The DSG (DOT Study Guide) Team presents
Two Page Cheat Sheet (2024)
Refer to the Abbreviation Key for explanations of abbreviations and initialisms.
(0.0) Intro: ME mdcl jdgmt to ult det an Individual’s qual; not Dx/Tx. EtioC? ↓risk SyDyCo? ↓risk
recurr? NSDS? PCom? TPASS? C-B.
(1.0) FMCSA: ME needs license & scope, know driver duties & Regs, keep Cert & NR listing.
CMV = Wt/Rating >10,000#, DOU 9-15 ppl (+Driver) for $, >16 ppl, or hazard placard.
Forms: MER/Report, MEC/Cert, DMER/Results, ITDMA/Diabetes, VER/Vision, opt DMF/Meds.
(2.0) Reg of Physical Qualification for Drivers: MCs must ensure Driver meets req’s. (3.0)
Medical Certification Process: Oft MCert 24m, but MCert 12m. if exempt intracity zone,
AVS, ITDM, Sz. MEs cannot issue a Cert w/ restrictions other than those listed on the Cert.
(4.0) PQS and Guidance: Regs legally bind. Guidelines suggest. The 13 Standards.
(4.4) Vision Regs: 1) DVA >20/40 each eye w/wo CL, 2) DBA >20/40 both eyes w/wo CL, 3)
FOV >70° in HM each eye, and 4) Recognize red/green/amber traffic colors. If no VER, Pt <AVS
and not qual nor DPS. If VER, can DPS (adds 45d for more info). Monocular needs VER.
MonoV CLs acceptable, but Telescopic CL not. <PQS if <Traffic Colors. Severe DR never qual.
(4.5) Hearing Reg: FWT >5ft best ear w/wo HAid, or Fail (no DPS) → AMT (AHL<40dB at
500/1k/2k Hz w/wo HAid. FMCSA Hearing Exemption (Fails both w/ HAid), mark “FHE” box.
(4.6) Blood Pressure Reg: BP <140/90 Cert. One-time 3m. Cert if >140/90 but <160/100, then
must be <140/90. Stage 1 (low risk): SBP 140-159, DBP 90-99. MCert 12m. Stage 2: SBP 160-
179, DBP 100-109. Must have Rx. Can 3m Cert. MCert 12m. Stage 3 (high risk): SBP >180,
DBP >110. Not qual until <140/90, then MCert 6m.
(4.7) Cardiovascular Reg: Active ICD precludes; PM or DA-ICD C-B per ULC, PMIR. [AMI]
Qual if no EI-MI or LVD. ETT 5w p-MI, q2y. [PCI] Heal? [CABG] Most risk 1st 3m p-CABG, high-
rate recurr >5y, ETT. Sternum heal?
(4.8) Resp Reg: [Asthma] Reversible w/ Rx. Benign to Fatal. Freq/Sev attacks? LTI?
[Hypersens Pneumonitis] Dy, cough, fever. Avoid causative agent. [OSA] Screening not req’d,;
nor testing/Tx methods, nor req’s by which to assess PCom Tx. If mult RFs, consider rec ref to
SS. If prev SS nml or mild OSA get rpt SS if new RF, s/s, 10%↑wt. [PTX] (TxProv CXR full
inspir/expir). TPTX Recov? s/s? SPTX det risk recurr. s/s? NSUD? Recov? Mult epis? (4.9)
NMD Reg: GST Regs don’t req specific test. MST Dx-specific. Send “Duties” list to spec.
[NMDG] Oft acute transient epis., grad onset/prog, less LTI til late stages. Oft no cure, Rx’s help
some. [MS] Sev vary. Oft relaps-remit m-to-y. [PksonDz] Grad onset/prog. Oft unilat, ↓cogn.
(4.10) Limb Loss/Impairment Regs: Fixed losses preclude unless SPE 1) Non-drive/pre-trip,
2) Off HW, 3) HW. Pt/prosth needs precision (knobs/switches) & power grasp (steering wheel).
(4.11) Epil/Sz/LOC Reg: SFOAM→Cert. 1unp LOC not sz: 6mo rec WP. 1unp non-Epil sz: Cert
if SFOAM 5y, r/o Epil. (2nd unprovoked sz = Epil). 1prov non-Epil sz/LOC: Cert if full recov. H/O
sz d/o: Cert if SFOAM 10y. FMCSA Sz Exemption “FSE” box; MCert 12m Epil vs 1unp sz 24m.
Meniere’s Dz WPC. Emb or Hemorr CVA/TIA Sub/Cort ↑risk sz vs Cereb/BStem not; Nro
confirm. [Narcol and IH] No cure. Precludes. [TBI] LOC (dur)? s/s and sev? NSUD LTI? C-B.
(4.12) ITDM Regs: ITDM qual if SPE (PRN) + ITDMA + PQE w/in 45d of ITDMA. [Dialysis] C-B.
(4.13) Psych d/o Reg: High suscept to freq emotional instability (schiz, psychoses, paranoia,
severe anx, neuroses) unlikely to qualify. Dx alone WPC; C-B. 3 areas of Psych d/o LTI: 1)
Mental d/o, 2) Resid, 3) Pharm effects. ADpr 1Gen SE LTI, 2Gen ↓risk interfere. APsych SE
↑LTI. Anxiolytic and SH Benzos MASP. Non-benzo SH ↓ASP. Barb ↑ASP. [Bipolar] and [Major
Copyright: The DSG (DOT Study Guide) Team - dotstudyguide.com
All rights reserved. The unauthorized reproduction or distribution of a copyrighted work is illegal.
Two Page Cheat Sheet (2024)
Refer to the Abbreviation Key for explanations of abbreviations and initialisms.
(0.0) Intro: ME mdcl jdgmt to ult det an Individual’s qual; not Dx/Tx. EtioC? ↓risk SyDyCo? ↓risk
recurr? NSDS? PCom? TPASS? C-B.
(1.0) FMCSA: ME needs license & scope, know driver duties & Regs, keep Cert & NR listing.
CMV = Wt/Rating >10,000#, DOU 9-15 ppl (+Driver) for $, >16 ppl, or hazard placard.
Forms: MER/Report, MEC/Cert, DMER/Results, ITDMA/Diabetes, VER/Vision, opt DMF/Meds.
(2.0) Reg of Physical Qualification for Drivers: MCs must ensure Driver meets req’s. (3.0)
Medical Certification Process: Oft MCert 24m, but MCert 12m. if exempt intracity zone,
AVS, ITDM, Sz. MEs cannot issue a Cert w/ restrictions other than those listed on the Cert.
(4.0) PQS and Guidance: Regs legally bind. Guidelines suggest. The 13 Standards.
(4.4) Vision Regs: 1) DVA >20/40 each eye w/wo CL, 2) DBA >20/40 both eyes w/wo CL, 3)
FOV >70° in HM each eye, and 4) Recognize red/green/amber traffic colors. If no VER, Pt <AVS
and not qual nor DPS. If VER, can DPS (adds 45d for more info). Monocular needs VER.
MonoV CLs acceptable, but Telescopic CL not. <PQS if <Traffic Colors. Severe DR never qual.
(4.5) Hearing Reg: FWT >5ft best ear w/wo HAid, or Fail (no DPS) → AMT (AHL<40dB at
500/1k/2k Hz w/wo HAid. FMCSA Hearing Exemption (Fails both w/ HAid), mark “FHE” box.
(4.6) Blood Pressure Reg: BP <140/90 Cert. One-time 3m. Cert if >140/90 but <160/100, then
must be <140/90. Stage 1 (low risk): SBP 140-159, DBP 90-99. MCert 12m. Stage 2: SBP 160-
179, DBP 100-109. Must have Rx. Can 3m Cert. MCert 12m. Stage 3 (high risk): SBP >180,
DBP >110. Not qual until <140/90, then MCert 6m.
(4.7) Cardiovascular Reg: Active ICD precludes; PM or DA-ICD C-B per ULC, PMIR. [AMI]
Qual if no EI-MI or LVD. ETT 5w p-MI, q2y. [PCI] Heal? [CABG] Most risk 1st 3m p-CABG, high-
rate recurr >5y, ETT. Sternum heal?
(4.8) Resp Reg: [Asthma] Reversible w/ Rx. Benign to Fatal. Freq/Sev attacks? LTI?
[Hypersens Pneumonitis] Dy, cough, fever. Avoid causative agent. [OSA] Screening not req’d,;
nor testing/Tx methods, nor req’s by which to assess PCom Tx. If mult RFs, consider rec ref to
SS. If prev SS nml or mild OSA get rpt SS if new RF, s/s, 10%↑wt. [PTX] (TxProv CXR full
inspir/expir). TPTX Recov? s/s? SPTX det risk recurr. s/s? NSUD? Recov? Mult epis? (4.9)
NMD Reg: GST Regs don’t req specific test. MST Dx-specific. Send “Duties” list to spec.
[NMDG] Oft acute transient epis., grad onset/prog, less LTI til late stages. Oft no cure, Rx’s help
some. [MS] Sev vary. Oft relaps-remit m-to-y. [PksonDz] Grad onset/prog. Oft unilat, ↓cogn.
(4.10) Limb Loss/Impairment Regs: Fixed losses preclude unless SPE 1) Non-drive/pre-trip,
2) Off HW, 3) HW. Pt/prosth needs precision (knobs/switches) & power grasp (steering wheel).
(4.11) Epil/Sz/LOC Reg: SFOAM→Cert. 1unp LOC not sz: 6mo rec WP. 1unp non-Epil sz: Cert
if SFOAM 5y, r/o Epil. (2nd unprovoked sz = Epil). 1prov non-Epil sz/LOC: Cert if full recov. H/O
sz d/o: Cert if SFOAM 10y. FMCSA Sz Exemption “FSE” box; MCert 12m Epil vs 1unp sz 24m.
Meniere’s Dz WPC. Emb or Hemorr CVA/TIA Sub/Cort ↑risk sz vs Cereb/BStem not; Nro
confirm. [Narcol and IH] No cure. Precludes. [TBI] LOC (dur)? s/s and sev? NSUD LTI? C-B.
(4.12) ITDM Regs: ITDM qual if SPE (PRN) + ITDMA + PQE w/in 45d of ITDMA. [Dialysis] C-B.
(4.13) Psych d/o Reg: High suscept to freq emotional instability (schiz, psychoses, paranoia,
severe anx, neuroses) unlikely to qualify. Dx alone WPC; C-B. 3 areas of Psych d/o LTI: 1)
Mental d/o, 2) Resid, 3) Pharm effects. ADpr 1Gen SE LTI, 2Gen ↓risk interfere. APsych SE
↑LTI. Anxiolytic and SH Benzos MASP. Non-benzo SH ↓ASP. Barb ↑ASP. [Bipolar] and [Major
Copyright: The DSG (DOT Study Guide) Team - dotstudyguide.com
All rights reserved. The unauthorized reproduction or distribution of a copyrighted work is illegal.
