DOT Certification Medical Examiner Test 2024

DOT Certification Medical Examiner Test 2024 Coronart Bypass Graft Qualified for one year once 3 months post procedure if a symptomatic, LVEF 40% and meets general requirements CHF accompanied by dyspnea at rest? Unstable angina DQ Qualify post pneumothorax-when? Psychological assessment DQ; not medically fit for duty Qualify when FEV 65% 1.) suspicious behavior 2.) hallucinations 3.) signs of flat affect Purpose of CMV physical exam Public Safety and "medical fitness for duty" FMSCA Mission Reduction of crashes, injuries and fatalities involving large trucks and buses Who and what does FMSCA regulate? They regulate interstate commercial operation, including driver, vehicle, motor carrier and transport of hazardous material. Driver Stressors 1.) ADL interruption 2.) Environmental factors 3.) Potential dangerous situations Possible outcomes of CMV physical exam Who can perform vision portion of exam Visual acuity requirements Qualification or Dysqualification CMV Medical examiner, MA, opthalmologist/optometrist 20/40 unilateral and bilateral Which 5 eye conditions must be asked about and then referred to eye specialist? 2.) retinopathy 3.) aphakia 4.) macular degeneration 5.) cataracts Whisper test must be performed at Time post MI prior to driving Minimum LVEF 40% 5 feet 2 months and meets all other PE requirements Maximum size abdominal aortic aneurysm 5 cm Stage I HTN 140-159/90-99 Minimum PaO2 below 5000 ft 65 Minimum PaO2 above 5000 ft 60 Minimum FEV1 requirement 65% Minimum time lapse after taking sedating medication 12 hours Minimum FVC 65% History of two pneumothorax without surgical repair Qualification for CMV with loss of limb DQ May with SPE according to 49 CFR 391.49 1.) glaucoma Someone using insulin may be qualifed Yes, but only with a Federal Diabetes Exemption Which of the following is evaluated in the eye Minimum pulse oximetry 92% Vision regulation CFR 391.43 CFR 391.41(b)(10) Medical Examiner responsibilities Converting ANSI to ISO 1000Hz-10 dB 2000Hz-8.5 dB Average hearing loss What if BP 139/89? 500Hz-14 dB less than 40 dB Pupil reactivity-this is a cranial nerve test Confirm with second reading 160-179/100-109 Stage 2 HTN Greater than 180/110 Stage 3 HTN Urinalysis evaluation of 2.) protein 3.) glucose 4.) blood Uncontrolled vertigo 1.) specific gravity DQ Labyrinth fistula DQ Nonfunctioning labyrinth DQ Stage I HTN, no previous diagnosis or treatment Stage I HTN, previously diagnosed, but not treated Certify x one year 3 month in order to get controlled or DQ One time 3 month certificate with continued BP 140/90 DQ A known history of stage 3 HTN, BP 140/90 DQ BP 180/110, regardless of other circumstances Disqualified for stage I, now BP 140/90 or DQ Qualify x one year Disqualified for stage III, now BP 140/90, meds tolerated Diagnosis of HTN, recertification timing Qualify x six months No more than one year Stage II HTN BP must be treated with medication Stage II HTN without prior diagnosis and/or no treatment Stage II HTN, diagnosed, not treated, BP 140/90 DQ 3 month certificate Anticoagulation Therapy One month waiting period until stabilized, then one year certification with monthly INR checks. Bring evidence of INR check to exam. Anticoagulation therapy, not monitored or therapeutic DQ