FMCSA DOT(graded A+ )already passed 2023

FMCSA DOT(graded A+ )already passed 2023CV disqualifiers - correct answer ECG- Ischemic changes at rest EF - <40% ETT - unable to pass or complete Angina at rest or change in pattern Symptomatic Poor tolerance of medications CV procedures wait periods - correct answer Post PCI- Wait period one week, ETT 3-6 months after PCI Post MI- Wait period 2 months, LVEF > 40%, ETT every two years Post CABG - Wait period 3 months, LVEF >40% and after 5 years needs an annual ETT Any cardiac surgery 3 month wait period Cardiomyopathies - correct answer Hypertrophic or restrictive - NO Idiopathic - Yes if... Asymptomatic, LVEF >40%, no ventricular arrhythmias Asymptomatic, LVEF >50% if ventricular arrhythmias present Annual certification with cardiac evaluation that includes echo and holter. Any cardiovascular disease - correct answer ANNUAL certification Ventricular Tachycardia - correct answer Sustained vtach >15 sec EF <40%- do not certify EF >40% and asymptomatic- wait period of one month after successful treatment and cleared by cardiologist Annual certification SVT - correct answer Prognosis is excellent but may have syncope or symptoms of cerebral hypoperfusion WPW - pre-excitation presents risk for death or syncope if atrial fibrillation develops Wait period of 1 month Annual certification if asymptomatic A Fib - correct answer Anticoagulated for 1 month Monitored by monthly INR Rate/rhythm control deemed adequate Annual certification Pacemakers - correct answer Certify annually if... One month after implantation, unless neurogenic or carotid sinus syncope, wait period is 3 months Documented correct function and regular pacemaker checks Underlying disease not disqualifying Defibulators are disqualifying Aortic stensosis - correct answer Mild - annual cert if asymptomatic, echo every 5 years Moderate - 3 month wait period after surgery, certify annual with echo every 2-3 years Severe - NO unless 3 months post surgery, certify annual Aortic regugitation - correct answer Mild and moderate disease: Annual certification Echo every 2-3 years Severe aortic regurgitation: (see guideline) Mitral regurgitaiton - correct answer Mild - certify annual Moderate - certify annual if echo shows normal LV size and function Severe - annual if asymptomatic, echo every 6-12 months. NO if symptomatic Mitral stenosis - correct answer Mild: MVA >1.6 Moderate: MVA 1.0-1.6, certify annual if asymptomatic Severe: NO if NHYA class II or MVA <1.0 Vascular disease - correct answer PVD - certify annual Intermittent claudication: If surgery wait 3 months If asymptomatic- annual certification If symptomatic - NO DVT: Acute, do not certify until no residual thrombosis PE: No if symptomatic 3 months with no PE and on long term treatment Blood pressure standard - correct answer Must measure Bp Only measurements taken in the exam can be used If it is high must retake in exam Must measure pulse Record rate and rhythm Hypertension regulation - correct answer *140-150/90-99 = Stage 1 HTN expiration - 1 year Recertification: 1 year if less than 140/90