DOT National Registry Exam Questions & Answers 2024
OTC y prescription medications side effects; - answer-ie weakness, dizziness, fatigue ie Beta blockers
Cardiac Symptoms - answer-- syncope, dyspnea, chest pain, palpitations
MI max certification; Consider what 3 other conditions - answer-Max certification 1 year;
,look at CHF, coronary insufficiency, thrombosis
DVT - advise driver - answer-of risk w/ inactivity while driving
Document for conditions - answer-if necessary rate of progression, degree of control likelihood of gradual or sudden incapacitation
Heart examination Need for additional testing or referral, - answer-ie murmurs, extra sounds, enlarged heart, pacemaker
REMEMBER - Goal is to - answer-qualify for safety for driving, not diagnose y treat
Parameters that may be used in determining certification: - answer-Diagnosis of - MI, angina, murmurs, arrhythmias
Risk of sudden death - progressive angina, 2nd y 3rd degree heart block, a. Fib, SVT and V tach
Waiting period - post MI - answer-2 month post MI EF DISQUALIFYING - answer-EF <40%
Exercise tolerance test parameters - answer-no ischemia tolerate exercise >6 MET
INR monitoring records how often - answer-monthly
Syncope do y don't certify; max time of certification - answer-DON'T certify w/ symptoms, high risk, Max 1 year certification
Cleared from specialist
Annual evaluation by specialist
Annual medical examination
Certify - No exact waiting time; not till stable, can refer to pacemaker guidelines
Pacemaker post placement waiting period to certify, parameters and how often to certify - answer-- Certify 3 months post placement - documents of correct function - no symptoms - ANNUAL RECERTIFICATION
MI DON'T CERTIFY parameters - answer-- recurrent symptoms - EF <40% - Abnormal ETT - ischemic changes - Poor tolerance meds MI YES TO CERTIFY - answer-- 2 months post MI - Cleared by cardiologist - No angina - EF >= 40% - Medication tolerance
HOW LONG POST MI TO CERTIFY? - answer-2 months
How often to recertification with MI? yearly - answer-
How often for ETT if hx of MI? - answer-biennial; every other year
Identification & History - answer-Identify, query, and note issues in a driver's medical record and/or health history as available, which may include:
Neurologic disorders (e.g.,loss of consciousness, seizures, stroke/transient ischemic attack (TIA), headaches/migraines, numbness/weakness).
Neuro - Physical Examination and Evaluation - answer-Examine the driver's neurologic status and note:
• Impaired equilibrium, coordination, or speech pattern(e.g.,
Romberg, finger-to-nose test).
• Gait disorders, sensory, or positional abnormalities.
Tremor, radicular signs, reflexes(e.g.,asymmetric deep- tendon, normal/abnormal patellar, and Babinski).
Neuro - Refer a driver who exhibits evidence of any of the following disorders for follow-up care and evaluation by an appropriate specialist or primary care provider - answer-Musculoskeletal(e.g.,arthritis, neuromuscular disease). • Neurologic(e.g.,seizures).
OTC y prescription medications side effects; - answer-ie weakness, dizziness, fatigue ie Beta blockers
Cardiac Symptoms - answer-- syncope, dyspnea, chest pain, palpitations
MI max certification; Consider what 3 other conditions - answer-Max certification 1 year;
,look at CHF, coronary insufficiency, thrombosis
DVT - advise driver - answer-of risk w/ inactivity while driving
Document for conditions - answer-if necessary rate of progression, degree of control likelihood of gradual or sudden incapacitation
Heart examination Need for additional testing or referral, - answer-ie murmurs, extra sounds, enlarged heart, pacemaker
REMEMBER - Goal is to - answer-qualify for safety for driving, not diagnose y treat
Parameters that may be used in determining certification: - answer-Diagnosis of - MI, angina, murmurs, arrhythmias
Risk of sudden death - progressive angina, 2nd y 3rd degree heart block, a. Fib, SVT and V tach
Waiting period - post MI - answer-2 month post MI EF DISQUALIFYING - answer-EF <40%
Exercise tolerance test parameters - answer-no ischemia tolerate exercise >6 MET
INR monitoring records how often - answer-monthly
Syncope do y don't certify; max time of certification - answer-DON'T certify w/ symptoms, high risk, Max 1 year certification
Cleared from specialist
Annual evaluation by specialist
Annual medical examination
Certify - No exact waiting time; not till stable, can refer to pacemaker guidelines
Pacemaker post placement waiting period to certify, parameters and how often to certify - answer-- Certify 3 months post placement - documents of correct function - no symptoms - ANNUAL RECERTIFICATION
MI DON'T CERTIFY parameters - answer-- recurrent symptoms - EF <40% - Abnormal ETT - ischemic changes - Poor tolerance meds MI YES TO CERTIFY - answer-- 2 months post MI - Cleared by cardiologist - No angina - EF >= 40% - Medication tolerance
HOW LONG POST MI TO CERTIFY? - answer-2 months
How often to recertification with MI? yearly - answer-
How often for ETT if hx of MI? - answer-biennial; every other year
Identification & History - answer-Identify, query, and note issues in a driver's medical record and/or health history as available, which may include:
Neurologic disorders (e.g.,loss of consciousness, seizures, stroke/transient ischemic attack (TIA), headaches/migraines, numbness/weakness).
Neuro - Physical Examination and Evaluation - answer-Examine the driver's neurologic status and note:
• Impaired equilibrium, coordination, or speech pattern(e.g.,
Romberg, finger-to-nose test).
• Gait disorders, sensory, or positional abnormalities.
Tremor, radicular signs, reflexes(e.g.,asymmetric deep- tendon, normal/abnormal patellar, and Babinski).
Neuro - Refer a driver who exhibits evidence of any of the following disorders for follow-up care and evaluation by an appropriate specialist or primary care provider - answer-Musculoskeletal(e.g.,arthritis, neuromuscular disease). • Neurologic(e.g.,seizures).
