DOT National Registry Exam Questions & Answers

DOT National Registry Exam Questions
& Answers

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).

Neurological examination parameters include:

• Function, Range of motion, Strength, Sensation.

• Referral to a neurological specialist for specialized conditions.

Disqualification for any condition that poses unacceptable driving risk.



What are three Neuro "cannot be qualified" conditions? - ANSWER-- 1) Epilepsy, 2)
Meniere's disease, 3) AVM not surgically treated. ( arteriovenous malformation is an