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Exam (elaborations)

DOT Certification Exam With Correct Answers

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DOT Certification Exam With Correct Answers What are the differences between the medical standards and the medical guidelines? - ANSWER- Standards/regulations are law. Guidelines are best practices. In which regulation(s) are the driver physical qualification standards cited? - ANSWER- 49 CFR 391.41 In which regulation(s) are the medical examiners responsibilities cited? - ANSWER- 49 CFR 391.43 What objective tests and measurements are required as part of the driver physical examination? - ANSWER- - 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? - ANSWER- Certification or disqualification To pass the interstate CMV driver vision exam, a visual acuity of ______ corrected or uncorrected is required. - ANSWER- 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? - ANSWER- 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 - ANSWER- Pupil reactivity Purpose of the Vision Exemption? - ANSWER- To certify some drivers with monocular vision. Where is Federal Vision Examination Program cited? - ANSWER- 49 DFR 391.41(b)(10) Minimum standard for hearing evaluation via audiometry? - ANSWER- </= 40 dB hearing loss in at least one ear Is audiometry required? - ANSWER- No, not if forced whisper test passed in at least one ear. Mandatory waiting period after diagnosis of DM? - ANSWER- None Highest acceptable A1c? - ANSWER- 10% Maximum certification time for someone with DM? - ANSWER- 1 year Define epilepsy according to FMCSA. - ANSWER- 2 or more unprovoked seizures. Wait period for a single unprovoked seizure? - ANSWER- 5 years (Must also be off all medication) Waiting period for acute MI? - ANSWER- 2 months Minimum required LVEF? - ANSWER- 40% When is a follow-up ETT required following PCI? - ANSWER- 3-6 months Maximum allowable AAA size? - ANSWER- 5 cm Minimum requirement for peripheral vision? - ANSWER- 70 degrees Maximum certification period for an asymptomatic patient 45 years or older with multiple CHD risk factors? - ANSWER- 1 year Highest gender risk for CHD? - ANSWER- Male or postmenopausal female Modifiable risk factors for CHD? - ANSWER- HTN, tobacco, HLP, low HDL, DM, overweight, physical inactivity Which pulmonary conditions are disqualifying? - ANSWER- 1. Bronchiectasis w/ hemoptysis

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