DOT Certification ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS|AGRADE

DOT Certification ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS|AGRADE what type of driver is required to take exam - ANSWER- all interstate comercial drivers who: -have a vehcile weight of 10,000 pounds -drivers using vehicle carrying 9 to 15 people if for compensation -drivers transporting 16 passangers or more even if not for compensation -drivers transporting hazardous material non discretionary standards that immediately disqualify driver - ANSWER- 1. use of insulin for diabete 2. seizure disorder or epilepsy 3. failure of hearing or vision discretionar standards` - ANSWER- loss of foot, leg hand or arm -no current diagnosis of mi, angia thrombosis, coronary insufeciency or other disease that can results in syncope, dyspnea, collapse or chf -no respiratory conditoin or htn -no arhtritis or ortho pissues no psych issues -no amphetamine, or narcotic or alcoholism temporary 2 year relief fromon or more of the fmcsa regulations. two medical expmptions - ANSWER- vision exemption and diabetes but must be made by fmcsa not yoU!! must the driver have a ua - ANSWER- yes what is the most critical issue for a driver with diabetes - ANSWER- preventing hypoglycemia factors that could affect glucose - ANSWER- fatigue, emotional , sleep deprivation, stress, poor diet, missed meals reason to disqualify a diabetic - ANSWER- insulin prolonged periods of hyperglycermia can lead to what disqualifying conditions - ANSWER- neuropathy retinopathy nephropathy atheroscelerosis fmcsa definition of severe hypoglycemic reaction is one that results in - ANSWERseizure, loss of conciousness, needs assistance from another person period of impaired cognitive fuciton occuring without warning if a driver has had a severe hypoglycemic reaction in the last ___ months, what should you do - ANSWER- 12, disqualify if the driver has had two or more severe hypogylcemic episodes in the past __ yers, do what - ANSWER- five years, disqualify what medication do you only certify the driver for one year if taking - ANSWERinjectable non insulin what diabetes complications are severe enough they can be disqualifying - ANSWER1. renal : insufficiency, proteinuria, nephrotic syndrome 2. cardio: coronary artery disease, htn, tsa, stroke, pvd 3. neuro: peripheral neuopath, decrease seasation, and autonomic lneuroathy, cardia, gi , fu what is periphereal neuropathy - ANSWER- weakness, numbness, pain in extremities, in hands makes it hard to steer, in feet makes hard for balance and to press gas recommended to disqualify driver if he has perifpheral neuropathy unless - ANSWERneurologist or physiologist who understands demands and skillls needed conducats a simulated driving skills test to verify he meets standards, must be reevaluated annually diabetic retinopathy must - ANSWER- be examined by opthamologist blood pressure - ANSWER- orthostatic hypotension disqualify heart rate - ANSWER- resting tachycardia, disqualify if a driver does not know they have dm, and have glucosuria on ua then what - ANSWER- finger stick, if probable dm they should see a pcp before certifying, what hemoglobin a1c is considered poro control - ANSWER- over 10, don't certify until under tht disqualifying eye conditions - ANSWER- unstable proliferative retinopathy (diagnosed by opthamoligist), diagnosis of macular degeneration even with telescopic lenses federal diabetes exception program allows some driers wtih dm that require insulin to operate a cmv for - ANSWER- 2 years but it is granted by fmcsa not me requirements to be except by fmcsa - ANSWER- deemed medically fit to drive by me otherwise, annual exam by board certifed endocrinologist. annual eval by opthamologist or optometrist with vision checklist, d. retionpathy must be by opthamologist, must have yearly medical re certs, must participation in diabetes education annually, must possess a rapidly absorble form of glucose will driving (ic 20 g glucose tablerts, blood glucose monioring, finger stic one hour bfore and every four hours while driving, submit blood glucose moniotring logs at annual, must have a copy of exception letter while on duty a man is a diabetic and has been takign oral medicatio but is starting on insulin, what now - ANSWER- needs 1 mpnth period on insulin to establish control for the exception newly diagnosed diabetic starts on insulin - ANSWER- needs 2 month period on insulin to establish stable control what diabetics get grandfathered in - ANSWER- ones who participated in the study in 1996, as long as they get annual pe by endocrinologist,