DOT Certification Exam Questions With 100% Correct Answers

DOT Certification Exam Questions With 100% Correct Answers Head surgery 3 years ago from bullet, lost consciousness for 36 hours after incident. No seizures post injury, no current meds, no other health issues. Qualify? - ANSWER- No, pt is at high risk of post-traumatic brain seizures Persons who have sustained penetrating injuries to the brain or severe TBI with loss of consciousness >24hrs = permanently disqualified due to high risk of neuro deficits and seizures even many years after incident Stage 1 HTN (According to FMCSA) - ANSWER- 140-159/90-99 Stage 2 HTN (according to FMCSA) - ANSWER- 160-179/100-109 Stage 3 HTN (according to FMCSA) - ANSWER- >180/110 2 cases where you can do a one time 3 month certificate for HTN - ANSWER- 1. Stage 2 BP (160-180/100-110) with no hx of HTN or use of antihypertensives 2. Certified with Stage 1 HTN (140-159/90-99) and has not acheived BP <140/90 at recertification Hx of stage 3 HTN who has an acceptable BP at exam (<140/90), tolerates tx with no side effects, certification period - ANSWER- 6 months Pt has missing 4th R finger, provides report confirming strong right hand grasp. Does this person require SPE and why? - ANSWER- No as long as medical report confirming no interference with hand grasp power or prehension, a SPE certificate is not required for impairment/loss of finger. Thoracic aortic aneurysm 2.9cm. How would you handle this case and what is medical certification period? - ANSWER- Query and evaluate other associated cardiovascular diseases; annual cert TAA <3.5cm may be certificied annually after thorough eval Qualifying thoracic aortic aneurysm size - ANSWER- <3.5cm Pt had surgery for 5.0cm AAA 1 year ago, cardio clearance, asymptomatic. Qualified and if so how long? - ANSWER- Yes, 1 year Must be >3months from surgery with clearance and asymptomatic Which of the following neuro healthy history is IMMEDIATELY disqualifying? a. transient global amnesia b. transient sleep disorders causing excessive daytime somnolence c. number of unprovoked seizures within period of 6 years d. all the above - ANSWER- C. hx of epilepsy is disqualifying Prominent risk factors for OSA - ANSWER- BMI >28 Small jaw Large neck >17in males, >15.5in females Small area Family hx Pt with DM previously treated with oral meds and now required insulin must establish a control of hypoglycemia or hyperglycemia for a period of: - ANSWER- 1 month Minimum period required to demonstrate insulin stability following the first episode of hypoglycemia - ANSWER- 1 year What annual exams required for Pt certified under the Federal Diabetes Exemption Program for 2 years? a. vision, kidney, resp b. hearing, neuro, resp c. vision, neuro, cardio d. hearing, resp, cardio - ANSWER- c. vision, neuro, cardio 44yo male: Max cert period with pt hx of angina pectoris, cardio report 4 months before indiciating that he is asymptomatic, tolerating meds, achieved 110bpm max on ETT? a. 1 year b. 2 years c. 6 mos d. not to be certified - ANSWER- Medical report is >3mos and his ETT is abnormal as he achieved <65% intensity for a person his age (114bpm = 220 - age x 0.65) Any hx of angina is disqualified if symptomatic, changes in angina in the past 3 months, abnormal ETT, ischemic changes on rest ECG and intolerance to meds Which of the following should happen if a driver is cited for a moving traffic violation? a. lose certification b. undergo psych eval c. drug and/or alcohol testing d. none of the above - ANSWER- c. drug and ETOH testing