FMCSA DOT COMPREHENSIVE EXAM
STUDY GUIDE WITH COMPLETE
SOLUTIONS
●● CV procedures wait periods
Answer: Post PCI- Wait period one week, ETT 3-6 months after PCI
Post MI- Wait period 2 months, LVEF > 40%, ETT every two years
Post CABG - Wait period 3 months, LVEF >40% and after 5 years needs
an annual ETT
Any cardiac surgery 3 month wait period
●● Cardiomyopathies
Answer: Hypertrophic or restrictive - NO
Idiopathic - Yes if...
Asymptomatic, LVEF >40%, no ventricular arrhythmias
Asymptomatic, LVEF >50% if ventricular arrhythmias present
Annual certification with cardiac evaluation that includes echo and
holter.
●● Any cardiovascular disease
Answer: ANNUAL certification
,●● Ventricular Tachycardia
Answer: Sustained vtach >15 sec
EF <40%- do not certify
EF >40% and asymptomatic- wait period of one month after successful
treatment and cleared by cardiologist
Annual certification
●● SVT
Answer: Prognosis is excellent but may have syncope or symptoms of
cerebral hypoperfusion
WPW - pre-excitation presents risk for death or syncope if atrial
fibrillation develops
Wait period of 1 month
Annual certification if asymptomatic
●● A Fib
Answer: Anticoagulated for 1 month
Monitored by monthly INR
Rate/rhythm control deemed adequate
Annual certification
●● Pacemakers
Answer: Certify annually if...
, One month after implantation, unless neurogenic or carotid sinus
syncope, wait period is 3 months
Documented correct function and regular pacemaker checks
Underlying disease not disqualifying
Defibulators are disqualifying
●● Aortic stensosis
Answer: Mild - annual cert if asymptomatic, echo every 5 years
Moderate - 3 month wait period after surgery, certify annual with echo
every 2-3 years
Severe - NO unless 3 months post surgery, certify annual
●● Aortic regugitation
Answer: Mild and moderate disease:
Annual certification
Echo every 2-3 years
Severe aortic regurgitation:
(see guideline)
●● Mitral regurgitaiton
Answer: Mild - certify annual
Moderate - certify annual if echo shows normal LV size and function
STUDY GUIDE WITH COMPLETE
SOLUTIONS
●● CV procedures wait periods
Answer: Post PCI- Wait period one week, ETT 3-6 months after PCI
Post MI- Wait period 2 months, LVEF > 40%, ETT every two years
Post CABG - Wait period 3 months, LVEF >40% and after 5 years needs
an annual ETT
Any cardiac surgery 3 month wait period
●● Cardiomyopathies
Answer: Hypertrophic or restrictive - NO
Idiopathic - Yes if...
Asymptomatic, LVEF >40%, no ventricular arrhythmias
Asymptomatic, LVEF >50% if ventricular arrhythmias present
Annual certification with cardiac evaluation that includes echo and
holter.
●● Any cardiovascular disease
Answer: ANNUAL certification
,●● Ventricular Tachycardia
Answer: Sustained vtach >15 sec
EF <40%- do not certify
EF >40% and asymptomatic- wait period of one month after successful
treatment and cleared by cardiologist
Annual certification
●● SVT
Answer: Prognosis is excellent but may have syncope or symptoms of
cerebral hypoperfusion
WPW - pre-excitation presents risk for death or syncope if atrial
fibrillation develops
Wait period of 1 month
Annual certification if asymptomatic
●● A Fib
Answer: Anticoagulated for 1 month
Monitored by monthly INR
Rate/rhythm control deemed adequate
Annual certification
●● Pacemakers
Answer: Certify annually if...
, One month after implantation, unless neurogenic or carotid sinus
syncope, wait period is 3 months
Documented correct function and regular pacemaker checks
Underlying disease not disqualifying
Defibulators are disqualifying
●● Aortic stensosis
Answer: Mild - annual cert if asymptomatic, echo every 5 years
Moderate - 3 month wait period after surgery, certify annual with echo
every 2-3 years
Severe - NO unless 3 months post surgery, certify annual
●● Aortic regugitation
Answer: Mild and moderate disease:
Annual certification
Echo every 2-3 years
Severe aortic regurgitation:
(see guideline)
●● Mitral regurgitaiton
Answer: Mild - certify annual
Moderate - certify annual if echo shows normal LV size and function
