DOT certification medical examiner test study Guide Latest

DOT certification medical examiner test study Guide Latest Coronart Bypass Graft - Qualified for one year once 3 months post procedure if a symptomatic, LVEF >40% and meets general requirements CHF accompanied by dyspnea at rest? - DQ; not medically fit for duty Unstable angina - DQ Qualify post pneumothorax-when? - Qualify when FEV >65% Psychological assessment - 1.) suspicious behavior 2.) hallucinations 3.) signs of flat affect Purpose of CMV physical exam - Public Safety and "medical fitness for duty" FMSCA Mission - Reduction of crashes, injuries and fatalities involving large trucks and buses Who and what does FMSCA regulate? - They regulate interstate commercial operation, including driver, vehicle, motor carrier and transport of hazardous material. Driver Stressors - 1.) ADL interruption 2.) Environmental factors 3.) Potential dangerous situations Possible outcomes of CMV physical exam - Qualification or Dysqualification Who can perform vision portion of exam - CMV Medical examiner, MA, opthalmologist/optometrist Visual acuity requirements - 20/40 unilateral and bilateral Which 5 eye conditions must be asked about and then referred to eye specialist? - 1.) glaucoma 2.) retinopathy 3.) aphakia 4.) macular degeneration 5.) cataracts Whisper test must be performed at - 5 feet Time post MI prior to driving - 2 months and meets all other PE requirements Minimum LVEF - 40% Maximum size abdominal aortic aneurysm - 5 cm Stage I HTN - 140-159/90-99 Minimum PaO2 below 5000 ft - 65 Minimum PaO2 above 5000 ft - 60 Minimum FEV1 requirement - 65% Minimum time lapse after taking sedating medication - 12 hours Minimum FVC - 65% History of two pneumothorax without surgical repair - DQ Qualification for CMV with loss of limb - May with SPE according to 49 CFR 391.49 Someone using insulin may be qualifed - Yes, but only with a Federal Diabetes Exemption Which of the following is evaluated in the eye - Pupil reactivity-this is a cranial nerve test Minimum pulse oximetry - 92% Vision regulation - CFR 391.41(b)(10)