drinking that results in harm to one's health, interpersonal relationships, or ability to work. Long term use can turn into dependence. Alcohol Dependence A chronic disease that includes a strong craving for ETOH despite repeated physical, psychological, or intepersonal problems; An inability to limit drinking SAP (Substance Abuse Professional) Evaluates employees who have violated DOT drug and ETOH regulations and makes recommendations concerning education, treatment, F/U testing, and aftercare MRO (Medical Review Officer) Licensed MD responsible for receiving and reviewing labs generated by a drug testing program, contacts the user when there is a positive result for an interview to determine if there is an alternate explanation for drug findings in the urine specimen DER (Designated Employee Representative) Individual who receives communications and test results from service agents, authorized to take immediate action to remove employees from safety sensitive duties, and to make required decisions in the testing and evaluation process-- Must be an employee of the company Alcoholism When in remission, _____ is not disabling unless transient or permanent neurological changes have occurred ... REVIEW MEDICATIONS AND IF THEY ARE SAFE FOR CMV DRIVERS Normal Labs A1C: 5% Fasting Glucose: 99 or below Oral GTT: 139 or Below Prediabetes A1C: 5.7-6.4% Fasting Glucose: 100-125 Oral GTT: 140-199 Diabetes A1C: 6.5% or greater Fasting Glucose: 126 or above Oral GTT: 200 or above Type 1 DM Lack of insulin production, must receive insulin, severely compromised counter-regulatory mechanisms Type 2 DM Adult Onset or Non-Insulin Taking, patient can produce insulin, treatment is diet and oral medication which preserves blood glucose mechanisms for years If the driver takes insulin Certification of a CMV driver with diabetes is based on what? Macrovascular Disease Accelerated atherosclerosis of coronary, cerebral, and peripheral vessels, higher risk for cardiovascular disease, can cause TIA or stroke, leading cause of death among diabetics Microvascular Disease Neuropathy, Nephropathy, Retinopathy, Macular Degeneration