DOT Certification Medical Examiner Test|Complete Questions with 100% Correct Answers

DOT Certification Medical Examiner Test|Complete Questions with 100% Correct Answers 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? DQ; not medically fit for duty Unstable angina DQ Qualify post pneumothorax-when? Qualify when FEV 65% Psychological assessment 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 Qualification or Dysqualification Who can perform vision portion of exam CMV Medical examiner, MA, opthalmologist/optometrist Visual acuity requirements 20/40 unilateral and bilateral Which 5 eye conditions must be asked about and then referred to eye specialist? 1.) glaucoma 2.) retinopathy 3.) aphakia 4.) macular degeneration 5.) cataracts Whisper test must be performed at 5 feet Time post MI prior to driving 2 months and meets all other PE requirements Minimum LVEF 40% 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 DQ Qualification for CMV with loss of limb May with SPE according to 49 CFR 391.49 Someone using insulin may be qualifed Yes, but only with a Federal Diabetes Exemption Which of the following is evaluated in the eye Pupil reactivity-this is a cranial nerve test Minimum pulse oximetry 92% Vision regulation CFR 391.41(b)(10) CFR 391.43 Medical Examiner responsibilities Converting ANSI to ISO 500Hz-14 dB 1000Hz-10 dB 2000Hz-8.5 dB Average hearing loss less than 40 dB What if BP 139/89? Confirm with second reading 160-179/100-109 Stage 2 HTN Greater than 180/110 Stage 3 HTN Urinalysis evaluation of 1.) specific gravity 2.) protein 3.) glucose 4.) blood Uncontrolled vertigo