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Exam (elaborations)

Dot- Medical Examination Certification Solved By Expert

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DOT- MEDICAL EXAMINATION CERTIFICATION SOLVED BY EXPERT

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A new driver who had a myocardial infarction six months ago is certified after
completing an acceptable exercise tolerance test and is cleared by a cardiologist.
According to FMCSA guidelines, which of the following is recommended regarding
recertification and exercise tolerance test monitoring intervals?
Recertification Exercise tolerance
A.Every year Every year
B Every two years Every year
C.Every year Every two years
D.Every two years Every two years


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, C. every year; every two years
This is the correct response because according to FMCSA medical
guidelines, when a myocardial infarction is part of the medical history,
there is a significant increased risk for another myocardial infarction to
occur within six months to a year; therefore, a maximum of one year
certification is the guideline. Myocardial infarction guidelines also
recommend exercise tolerance testing at least every two years to
demonstrate continued ability to safely operate a CMV.




A 25year old female driver denies a history of any medical problems. She is a
nonsmoker who exercises regularly without symptoms. The medical examiner
auscultates bilateral wheezes during the examination. The driver's SpO2 is 90 percent
in the medical examiner's office. The rest of the examination is normal. The driver
should be
A.Temporarily disqualified pending results of a cardiac workup.
B.Qualified since she has no cardiac symptoms.
C.Temporarily disqualified until further evaluation.
D.Qualified because her O2 saturation exceeds the minimum.


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C. Temporarily disqualified until further evaluation. This is the correct
response because the driver has a non-diagnosed respiratory or thoracic
illness that might interfere with the ability to safely operate a CMV. The
driver should not be certified until the etiology is confirmed and treatment
has been shown to be
effective, safe, and stable. Also, according to FMCSA medical guidelines, a
SpO2 of less than 92 percent warrants obtaining an arterial blood gas
analysis.




T/F: The CME is to send a report of the medical exam to the employer


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