DOT Certification Exam Questions and Answers Graded A+

DOT Certification Exam Questions and Answers Graded A+ What are the differences between the medical standards and the medical guidelines? Standards/regulations are law. Guidelines are best practices. In which regulation(s) are the driver physical qualification standards cited? 49 CFR 391.41 In which regulation(s) are the medical examiners responsibilities cited? 49 CFR 391.43 What objective tests and measurements are required as part of the driver physical examination? - Height and weight - Vision - Hearing - Blood pressure and pulse - Urine dipstick for specific gravity, protein, blood, and glucose What are the possible outcomes of the driver physical examination? Certification or disqualification To pass the interstate CMV driver vision exam, a visual acuity of ______ corrected or uncorrected is required. 20/40 or better in BOTH eyes individually and combined What eye conditions must the medical examiner ask the driver about and if indicated request specialist evaluation? Retinopathy, cataracts, aphakia (absence of the lens), glaucoma, and macular degeneration According to FMCSA regulations, which of the following must the ME evaluate when examining a driver's eyes? A. Pupil reactivity B. Iris symmetry C. Conjunctiva injection D. Corneal thickness Pupil reactivity Purpose of the Vision Exemption? To certify some drivers with monocular vision. Where is Federal Vision Examination Program cited? 49 DFR 391.41(b)(10) Minimum standard for hearing evaluation via audiometry? </= 40 dB hearing loss in at least one ear Is audiometry required? No, not if forced whisper test passed in at least one ear. Mandatory waiting period after diagnosis of DM? None Highest acceptable A1c? 10% Maximum certification time for someone with DM? 1 year Define epilepsy according to FMCSA. 2 or more unprovoked seizures. Wait period for a single unprovoked seizure? 5 years (Must also be off all medication) Waiting period for acute MI? 2 months Minimum required LVEF? 40% When is a follow-up ETT required following PCI? 3-6 months Maximum allowable AAA size? 5 cm Minimum requirement for peripheral vision? 70 degrees Maximum certification period for an asymptomatic patient 45 years or older with multiple CHD risk factors? 1 year Highest gender risk for CHD? Male or postmenopausal female Modifiable risk factors for CHD? HTN, tobacco, HLP, low HDL, DM, overweight, physical inactivity Which pulmonary conditions are disqualifying? 1. Bronchiectasis w/ hemoptysis 2. Chronic TB 3. COPD w/ severe cough 4. Asthma w/ frequent hospitalizations Minimum accepted FEV1? 65% of predicted Minimum waiting period after use of sedating medications? 12 hours Minimum required FVC? 65% How many incidences of spontaneous pneumothorax may occur prior to surgical intervention? 2 Minimum required PaO2 at <5000 ft? 65 mmHg Frequent of sleep testing in drivers with OSA? Yearly Which two groups require "simple pulmonary function testing"? 1. Smokers >35 years old 2. Any Hx of SOB, CP or wheezing What three tests are used for initial evaluation of pulmonary function? 1. FEV1 2. FVC 3. FEV/FVC What tests must be order if minimum FEV1 or FVC requirements are not met? Oximetry or ABG Minimum pulse oximetry? 92% Minimum required PaO2 at >5000 ft? 60 mmHg Elevation of Twin Falls and required minimum PaO2? 3,745 ft and >65 mmHg What happens to PaO2 at high altitudes? It decreases. Make adjustments for drivers traveling to and from varying elevations. Purpose of the SPE (Skill Performance Evaluation)? Certify a driver with a fixed deficit of lost extremity Can a medical examiner grant an SPE? No. There are four FMCSA regional centers. Certification period for a SPE certificate? 2 years Is medicinal marijuana allowed? No Who reviews a positive drug screen? MRO (Medical Review Officer) Max certification period if on anticoagulation? 1 year for heart, disqualified for brain. Maximum allowed hypoglycemia episodes in 12 months and 5 years, respectively? 1 and 2 Are lithium levels required? Yes, by my interpretation. Are suboxone and Chantix allowed? Technically, though not recommended. Maximum certification period for DM? 1 year unless insulin controlled then disqualified. Duration of DM exemption? 2 years but must present with quarterly reports and have annual recertification. Waiting period for initial unprovoked seizure? 5 years Waiting period for multiple seizures (no Dx of epilipsy)? 10 years Maximum AHI for untreated OSA? 20 Waiting period after starting CPAP? 1 month Length of condition certification for OSA pending eval/treatment? 60 days. May have 1 additional 90 day period for compliance. Maximum re-certification for drivers with OSA? 1 year Minimum compliance with CPAP? 4 hours a day on 70% of days What is the purpose of the Interstate CMV driver physical exam? To detect the presence of physical, mental, or organic conditions of such character and extent as to affect the driver's ability to operate a CMV safely. This examination is for public safety determination and is considered by FMCSA to be a "medical fitness for duty" examination. What is the mission of the FMCSA? FMCSA is focused on reducing crashes, injuries and fatalities involving large trucks and buses. Who and what does FMCSA regulate? FMCSA regulates interstate commercial operation, including driver, vehicle, motor carrier, and the transport of hazardous materials. Duration of vision exemption? 1 year Normal LVEF? 55-70% True/False: Annual documentation from treating provider required for those with CPAP? True Can those with fixed nerve damage get a SPE? Yes