DOT Certification Complete Questions & Correct Answers.Graded A+

DOT Certification Complete Questions & Correct Answers.Graded A+ LTCCS large truck crash causation study, , reported in 2006 #1 cause of fatalities with big trucks? driver fatigue DOT organization all subcategories are separate entities and require different things What is covered in NRCME training? federal motor carrier safety administration (FMCSA) How long does NRCME certification last? 10 years with a 5 year update class once a driver is certified, what is the longest it lasts? 2 years SPE skill performance evaluation Three copies of driver's certificate: who gets them and who has original for how long? driver, employer get copies examiner keeps original for 3 years Non discretionary standards immediately DQ the driver, examiner MUST follow standards discretionary guides/recommendations limits steered by recommendations and examiners judgement list the non discretionary DQers Hx of epilepsy, failed hearing exam, failed Vx exam, active insulin dependent DM who oversees medical certification process? office of medical programs how many X more is mortality rate for passenger vehicle vs large truck, in a crash between the two? passenger vehicle 5X more likely to die where are physical standards for drivers listed? 49 CFR 391.41 define CMV commercial motor vehicle: any self propelled or towed MV used on a highway in interstate commerce to transport passengers or property...10k lbs or more, 8+ passengers for $$, 15+ passengers not for $$, hazardous materials where is CMV defined? 40 CFR 390.5 where are medical examiner qualifications found? 49 CFR 391.43 Where are general qualifications for CMV drivers found? 49 CFR 391.11 list non-discretionary standards loss of limb, limb impairment, CV condition, respiratory dysfunction, HTN, RA/OA/orthopedic/muscular, mental disorder, drug use, alcoholism "average" driver demographics male, 40+, sedentary, obese, smoker, poor eating habits "average" driver medical health less healthy than average citizen, 2+ medical conditions, CV disease list 9 occupational stressors for CMV drivers type of route, schedule, finances, vehicle, road conditions, environmental, type of cargo when can a driver on insulin be certified? if he/she has FMCSA waiver - 49 CFR 391.64 OR federal exemption program FMCSA definition of "severe hypoglycemia" seizure, LOC, need assistance from others, impaired cog fxn if severe hypoglycemia, ask if driver has had reactions how frequently? 1+ in last 12 months 2+ in last 5 years what happens if driver has loss of proprioception? what about peripheral neuropathy? DQ and DQ what if DM patient has resting tachycardia or orthostatic HOTN? DQ what if driver has silver wire, cotton patches? qualify but recommend ophthalmologist yearly what if driver has unstable retinopathy where neovascularization extends into vitreous? DQ driver uses telescopic lenses? DQ what if driver on incretin mimetics? what about other oral hypoglycemics? certify for one year DM exemption requires a driver to: annual endocrinology visit, annual optho visit, DM education, glucose monitoring forced whisper test hear a forced whisper at no less than 5ft audiometric testing limits average hearing loss no greater than 40 decibels can driver wear hearing aids during forced whisper test? yes audiometer should be calibrated to what standard? American National Standards Institute (ANSI) Z24.5-1951 driver wears a hearing aid. can you do in office whisper test? what about audiometry test? yes for whisper, no for audiometry how to calculate hearing loss? determine what decibels heard at 500Hz, 1000Hz, 2000Hz in one ear. Add the results and divide by three. Result = average hearing loss. Audiometric testing - results? qualify driver if less than 40dB hearing loss in good ear. both ears more than 40=DQ how to convert from International Organization for Standardization to ANSI? minus 14 from 500 minus 10 from 1000 minus 8.5 from 2000 which test to do first, whisper or audiometric? doesn't matter as long as one is passed, driver is qualified which otic diseases disqualify driver? BPPV w/ Sx in last 2 months menieres labyrinthine fistula nonfunctioning labyrinths Required vision tests? visual acuity (snellen/titmus), peripheral horizontal visual fields, color vision Snellen visual acuity - ft away from chart and standards? 20 ft from chart, both eyes together and each eye must be 20/40 peripheral field of vision test? 70 degrees what colors does driver need to distinguish between? green amber red driver has retinopathy - what to do? you can certify but driver must have annual medical exam, annual optho exam driver has unstable proliferative retinopathy DQ driver can only meet requirements for Vx in one eye DQ driver has contacts - one corrects for distance, one corrects for near acuity DQ Federal vision exempt program 2 years monocular vision study 49 CFR 391.64, grandfathered in, driver can be certified for 1 year you note HTN for first time in driver. what to do? certify for one year, after one year, certify for 3 months driver had stage 1 HTN, certified for 1 yr + 3 months, now what? DQ BP = 180/110 DQ, if driver gets BP down, can certify for 6 months at a time pending 3 month interval checkups first time stage 2 HTN, what to do? certify for 3 months...after this DQ if not lowered BP driver had stage 2 HTN, got a 3 month certification and got BP down. now what? certify for 1 year after the INITIAL check (3 months ago) name three neurologic standards, and choose the one that is nondiscretionary rheumatic/arthritic/ortho/muscular, epilepsy, mental...epilepsy is nondiscretionary driver is on anticoagulant therapy for cerebrovascular disorder DQ driver has cerebrovascular disorder - when to qualify? normalized INR, recert q1yr, monthly INR monitoring TIA recurrence risk greatest in first few weeks following stroke, by one year post TIA, risk is 5% driver had TIA wait 1 year then recert if not on anticoagulants driver had stroke affecting cerebellum or brainstem 1 year wait, then recertify if not on anticoagulants and able to obtain clearance from neurologist driver had stroke affecting cortical or subcortical region 5 year wait period then recertify if not on anticoagulants and you're able to obtain clearance from neurologist intracerebral/subarachnoid bleed wait 1 year if in brainstem/cerebellum, wait 5 years if cortical/subcortical post moderate TBI (without early seizures, LOC 30m-24h) wait 2 years, cleared by neuro, yearly recertification