2019 DOT: Final test Exam With Complete Solutions!
The waiting period after pacemaker implantation for treatment of sinus node dysfunction
is __________.
One week.
Two weeks.
One month.
Three months. - ANSWER-One month.
The maximum thoracic aneurysm size that allows driver certification is __________.
3.0 cm
3.5 cm
4.0 cm
5.0 cm - ANSWER-3.5 cm
Which of the following is a qualification recommendation following coronary artery bypass graft (CABG) surgery?
Exercise tolerance testing (ETT) every two years after five years.
Echocardiogram or radionuclide stress testing is indicated if the driver is not able to achieve a satisfactory ETT result, has an abnormal resting electrocardiogram, or a dysrhythmia.
Resting echocardiogram left ventricular ejection fraction (LVEF) greater than or equal to
45%.
Normal electrocardiogram. - ANSWER-Echocardiogram or radionuclide stress testing is indicated if the driver is not able to achieve a satisfactory ETT result, has an abnormal resting electrocardiogram, or a dysrhythmia.
After five years, annual exercise tolerance test (ETT) required (imaging stress may be indicated).
Which of the following is a requirement in order for a driver with congestive heart failure (CHF) to be qualified? The driver must have a normal electrocardiogram.
The driver must have completed an exercise tolerance test (ETT) to at least 10 METS. (metabolic equivalents).
The driver must have a left ventricular ejection fraction (LVEF) of greater than or equal to 45%.
The driver must be asymptomatic and tolerate medications. - ANSWER-The driver must
be asymptomatic and tolerate medications.
The driver is asymptomatic (do not qualify if symptomatic) and tolerates medications. The driver has no ventricular arrhythmias. Left ventricular ejection fraction (LVEF) must be greater or equal to 40%. Requires annual cardiology evaluation including echocardiography and Holter monitoring.
Which of the following guidelines for medical certification following device implantation is true?
Six months after implantation of cardiac defibrillator.
Three months after pacemaker implantation for atrioventricular block.
One month after pacemaker implantation for neurocardiogenic syncope.
Three months after pacemaker implantation for hypersensitive carotid sinus with syncope. - ANSWER-Three months after pacemaker implantation for hypersensitive carotid sinus with syncope.
Waiting periods for now stable cardiovascular conditions include __________.
Three months for myocardial infarction (MI).
Three months for angina.
Two weeks for percutaneous coronary intervention (PCI).
Two months for coronary artery bypass surgery (CABG). - ANSWER-Three months for angina. Waiting period: three months with no rest angina or change in angina pattern.
At least two months post-MI
Waiting period After PCI: one week.
At least three months after CABG.
Cardiovascular disease not-to-certify diagnoses include __________.
Hypertrophic cardiomyopathy.
Angina.
Left ventricular ejection fraction (LVEF) < 50%.
Congestive heart failure (CHF). - ANSWER-Hypertrophic cardiomyopathy.
Certification outcome is a maximum of ________ for a driver with history of heart attack - myocardial infarction (MI).
Three months.
Six months.
One year.
Two months. - ANSWER-One year.
At least two months post-MI.
For a driver with moderate aortic stenosis, an echocardiogram should be repeated every _________ years; for a driver with mild aortic stenosis, an echocardiogram should
be repeated every _________ years.
One-two, five.
Three, three.
Two, four.
One, three. - ANSWER-One-two, five.
Drivers with insulin dependent diabetes __________.
May be certified for a maximum of six months.
Must maintain a hemoglobin A1c level of less than 7 to qualify for certification.
The waiting period after pacemaker implantation for treatment of sinus node dysfunction
is __________.
One week.
Two weeks.
One month.
Three months. - ANSWER-One month.
The maximum thoracic aneurysm size that allows driver certification is __________.
3.0 cm
3.5 cm
4.0 cm
5.0 cm - ANSWER-3.5 cm
Which of the following is a qualification recommendation following coronary artery bypass graft (CABG) surgery?
Exercise tolerance testing (ETT) every two years after five years.
Echocardiogram or radionuclide stress testing is indicated if the driver is not able to achieve a satisfactory ETT result, has an abnormal resting electrocardiogram, or a dysrhythmia.
Resting echocardiogram left ventricular ejection fraction (LVEF) greater than or equal to
45%.
Normal electrocardiogram. - ANSWER-Echocardiogram or radionuclide stress testing is indicated if the driver is not able to achieve a satisfactory ETT result, has an abnormal resting electrocardiogram, or a dysrhythmia.
After five years, annual exercise tolerance test (ETT) required (imaging stress may be indicated).
Which of the following is a requirement in order for a driver with congestive heart failure (CHF) to be qualified? The driver must have a normal electrocardiogram.
The driver must have completed an exercise tolerance test (ETT) to at least 10 METS. (metabolic equivalents).
The driver must have a left ventricular ejection fraction (LVEF) of greater than or equal to 45%.
The driver must be asymptomatic and tolerate medications. - ANSWER-The driver must
be asymptomatic and tolerate medications.
The driver is asymptomatic (do not qualify if symptomatic) and tolerates medications. The driver has no ventricular arrhythmias. Left ventricular ejection fraction (LVEF) must be greater or equal to 40%. Requires annual cardiology evaluation including echocardiography and Holter monitoring.
Which of the following guidelines for medical certification following device implantation is true?
Six months after implantation of cardiac defibrillator.
Three months after pacemaker implantation for atrioventricular block.
One month after pacemaker implantation for neurocardiogenic syncope.
Three months after pacemaker implantation for hypersensitive carotid sinus with syncope. - ANSWER-Three months after pacemaker implantation for hypersensitive carotid sinus with syncope.
Waiting periods for now stable cardiovascular conditions include __________.
Three months for myocardial infarction (MI).
Three months for angina.
Two weeks for percutaneous coronary intervention (PCI).
Two months for coronary artery bypass surgery (CABG). - ANSWER-Three months for angina. Waiting period: three months with no rest angina or change in angina pattern.
At least two months post-MI
Waiting period After PCI: one week.
At least three months after CABG.
Cardiovascular disease not-to-certify diagnoses include __________.
Hypertrophic cardiomyopathy.
Angina.
Left ventricular ejection fraction (LVEF) < 50%.
Congestive heart failure (CHF). - ANSWER-Hypertrophic cardiomyopathy.
Certification outcome is a maximum of ________ for a driver with history of heart attack - myocardial infarction (MI).
Three months.
Six months.
One year.
Two months. - ANSWER-One year.
At least two months post-MI.
For a driver with moderate aortic stenosis, an echocardiogram should be repeated every _________ years; for a driver with mild aortic stenosis, an echocardiogram should
be repeated every _________ years.
One-two, five.
Three, three.
Two, four.
One, three. - ANSWER-One-two, five.
Drivers with insulin dependent diabetes __________.
May be certified for a maximum of six months.
Must maintain a hemoglobin A1c level of less than 7 to qualify for certification.
