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DOT Exam > Cardiology Pt. 2 > Flashcards

Cardiology Pt. 2 Flashcards

1
Q

Congenital Heart Disease Certification Period

A

1 year

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2
Q

Congenital Heart Disease Cert Requirements

A
  1. Asymptomatic
  2. Mild tricuspid anomaly
  3. Mild cardiac enlargement
  4. Mild RV dysfunction
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3
Q

Congenital Heart Disease DQ

A
  1. Symptomatic
  2. More than mild anomaly
  3. Intracardiac Lesion (ASD)
  4. Shunt
  5. Symptomatic arrhythmia
  6. Accessory conduction pathway

*may certify after surgical intervention

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4
Q

Heart Transplant Waiting & Certification Period

A

Waiting: 1 year

Max Cert: 6 months

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5
Q

Heart Transplant Cert Requirements

A
  1. Asymptomatic
  2. Tolerates Meds
  3. Cleared
  4. No signs of transplant rejection
  5. Re-evaluate q 6 months
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6
Q

Cardiomyopathy

A

DISQUALIFY if:
1. Hypertrophic cardiomyopathy
2. Restrictive cardiomyopathy

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7
Q

AAA Waiting & Certification Period

A

Waiting: 3 months post-surgical repair

Max Cert: 1 year

*should undergo annual US to monitor size

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8
Q

AAA Certification Requirements

A
  1. Asymptomatic
  2. < 4cm
  3. > 4cm but < 5cm with clearance
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9
Q

AAA DQ

A
  1. Symptomatic regardless of size
  2. Recommendation for surgical repair by specialist
  3. > 4cm but < 5cm but without clearance
  4. > 5cm
  5. Increase of size > 0.5cm in 6 months
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10
Q

Thoracic Aneurysm Waiting & Certification Period

A

Waiting: 3 months post-surgical repair

Max Cert: 1 year

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11
Q

Thoracic Aneurysm Cert Requirements

A
  1. < 5cm
  2. Asymptomatic
  3. Clearance
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12
Q

Acute DVT Certification Period

A

1 year

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13
Q

Chronic Thrombotic Venous Certification Period & Requirements

A

Max Cert: 2 years

Certify if Asymptomatic

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14
Q

Intermittent Claudication Waiting & Certification Period

A

Waiting: 3 months post-surgical repair

Max Cert: 1 year

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15
Q

Intermittent Claudication Certification Requirements and DQ

A
  1. Sx improved after surgery

DQ if driver continues to have pain at rest

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16
Q

Superficial Phlebitis
Certification Period

A

Max Cert: 2 years

Self limited

Rule out DVT

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17
Q

Varicose Veins

A

Varicose veins alone do not disqualify a driver

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18
Q

PE Waiting & Certification Period

A

Waiting: 3 months w/o additional PE

Max Cert: 1 year

19
Q

PE Cert Requirements and DQ

A
  1. Appropriate long-term treatment

DQ if driver is symptomatic

20
Q

AR Waiting & Certification Period

A

Waiting: 3 months if surgical repair

Max Cert:
- 6 months if not repaired
- 1 year if repaired

21
Q

AR Certification Requirements

A
  1. Asymptomatic
  2. Normal LV function
  3. +/- LV dilation but:
    - LV EDV < 60mm
    - LV ESV < 50mm
22
Q

AR DQ

A
  1. Symptomatic
  2. LVED < 40%
  3. Greater than mild LV dilation
    - LV EDV > 70mm
    - LV ESV > 55mm
23
Q

AS Waiting & Certification Period

A

Waiting: 3 months post-surgical repair

Max Cert: 1 year

24
Q

AS Certification Requirements

A
  1. Mild stenosis that is asymptomatic
  2. Moderate stenosis that is asymptomatic
  3. Severe stenosis that has been repaired
25
Q

AS DQ

A

Moderate stenosis with 1 or more of the following:
1. Angina
2. CHF
3. AFib
4. LVEF < 40%
5. Thromboembolism

*DQ if driver has severe stenosis regardless of symptoms of LV function

26
Q

Aortic Valve Repair
- Waiting
- Certification Period
- DQ

A

Waiting: 3 months post-repair

Max Cert: 1 year

DQ: Thromboembolic events after repair

27
Q

MR Waiting & Certification Period

A

Waiting: 3 months

Max Cert: 1 year

28
Q

MR Certification Requirements

A

Mild/Moderate
1. Asymptomatic
2. Normal LV size/function
3. Normal pulmonary a. pressure

Severe
1. Asymptomatic

Surgical Repair
1. Asymptomatic
2. Clearance

29
Q

MR DQ

A
  1. Symptomatic
  2. < 6 METs on ETT
  3. Ruptured chordae or flail leaflet
  4. AFib
  5. LVEF < 40%
  6. Thromboembolism
  7. Pulmonary HTN
30
Q

MS Waiting & Certification Period

A

Waiting:
- 4 weeks if balloon valvotomy
- 3 months if surgical

Max Cert: 1 year

31
Q

Untreated MS Certification Requirements

A

Mild
1. Asymptomatic

Moderate
1 Asymptomatic

Severe
1. Asymptomatic with clearance

32
Q

Untreated MS DQ

A
  1. Symptomatic
  2. Recommendation for surgical repair
33
Q

Treated MS Certification Requirements

A
  1. Asymptomatic
  2. Clearance
  3. No thromboembolic events
  4. No pulmonary HTN
34
Q

Treated MS DQ

A
  1. Thromboembolic events
  2. Pulmonary HTN
35
Q

MVP Certification Period

36
Q

MVP DQ

A
  1. Symptomatic or decreased tolerance
  2. Ruptured chordae or flail leaflet
  3. Systemic emboli
  4. AFib
  5. Syncope
  6. Tach
  7. LVEF < 40%
37
Q

Prosthetic Valves Waiting & Certification Period

A

Waiting: 3 months post replacement

Max Cert: 1 year

38
Q

Prosthetic Valves Certification Requirements

A
  1. Asymptomatic
  2. Clearance
39
Q

Prosthetic Valves DQ

A
  1. Symptomatic
  2. LVEF < 40%
  3. Thromboembolic events
  4. AFib
  5. Pulmonary HTN
  6. INR not therapeutic
40
Q

PS Waiting & Certification Period

A

Waiting:
- 4 weeks if balloon valvotomy
- 3 months if surgical

Max Cert: 1 year

41
Q

PS Certification Requirements

A
  1. Asymptomatic w/ mild or moderate stenosis
  2. Corrected with clearance
42
Q

PS DQ

A
  1. Symptomatic
  2. Pulmonary Valve > 50
  3. RV pressure > 50% systemic
  4. RV Hypertrophy
  5. RV Dysfunction
  6. Moderate PR
  7. Pulmonary artery diameter > 5cm
43
Q

Anticoagulant Therapy Certification Period and Requirements

A

Max Cert: 1 year

  1. Stabilized on medication for at least 1 month
  2. Copy of INR results to visit
  3. Monthly INR monitoring
  4. INR is therapeutic (2-3)

DOT Exam (12 decks)

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