DOT certification Exam: Questions & Answers: A+ Guide Solution

1 cause of fatalities with big trucks? (Ans- driver fatigue DOT organization (Ans- all subcategories are separate entities and require different things What is covered in NRCME training? (Ans- federal motor carrier safety administration (FMCSA) How long does NRCME certification last? (Ans- 10 years with a 5 year update class once a driver is certified, what is the longest it lasts? (Ans- 2 years SPE (Ans- skill performance evaluation Three copies of driver's certificate: who gets them and who has original for how long? (Ans- driver, employer get copies examiner keeps original for 3 years Non discretionary standards (Ans- immediately DQ the driver, examiner MUST follow standards discretionary guides/recommendations (Ans- limits steered by recommendations and examiners judgement list the non discretionary DQers (Ans- Hx of epilepsy, failed hearing exam, failed Vx exam, active insulin dependent DM who oversees medical certification process? (Ans- office of medical programs how many X more is mortality rate for passenger vehicle vs large truck, in a crash between the two? (Ans- passenger vehicle 5X more likely to die where are physical standards for drivers listed? (Ans- 49 CFR 391.41 define CMV (Ans- commercial motor vehicle: any self propelled or towed MV used on a highway in interstate commerce to transport passengers or property...10k lbs or more, 8+ passengers for $$, 15+ passengers not for $$, hazardous materials where is CMV defined? (Ans- 40 CFR 390.5 where are medical examiner qualifications found? (Ans- 49 CFR 391.43 Where are general qualifications for CMV drivers found? (Ans- 49 CFR 391.11 list non-discretionary standards (Ans- loss of limb, limb impairment, CV condition, respiratory dysfunction, HTN, RA/OA/orthopedic/muscular, mental disorder, drug use, alcoholism "average" driver demographics (Ans- male, 40+, sedentary, obese, smoker, poor eating habits "average" driver medical health (Ans- less healthy than average citizen, 2+ medical conditions, CV disease list 9 occupational stressors for CMV drivers (Ans- type of route, schedule, finances, vehicle, road conditions, environmental, type of cargo when can a driver on insulin be certified? (Ans- if he/she has FMCSA waiver - 49 CFR 391.64 OR federal exemption program FMCSA definition of "severe hypoglycemia" (Ans- seizure, LOC, need assistance from others, impaired cog fxn if severe hypoglycemia, ask if driver has had reactions how frequently? (Ans- 1+ in last 12 months 2+ in last 5 years what happens if driver has loss of proprioception? what about peripheral neuropathy? (Ans- DQ and DQ what if DM patient has resting tachycardia or orthostatic HOTN? (Ans- DQ what if driver has silver wire, cotton patches? (Ans- qualify but recommend ophthalmologist yearly what if driver has unstable retinopathy where neovascularization extends into vitreous? (Ans- DQ driver uses telescopic lenses? (Ans- DQ what if driver on incretin mimetics? what about other oral hypoglycemics? (Ans- certify for one year DM exemption requires a driver to: (Ans- annual endocrinology visit, annual optho visit, DM education, glucose monitoring forced whisper test (Ans- hear a forced whisper at no less than 5ft audiometric testing limits (Ans- average hearing loss no greater than 40 decibels can driver wear hearing aids during forced whisper test? (Ans- yes audiometer should be calibrated to what standard? (Ans- American National Standards Institute (ANSI) Z24.5-1951 driver wears a hearing aid. can you do in office whisper test? what about audiometry test? (Ans- yes for whisper, no for audiometry how to calculate hearing loss? (Ans- determine what decibels heard at 500Hz, 1000Hz, 2000Hz in one ear. Add the results and divide by three. Result = average hearing loss. Audiometric testing - results? (Ans- qualify driver if less than 40dB hearing loss in good ear. both ears more than 40=DQ how to convert from International Organization for Standardization to ANSI? (Ans- minus 14 from 500 minus 10 from 1000 minus 8.5 from 2000 which test to do first, whisper or audiometric? (Ans- doesn't matter as long as one is passed, driver is qualified which otic diseases disqualify driver? (Ans- BPPV w/ Sx in last 2 months menieres labyrinthine fistula nonfunctioning labyrinths Required vision tests? (Ans- visual acuity (snellen/titmus), peripheral horizontal visual fields, color vision Snellen visual acuity - ft away from chart and standards? (Ans- 20 ft from chart, both eyes together and each eye must be 20/40 peripheral field of vision test? (Ans- 70 degrees what colors does driver need to distinguish between? (Ans- green amber red driver has retinopathy - what to do? (Ans- you can certify but driver must have annual medical exam, annual optho exam driver has unstable proliferative retinopathy (Ans- DQ driver can only meet requirements for Vx in one eye (Ans- DQ driver has contacts - one corrects for distance, one corrects for near acuity (Ans- DQ Federal vision exempt program (Ans- 2 years monocular vision study (Ans- 49 CFR 391.64, grandfathered in, driver can be certified for 1 year you note HTN for first time in driver. what to do? (Ans- certify for one year, after one year, certify for 3 months driver had stage 1 HTN, certified for 1 yr + 3 months, now what? (Ans- DQ BP = 180/110 (Ans- DQ, if driver gets BP down, can certify for 6 months at a time pending 3 month interval checkups first time stage 2 HTN, what to do? (Ans- certify for 3 months...after this DQ if not lowered BP driver had stage 2 HTN, got a 3 month certification and got BP down. now what? (Ans- certify for 1 year after the INITIAL check (3 months ago) name three neurologic standards, and choose the one that is nondiscretionary (Ans- rheumatic/arthritic/ortho/muscular, epilepsy, mental...epilepsy is nondiscretionary driver is on anticoagulant therapy for cerebrovascular disorder (Ans- DQ driver has cerebrovascular disorder - when to qualify? (Ans- normalized INR, recert q1yr, monthly INR monitoring TIA recurrence risk (Ans- greatest in first few weeks following stroke, by one year post TIA, risk is 5% driver had TIA (Ans- wait 1 year then recert if not on anticoagulants driver had stroke affecting cerebellum or brainstem (Ans- 1 year wait, then recertify if not on anticoagulants and able to obtain clearance from neurologist driver had stroke affecting cortical or subcortical region (Ans- 5 year wait period then recertify if not on anticoagulants and you're able to obtain clearance from neurologist intracerebral/subarachnoid bleed (Ans- wait 1 year if in brainstem/cerebellum, wait 5 years if cortical/subcortical