DOT Certification Exam Questions And Solutions

DOT Certification Exam Questions And Solutions What are the possible outcomes of the driver physical examination? - ANSWER -Certification or disqualification To pass the interstate CMV driver vision exam, a visual acuity of ______ corrected or uncorrected is required. - ANSWER -20/40 or better in BOTH eyes individually and combined What eye conditions must the medical examiner ask the driver about and if indicated request specialist evaluation? - ANSWER -Retinopathy, cataracts, aphakia (absence of the lens), glaucoma, and macular degeneration According to FMCSA regulations, which of the following must the ME evaluate when examining a driver's eyes? A. Pupil reactivity B. Iris symmetry C. Conjunctiva injection D. Corneal thickness - ANSWER -Pupil reactivity Purpose of the Vision Exemption? - ANSWER -To certify some drivers with monocular vision. Where is Federal Vision Examination Program cited? - ANSWER -49 DFR 391.41(b)(10) Minimum standard for hearing evaluation via audiometry? - ANSWER -/= 40 dB hearing loss in at least one ear Is audiometry required? - ANSWER -No, not if forced whisper test passed in at least one ear. Mandatory waiting period after diagnosis of DM? - ANSWER -None Highest acceptable A1c? - ANSWER -10% Maximum certification time for someone with DM? - ANSWER -1 year Define epilepsy according to FMCSA. - ANSWER -2 or more unprovoked seizures. Wait period for a single unprovoked seizure? - ANSWER -5 years (Must also be off all medication) Waiting period for acute MI? - ANSWER -2 months Minimum required LVEF? - ANSWER -40% When is a follow-up ETT required following PCI? - ANSWER -3-6 months Maximum allowable AAA size? - ANSWER -5 cm Minimum requirement for peripheral vision? - ANSWER -70 degrees Maximum certification period for an asymptomatic patient 45 years or older with multiple CHD risk factors? - ANSWER -1 year Highest gender risk for CHD? - ANSWER -Male or postmenopausal female Modifiable risk factors for CHD? - ANSWER -HTN, tobacco, HLP, low HDL, DM, overweight, physical inactivity Which pulmonary conditions are disqualifying? - ANSWER -1. Bronchiectasis w/ hemoptysis 2. Chronic TB 3. COPD w/ severe cough 4. Asthma w/ frequent hospitalizations Minimum accepted FEV1? - ANSWER -65% of predicted Minimum waiting period after use of sedating medications? - ANSWER -12 hours Minimum required FVC? - ANSWER -65% How many incidences of spontaneous pneumothorax may occur prior to surgical intervention? - ANSWER -2 Minimum required PaO2 at 5000 ft? - ANSWER -65 mmHg Frequent of sleep testing in drivers with OSA? - ANSWER -Yearly Which two groups require "simple pulmonary function testing"? - ANSWER -1. Smokers 35 years old 2. Any Hx of SOB, CP or wheezing What three tests are used for initial evaluation of pulmonary function? - ANSWER -1. FEV1 2. FVC 3. FEV/FVC What are the differences between the medical standards and the medical guidelines? - ANSWER -Standards/regulations are law. Guidelines are best practices. In which regulation(s) are the driver physical qualification standards cited? - ANSWER -49 CFR 391.41 In which regulation(s) are the medical examiners responsibilities cited? - ANSWER -49 CFR 391.43 What objective tests and measurements are required as part of the driver physical examination? - ANSWER -- Height and weight - Vision - Hearing - Blood pressure and pulse - Urine dipstick for specific gravity, protein, blood, and glucose What tests must be order if minimum FEV1 or FVC requirements are not met? - ANSWER -Oximetry or ABG Minimum pulse oximetry? - ANSWER -92% Minimum required PaO2 at 5000 ft? - ANSWER -60 mmHg Elevation of Twin Falls and required minimum PaO2? - ANSWER -3,745 ft and 65 mmHg What happens to PaO2 at high altitudes? - ANSWER -It decreases. Make adjustments for drivers traveling to and from varying elevations. Purpose of the SPE (Skill Performance Evaluation)? - ANSWER -Certify a driver with a fixed deficit of lost extremity Can a medical examiner grant an SPE? - ANSWER -No. There are four FMCSA regional centers. Certification period for a SPE certificate? - ANSWER -2 years