DOT Certification Exam Questions Complete Solutions

DOT Certification Exam Questions Complete Solutions Vision disqualification - ANSWER- monocular vision ( exemption available) contacts with 1 near and 1 distance telescopic lenses failure to meet criteria with one or both eyes Vision Qualification - ANSWER- at east 20/40 without correction; correction separately to at least 20/40; distant binocular acuity 20/40 or better Field of vision at least 70 degrees recognize traffic colors Hearing Qualification - ANSWER- Forced whisper no less than 5 ft or audiometry with average loss less than or equal to 40 Hx of cochlear implant - ANSWER- disqualify if related to vestibular dysfinction Hx of Menieres - ANSWER- disqualify Hx of vertigo - ANSWER- at least 2 mths symptoms free with dx of BPPV Angina - ANSWER- note between stable and unstable Waiting period 3 months and no angina with rest Certify x 1 year, need ETT biennially CABG - ANSWER- waiting period 3 mths Certify x 1 year PCI - ANSWER- waiting period 1 week if no MI; must have no complications of access site Certify x 1 year with biennial ETT Arrhythmias - ANSWER- must know underlying rhythm DQ if ICD in place Pacemaker - ANSWER- waiting period 1 month post placement if dx is SA node/AV block 3 month if hypersensative syncope Cerify x 1 year CHF with hx V Arrhythmia - ANSWER- EF greater than or equal to 50% SVT - ANSWER- waiting period 1 month post ablation with a flutter A fib - ANSWER- waiting period 1 month post anticiagulation, asymptomatic Certify x 1 year if HR controlled and tx for clot Ebstein Anomaly - ANSWER- downward displacement of tricuspid valve certify x 1 year only if mild symptoms DO NOT CERTIFYif moderate/severe, lesion, shunt, conduction pathway Heart transplant - ANSWER- 1 year waiting period, only certify x 6 months and have cards eval q 6 mths hypertrophic and restrictive cardiomyopathy - ANSWER- no cert until cards eval, if + DQ AAA - ANSWER- 3 mths post surgical repair, max cert x 1 year Cerfiy only if <4cm or >4cm but <5cm No certify if surgery recommended regardless of size, if size increased by >0.5 cm during 6 month Thoracic Aneurysm - ANSWER- post surg 3 mths wait certify x 1 year if <3.5 cm DQ if > 3.5 cm DVT - ANSWER- must be medicated certify x 1 year Chronis Thrombotic Venous Disease - ANSWER- cerifty x 2 years if stable and no complications/symptoms Intermittent Claudication - ANSWER- increased risk of syncope Waiting period 3 months post tx 1 year max cert Certify only if no pain at rest PVD - ANSWER- pain at rest is DQ Wiating period 3 months post tx Certify 1 year Superficial phlebitis - ANSWER- Certify x 2 years if no other medical issues No certify if coexisting DVT and does not meet DVT criteria Varicose Veins - ANSWER- Not disqualifying, Cert 2 years PE - ANSWER- Waiting period 3 mths Must meet anticoagulant guidelines if on tx Certify 1 year Valvular Heart Disease - ANSWER- Need additional evaluation if systolic G1/2 with + symptoms Systolic 3 or higher Holosystolic or late systolic Diastolic Aortic Regurg - ANSWER- Certify x 1 year if mild/moderate and asymptomatic No certification if symptomatic Need ECHO q 2-3 years, need annual exam Severe Aortic Regurg - ANSWER- waiting period 3 months minimum if post surg repair Certify x 6 mths only if no surgical intervention Certify 1 year max if surgical repair Do not cerify: if symptomatic, unable to achieve workload > 6 mets on Bruce protocal LV EF < 50% LV end dilitation > 70mm LV end systolic > 55mm Aortic Stenosis - ANSWER- 3 months waiting period post surg, Certify x 1 year Do no certify if moderate stenosis with angina, HF, AF, LV dfx with EF <50% severe stenosis thromboembolism Must have Echo q 5 with mild; q 1-2 if moderate Aortic Valve repair - ANSWER- wait 3 months post certify 1 year only Do not certify if thromboembolic complications Mitral regurg - ANSWER- wait 3 months post max cert 1 year