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The patient should be disqualified. - ans -What should happen if a Stage
3 HTN patient comes in for a recheck and their BP is greater than
140/90??
One Time 3 month card - ans -This certificate is included in the annual
certification interval and is not an extension of the certification period.
It can not be used in consecutive increments.
Drivers who must be tested for drugs and alcohol - ans -Drivers who
operate CMVs of 26,001 pounds or more, transport 16 or more
passengers, or who carry placarded hazardous material on the public
roadway -- All drivers operating CMVs in interstate commerce --- All
drivers required to have a CDL
If they were in a testing program within the last 30 days and was tested
within the last 6 months or a was a program for the previous 12 months
- ans -When is a driver exempt from Pre-Employment testing?
8 hours for ETOH and 32 hours for drugs - ans -What is the time frames
for ETOH and drug testing after a crash?
Post-Accident Testing - ans -Testing that has to occur when the crash
involves the loss of human life, the driver receives a citation within 8
hours of the accident, there is bodily injury to a person who
immediately received medical treatment away from the scene, or if 1 or
more MVs must be transported away by tow truck
,6 drug tests within the first year - ans -When a driver returns to duty
after violating drug and ETOH standards, how many f/u drug and ETOH
tests would they need in the first year of returning to driving?
Directly Observed Testing - ans -Employee must raise shirt and lower
underpants to mid-thigh to show no device is being worn during what
kind of urine testing?
>2 drinks/day for men
>1 drink/day for women - ans -Heavy drinking average for men and
women?
Binge Drinking - ans -A pattern of ETOH consumption that brings the
Blood Alcohol Concentration (BAC) level to 0.08% or more in a 2-hour
period - Men 5 or more drinks and Women 4 or more drinks
Alcohol Abuse - ans -A pattern of drinking that results in harm to one's
health, interpersonal relationships, or ability to work. Long term use
can turn into dependence.
Alcohol Dependence - ans -A chronic disease that includes a strong
craving for ETOH despite repeated physical, psychological, or
intepersonal problems; An inability to limit drinking
SAP (Substance Abuse Professional) - ans -Evaluates employees who
have violated DOT drug and ETOH regulations and makes
recommendations concerning education, treatment, F/U testing, and
aftercare
MRO (Medical Review Officer) - ans -Licensed MD responsible for
receiving and reviewing labs generated by a drug testing program,
contacts the user when there is a positive result for an interview to
, determine if there is an alternate explanation for drug findings in the
urine specimen
DER (Designated Employee Representative) - ans -Individual who
receives communications and test results from service agents,
authorized to take immediate action to remove employees from safety
sensitive duties, and to make required decisions in the testing and
evaluation process-- Must be an employee of the company
Alcoholism - ans -When in remission, _____ is not disabling unless
transient or permanent neurological changes have occurred
- ans -REVIEW MEDICATIONS AND IF THEY ARE SAFE FOR CMV DRIVERS
Normal Labs - ans -A1C: 5%
Fasting Glucose: 99 or below
Oral GTT: 139 or Below
Prediabetes - ans -A1C: 5.7-6.4%
Fasting Glucose: 100-125
Oral GTT: 140-199
Diabetes - ans -A1C: 6.5% or greater
Fasting Glucose: 126 or above
Oral GTT: 200 or above
Type 1 DM - ans -Lack of insulin production, must receive insulin,
severely compromised counter-regulatory mechanisms
Type 2 DM - ans -Adult Onset or Non-Insulin Taking, patient can
produce insulin, treatment is diet and oral medication which preserves
blood glucose mechanisms for years