DOT Medical Examiner Exam 2023 with Complete Solutions

Medical Standards/Regulations vs Medical Guidelines - ANSWER-Medical Standards/Regulations - are mandatory Medical Guidelines - are advisory / at medical examiner discretion Outcomes (3 results) and maxed interval - ANSWER-1. Certified - max is 2 years 2. Disqualified 3. Determination pending - 45 days Minimal Retention Period for Medial Records - ANSWER-3 years T/F Driver must carry valid ME Certificate - ANSWER-True T/F Motor carrier does not have to maintain a copy of the ME certification - ANSWER-False - they must maintain a copy of the ME certificate Minimal Vision Requirements - ANSWER--Visual Acuity: 20/40 in each eye or both eyes (corrected or uncorrected) -FOV: at least 70 degrees in the horizontal meridian of EACH eye -Color: standard red, yellow, green Monocular Vision Definition - ANSWER-Vision worse than 20/40 in at least one eye (corrected or uncorrected) THIS IS DISQUALIFYING T/F - one ear passing is ok - ANSWER-True Minimum Hearing Requirements - ANSWER-Forced whisper in at least one ear at 5 feet; no less OR hearing loss no more than 40 db at 500, 1000, 2000 hz Hear loss no more than what db and frequencies? - ANSWER-No more than 40 db @ 500, 1000, 2000 hz Audiometer should be calibrated to what standard - ANSWER-ANSI - American National Standards Institute Waiting period for Acute Vestibulopathy - ANSWER-2 months - symptom free Chronic Vestibulopathy - ANSWER-Certify after waiting period of 2 months - symptom free BPPV - ANSWER-Certify after waiting period of 2 months - symptom free Uncontrolled Vertigo - ANSWER-DO NOT CERTIFY Meniere's Disease - ANSWER-DO NOT CERTIFY Nonfunctioning Labyrinth - ANSWER-DO NOT CERTIFY Nonfunctioning Fistula - ANSWER-DO NOT CERTIFY Stage 1, 2, 3 of HTN - ANSWER-Stage 1: 140-159/90-99 Stage 2: 160-179/100-109 Stage 3: 180 + / 110 + Stage 1 HTN Certification Results - ANSWER-1 year max 3 month extension given if uncontrolled Stage 2 HTN Certification Results - ANSWER-3 month then 1 year if controlled under 140/90 Stage 3 HTN Certification Results - ANSWER-Disqualify until controlled then only 6 month max intervals T/F 3 month cert can only be given once a year - ANSWER-TRUE Hypertrophic Cardiomyopathy - ANSWER-DISQUALIFIED Restrictive Cardiomyopathy - ANSWER-DISQUALIFIED Implantable Cardiac Defibrillator - ANSWER-DISQUALIFIED CABG - ANSWER-Waiting period - 3 months (for incision to heal) ETT after 5 years d/t risk of graft closure MI - ANSWER-Waiting period - 2 months needs cardiology clearance Med tolerance w/o SE EF 40% pass ETT and every 2 years after T/F - passing EF is 40% - ANSWER-True Percutaneous Coronary Intervention - ANSWER-Waiting period - 1 week Needs cardio clearance Tolerated meds w/o SE ETT within 3-6 months then ETT every 2 years Unstable Angina - ANSWER-DISQUALIFY Heart Transplant - ANSWER-Waiting period - 1 year w/o symptoms Med tolerance Cardio Clearance Max interval CERT is 6 months Max Cert for any heart condition except heart transplant is? - ANSWER-1 year Heart Transplant is 6 months Angina - ANSWER-Stable - asymptomatic and no change in pain pattern Waiting period - 3 months Needs med tolerance No orthostatic changes in pressure ETT every 2 years CHF - ANSWER-IF secondary to hypertrophic or restrictive DISQUALIFY if idiopathic dilated cardiomyopathy: Needs cardio clearance Asymptomatic No Ventricular arrhythmia Annual cardiac visits with holter and ecg THEN CERTIFY Anticoagulants - ANSWER-Needs Monthly INR records Arrhythmias - ANSWER-For Certification pt needs: EF40% waiting period of 1 month on tx / meds w/o symptoms cardiac clearance Annual cardiology visits Afib and aflutter - ANSWER-Certify if asymptomatic If on meds or cardioverted: 1 month waiting period and cleared by electrophysiologist If risk for stroke needs anticoags and follow anticoag rules Pacemaker for AV block or sinus node dysfunction - ANSWER-waiting period 1 month after implantation annual cardiac eval Pacemaker for Neurogenic syncope - ANSWER-waiting period 3 months w/o symptoms Aneurysms (Abdominal) - ANSWER-Needs to be under 4.0 cm and asymptomatic' If surgical intervention was done - 3 month waiting period If 4.0 cm to 5.0 cm: needs cardio clearance and asymptomatic IF 5.0 cm + or increase in 0.5 cm over the course of 6 months: Disqualify Aneurysms (Throacic) - ANSWER-Needs to be under 3.5 cm If surgical intervention was done - 3 month waiting period IF greater than 3.5 cm or more than 0.5 cm over the course of 6 months: Disqualify DVT - ANSWER-Certify if non resdiual DVT and monitor INF if anticoagulated Aortic Stenosis - ANSWER-Needs to be asymptomatic and mild/moderated If surgical intervention was done: 3 month waiting period Otherwise DQ Who should get spirometry testing? - ANSWER-All drivers with COPD and smokers at age of 35+ ABG should be obtained if? - ANSWER-FEV1 less than 65% predicted FEV1/FVC ratio less than 65% predicted FVC less than 60% predicted OR pulse ox less than 92% ABG Disqualification Criterias - ANSWER-PO2 less than 65 mm hg (or if at more than 5000 ft elevation 60 mm hg) OR PaCO2 above 45 mm hg