DOT Certification Exam with Complete Solutions

What are the differences between the medical standards and the medical guidelines? - ANSWER-Standards/regulations are law. Guidelines are best practices. In which regulation(s) are the driver physical qualification standards cited? - ANSWER-49 CFR 391.41 In which regulation(s) are the medical examiners responsibilities cited? - ANSWER-49 CFR 391.43 What objective tests and measurements are required as part of the driver physical examination? - ANSWER-- Height and weight - Vision - Hearing - Blood pressure and pulse - Urine dipstick for specific gravity, protein, blood, and glucose What are the possible outcomes of the driver physical examination? - ANSWER-Certification or disqualification To pass the interstate CMV driver vision exam, a visual acuity of ______ corrected or uncorrected is required. - ANSWER-20/40 or better in BOTH eyes individually and combined What eye conditions must the medical examiner ask the driver about and if indicated request specialist evaluation? - ANSWER-Retinopathy, cataracts, aphakia (absence of the lens), glaucoma, and macular degeneration According to FMCSA regulations, which of the following must the ME evaluate when examining a driver's eyes? A. Pupil reactivity B. Iris symmetry C. Conjunctiva injection D. Corneal thickness - ANSWER-Pupil reactivity Purpose of the Vision Exemption? - ANSWER-To certify some drivers with monocular vision. Where is Federal Vision Examination Program cited? - ANSWER-49 DFR 391.41(b)(10) Minimum standard for hearing evaluation via audiometry? - ANSWER-/= 40 dB hearing loss in at least one ear Is audiometry required? - ANSWER-No, not if forced whisper test passed in at least one ear. Mandatory waiting period after diagnosis of DM? - ANSWER-None Highest acceptable A1c? - ANSWER-10% Maximum certification time for someone with DM? - ANSWER-1 year Define epilepsy according to FMCSA. - ANSWER-2 or more unprovoked seizures. Wait period for a single unprovoked seizure? - ANSWER-5 years (Must also be off all medication) Waiting period for acute MI? - ANSWER-2 months Minimum required LVEF? - ANSWER-40% When is a follow-up ETT required following PCI? - ANSWER-3-6 months Maximum allowable AAA size? - ANSWER-5 cm Minimum requirement for peripheral vision? - ANSWER-70 degrees Maximum certification period for an asymptomatic patient 45 years or older with multiple CHD risk factors? - ANSWER-1 year Highest gender risk for CHD? - ANSWER-Male or postmenopausal female Modifiable risk factors for CHD? - ANSWER-HTN, tobacco, HLP, low HDL, DM, overweight, physical inactivity Which pulmonary conditions are disqualifying? - ANSWER-1. Bronchiectasis w/ hemoptysis 2. Chronic TB 3. COPD w/ severe cough 4. Asthma w/ frequent hospitalizations Minimum accepted FEV1? - ANSWER-65% of predicted Minimum waiting period after use of sedating medications? - ANSWER-12 hours Minimum required FVC? - ANSWER-65% How many incidences of spontaneous pneumothorax may occur prior to surgical intervention? - ANSWER-2 Minimum required PaO2 at 5000 ft? - ANSWER-65 mmHg Frequent of sleep testing in drivers with OSA? - ANSWER-Yearly Which two groups require "simple pulmonary function testing"? - ANSWER-1. Smokers 35 years old 2. Any Hx of SOB, CP or wheezing What three tests are used for initial evaluation of pulmonary function? - ANSWER-1. FEV1 2. FVC 3. FEV/FVC What tests must be order if minimum FEV1 or FVC requirements are not met? - ANSWER-Oximetry or ABG Minimum pulse oximetry? - ANSWER-92% Minimum required PaO2 at 5000 ft? - ANSWER-60 mmHg Elevation of Twin Falls and required minimum PaO2? - ANSWER-3,745 ft and 65 mmHg What happens to PaO2 at high altitudes? - ANSWER-It decreases. Make adjustments for drivers traveling to and from varying elevations. Purpose of the SPE (Skill Performance Evaluation)? - ANSWER-Certify a driver with a fixed deficit of lost extremity Can a medical examiner grant an SPE? - ANSWER-No. There are four FMCSA regional centers. Certification period for a SPE certificate? - ANSWER-2 years Is medicinal marijuana allowed? - ANSWER-No Who reviews a positive drug screen? - ANSWER-MRO (Medical Review Officer) Max certification period if on anticoagulation? - ANSWER-1 year for heart, disqualified for brain. Maximum allowed hypoglycemia episodes in 12 months and 5 years, respectively? - ANSWER-1 and 2 Are lithium levels required? - ANSWER-Yes, by my interpretation. Are suboxone and Chantix allowed? - ANSWER-Technically, though not recommended. Maximum certification period for DM? - ANSWER-1 year unless insulin controlled then disqualified. Duration of DM exemption? - ANSWER-2 years but must present with quarterly reports and have annual recertification. Waiting period for initial unprovoked seizure? - ANSWER-5 years Waiting period for multiple seizures (no Dx of epilipsy)? - ANSWER-10 years Maximum AHI for untreated OSA? - ANSWER-20 Waiting period after starting CPAP? - ANSWER-1 month Length of condition certification for OSA pending eval/treatment? - ANSWER-60 days. May have 1 additional 90 day period for compliance. Maximum re-certification for drivers with OSA? - ANSWER-1 year Minimum compliance with CPAP? - ANSWER-4 hours a day on 70% of days What is the purpose of the Interstate CMV driver physical exam? - ANSWER-To detect the presence of physical, mental, or organic conditions of such character and extent as to affect the driver's ability to operate a CMV safely. This examination is for public safety determination and is considered by FMCSA to be a "medical fitness for duty" examination. What is the mission of the FMCSA? - ANSWER-FMCSA is focused on reducing crashes,