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DOT UPDATED LATEST ANSWERS AND QUESTIONS SET A.pdf

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DOT UPDATED LATEST ANSWERS AND QUESTIONS
SET A+
✔✔Certification criteria for now stable cardiovascular conditions include:
a) 2 months for myocardial infarction (MI).
b) 6 months for unstable angina
c) 1 month for percutaneous coronary intervention (PCI).
d) 2 months for coronary artery bypass surgery (CABG). - ✔✔2 months for myocardial
infarction (MI).

The waiting period following MI is 2 months, for PCI 3 weeks, and for CABG 3 months.
Drivers with unstable angina should not be cleared until unstable angina has converted
to stable angina, the driver tolerates medications, has an LVEF > 40%, and has
clearance from a cardiovascular specialist

✔✔Guidelines for hypertrophic cardiomyopathy do not include which of the following?
a) No history of cardiac arrest.
b) No ventricular tachycardia (VT)
c) No syncope
d) Maximum 6 months certification. - ✔✔No history of cardiac arrest.


Maximum recertification interval is 1 year for hypertrophic cardiomyopathy.

✔✔Cardiovascular disease not to certify diagnoses include:


a) Congestive heart failure.
b) Angina.
c) Implantable defibrillator.
d) Supraventricular tachycardia - ✔✔Implantable defibrillator.

✔✔Which of the following is true?
a) A driver who has had an acute myocardial infarction (AMI) can be qualified to

,drive 4 weeks after the AMI as long as the driver meets all the other
recommended cardiac qualification criteria, and the driver meets all other
standards.
b) Drivers with angina should always be certified since physically demanding
non-driving tasks such as moving freight are unlikely to precipitate
exertional angina.
c) The Medical Examiner need not discuss drug and/or food interactions with
the driver taking cardiovascular agents.
d) Some supplements like ginko or licorice root may interfere or affect useof
prescription medications or may otherwise affect cardiovascular condition - ✔✔Some
supplements like ginko or licorice root may interfere or affect use of prescription
medications or may otherwise affect cardiovascular condition

✔✔A male driver has an abdominal aortic aneurysm. The abdominal sonogram report
submitted to the Medical Examiner indicates the aneurysm is 5.8 cm in diameter. The
Medical Examiner determines the driver is:

a) Medically qualified for 3months.
b) Medically qualified for 1 year.
c) Medically qualified for 6 months.
d) Medically disqualified - ✔✔Medically disqualified.

✔✔Minimally invasive cardiovascular procedures that a lay person may not consider
"surgical" or significant for listing on a health history include:

a) Coronary stenting.
b) Exercise tolerance testing (ETT).
c) Echocardiography.
d) EKG - ✔✔Coronary stenting

✔✔The maximum period for which a driver with a cardiovascular condition should be
certified is:

a) 3 months.
b) 6 months.
c) 9 months.
d) 1 year - ✔✔1 year.

✔✔The most commonly used system to describe the impact of heart failure on a
patient's daily activities is:


a) The New Hampshire Cardiac Assessment (NHCA)
b) The New York Heart Association (NYHA) classification
c) Cardiac scoring

,d) Septum thickness ratings - ✔✔The New York Heart Association (NYHA) classification

✔✔Following myocardial infarction, a driver must meet all of the following guidelines
except:
a) Asymptomatic and tolerates medications.
b) Clearance by a cardiovascular specialist.
c) Left ventricular ejection fraction (LVEF) > 45%.
d) No ischemic electrocardiogram changes. - ✔✔Left ventricular ejection fraction
(LVEF) > 45%

✔✔A driver with stable angina can be certified for _______.

a) 3 months.
b) 6 months.
c) 1 year.
d) 2 years - ✔✔1 year

✔✔The waiting period for coronary artery bypass graft (CABG) surgery is
_______.
a) 6 weeks.
b) 2 months.
c) 3 months.
d) 6 months. - ✔✔3 months

✔✔Standard metabolic equivalents (METS) that should be achieved on
exercise tolerance testing (ETT) for drivers is at least _______ METS.
a) 4.
b) 5.
c) 6.
d) 7. - ✔✔6.

✔✔Cardiac "do not certify" diagnoses include:
a) Stable angina.
b) Implantable defibrillator.
c) Atrial fibrillation.
d) Asymptomatic congestive heart failure - ✔✔Implantable defibrillator.

✔✔The waiting period for a driver following abdominal aortic aneurysm repair is
.
a) 1 month.
b) 6 weeks.
c) 3 months.
d) 1 year. - ✔✔3 months.

, ✔✔The driver on anticoagulant treatment for a cardiovascular condition can be
certified for a maximum of .
a) 3 months.
b) 6 months.
c) 1 year.
d) 2 years. - ✔✔1 year

✔✔Which of the following conditions is disqualifying for a driver with a diagnosis of
abdominal aortic aneurysm?
a) Aneurysm has increased more than 1 cm in a 6-month period.
b) Abdominal aneurysm size 3.0 cm.
c) Thoracic aneurysm size 3.4 cm.
d) Surgically repaired 4 months previously - ✔✔Aneurysm has increased more than 1
cm in a 6-month period


Abdominal aneurysm size of > 5.0 cm is disqualifying for females, > 5.5 cm for males.
Thoracic aneurysm size of > 5.0 cm is disqualifying for both males and females. The
waiting period following abdominal aortic aneurysm repair is 3 months.

✔✔The minimum waiting period for a driver status post pulmonary embolism is
_______.
a) 6 weeks.
b) 3 months.
c) 6 months.
d) 1 year. - ✔✔3 months.

✔✔The maximum certification period for a driver status post aortic valve
surgery is _______.
a) 6 months.
b) 1 year.
c) 2 years.
d) Driver should be disqualified - ✔✔1 year

✔✔Cardiovascular not to certify diagnoses include:
a) Myocardial infarction.
b) Atrial fibrillation.
c) Asymptomatic congestive heart failure(CHF).
d) Unstable angina - ✔✔Unstable angina.

✔✔What criteria must be met in order for the FMCSA Medical Examiner to qualify a
driver with a known diagnosis of congestive heart failure (CHF)?
a) The driver must be asymptomatic.
b) The driver must have normal blood pressure.
c) The driver must have a left ventricular ejection fraction (LVEF) >35%.

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