DOT Exam Questions &Complete Correct Answers .Graded A+

DOT Exam Questions &Complete Correct Answers .Graded A+ Who can the DOT exam be administered to? Anyone who requests the exam, regardless of age Who is responsible for ensuring the driver meets the minimum age requirement of 21 years old? Motor carrier When should a BP be confirmed with a second measurement during the exam? Any BP 140/90 or greater What BP readings may be used for certification decisions? Only BP readings taken during the DOT physical exam What is stage 1 hypertension? 140-159/90-99 What is stage 2 hypertension? 160-179/100-109 What is stage 3 hypertension? Greater than 180/110 In what two scenarios would a one-time three month certificate be granted? When the driver has a BP reading that indicates stage 2 hypertension OR A driver that was certified with stage 1 hypertension has not achieved BP less than 140/90 at recertification How can a driver pass the forced whisper test? Perceive the forced whisper in ONE ear at a distance of 5 feet or more How can a driver pass the audiometric test? Not have an average hearing loss in ONE ear greater than 40 decibels at 500 Hz, 1,000 Hz, and 2,000 Hz When should both hearing tests be administered to a driver? When the driver fails the initial hearing test How can a driver's hearing be tested for certification? By administering either the forced whisper or audiometric test When should medical examiner need to complete an online MCSA-5850 form? When an exam is performed on a driver - Must submit by midnight of the next calendar day AND Must report if no exams are performed during a calendar month Who should the medical examiner's certificate be given to? The original is given to the driver A copy may be given to the employer upon request How long must a medical examiner retain driver medical records for? 3 years Can work restrictions be given as part of certification? No What should be done when a driver returns after being given a 3 month certificate that is nearing expiration? Perform an entirely new DOT exam Medical examiners are not required to issue certificates to: Canadian or Mexican CDL holders Who is responsible for determining when a driver's new medical condition or injury warrants a new certification exam? The motor carrier Eye examination includes assessing which four things? Distant acuity Binocular acuity Horizontal field of vision / Peripheral vision Ability to distinguish colors What is the only portion of the DOT exam that can be performed and certified by a provider other than a medical examiner? Vision What is monocular vision? When the visual acuity requirements are met in only one eye What is monovision? When one eye is corrected for distance and the other eye is corrected for near vision Are monovision or monocular visions disqualifying? No Can a driver with one prosthetic eye be certified? Yes - As long as they pass the visual exam with their other eye How can a driver with monocular vision obtained a passing certificate? Visit an ophthalmologist to have a vision evaluation form completed THEN Visit a medical examiner within 45 days of being cleared by ophthalmology for a full DOT exam What if a driver with monocular vision arrives for their DOT exam without the vision evaluation form completed by an ophthalmologist? Cannot certify until cleared by ophthalmology and the form is completed What is an early symptom of cataracts? Glare during night driving when approaching oncoming headlights What is the treatment for cataracts? Surgical removal and placement of an intraocular lens Can a driver with telescopic lenses for treatment of macular degeneration be certified? No Can a driver use a hearing aid to pass the forced whisper test? Yes, but they must wear the hearing aid while driving If a driver has a hearing aid or cochlear implant and fails the initial forced whisper test, what should be recommended? An audiologist or hearing aid center should perform the audiometric test using appropriate equipment In order to pass the vision test, a driver must have a binocular acuity of at least ________: 20/40 In order to pass the vision test, a driver must have distant acuity of at least ________ in each eye: 20/40 In order to pass the vision test, a driver must have a horizontal field of vision of at least ________ in each eye: 70 degrees (Can be greater than 70 degrees but not less) In order to pass the vision test, a driver must be able to distinguish which colors? Red, amber, and green Name the four passing requirements for the vision exam: Distant acuity of at least 20/40 in each eye Binocular acuity of at least 20/40 Horizontal field of vision of at least 70 degrees in each eye Ability to recognize red, amber, and green colors Which type of vertigo is disqualifying? Uncontrolled vertigo Waiting period for benign positional vertigo: 2 months symptom free Waiting period for acute and chronic peripheral vestibulopathy: 2 months symptom free Which three otic diseases would disqualify a driver? Meniere's disease Labyrinthine fistula Nonfunctioning labyrinths What is the most common cause of sudden driver incapacitation? What is the most common etiology of this condition? Arrhythmia Etiology = Coronary heart disease A passing echocardiogram for a driver should include: A left ventricular ejection fraction greater than or equal to 40% No pulmonary hypertension What indicates pulmonary hypertension? Pulmonary artery pressure greater than 50% of systemic systolic BP What four components indicate a passing Exercise Tolerance Test? Able to exercise to a workload capacity greater than 6 metabolic equivalents through Bruce protocol stage II Attain a HR greater than 85% of predicted maximum (unless on beta blockers) Have a rise in systolic BP greater than 20 mmHg without angina Have no ST segment depression Waiting period post-MI: 2 months Maximum certification period for hx of MI: 1 year A driver with a hx of MI should have an Exercise Tolerance Test how often? Every other year For initial certification following an MI, what is absolutely required? A post-MI echocardiogram showing a LVEF of 40% or greater Waiting period for angina pectoris: 3 months with no angina at rest or change in angina period Maximum certification period for hx angina pectoris: 1 year Waiting period after CABG: 3 months regardless of the type of CABG surgery performed Maximum certification period for hx CABG: 1 year Besides the waiting period, what are two other factors the medical examiner should consider when certifying a driver post-CABG? Has been examined and approved to drive by cardiologist Has a healed sternum When should a driver with a hx of CABG should start obtaining an annual Exercise Tolerance Test? Starting at 5 years post-CABG Waiting period post-PCI for treatment of stable angina (without MI): 1 week Maximum certification period for PCI: 1 year Which of the following devices would disqualify a driver? Pacemaker ICD ICD / Pacemaker ICD and ICD/Pacemaker combination device Waiting period post-pacemaker implantation for sinus node dysfunction or AV block: 1 month Waiting period post-pacemaker implantation for hypersensitive carotid sinus with syncope: