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DOT Study > Diabetes And Other Diseases > Flashcards

Diabetes And Other Diseases Flashcards

1
Q

Symptoms of hypo- hyper- glycemic

A

Hypo- syncope, confusion, clouded mental status

Hyper- delirium

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2
Q

True false greatest risk is hyperglycemia

A

False hypoglycemia

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3
Q

Severe hypoglycemia

A

Another person assist
Seizure
Loss of consciousness
Coma

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4
Q

True false drivers are required to have a rapid form of glucose on them

A

False guidelines

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5
Q

Comorbidities of diabetes

A

Peripheral neuropathy

Autonomic neuropathy

Diabetic retinopathy

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6
Q

Peripheral neuropathy

A

Disqualifying

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7
Q

Autonomic neuropathy

A

Disqualifying

Effects heart rate tachycardia and blood pressure

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8
Q

Diabetic retinopathy

A

Disqualifying related to sudden vision loss with retinal hemorrhages

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9
Q

Significant non/proliferate retinopathy

A

Disqualifying

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10
Q

39 CFR part 391. 46

A

Insulin exemption

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11
Q

Max certification for itdm

A

1 year

Has to be evaluated by treating clinician

45 days to return form MCSA-5870

3 months blood sugar log

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12
Q

Less than 3 months bg logs

A

3 month certification

Must return with bg logs

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13
Q

True or false itdm has to provide A1c and has to be less than 7.

A

False

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14
Q

True or false itdms are required to monitor their bg as often as their treating clinician requires

A

True

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15
Q

True or false itdms are required to report severe hypoglycemia episodes to the treating clinician as soon as reasonably practical

A

True

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16
Q

Max certification for diabetes non insulin

A

1 year

17
Q

Itdb with a severe hypoglycemia reaction

A

Notify treating clinician
Disqualifying until seen by clinician
Clinician must complete new form MCSA 5870 given to driver
Driver brings form to examiner for next certification

Max cert 1 year

18
Q

Renal failure, dialysis

A

Disqualifying

19
Q

Hx of acute bleeding ulcer hospitalization and transfusion

A

Underlying cause of ulcer treated

Low recurrence

20
Q

Hepatitis c

A

Maybe certified

21
Q

Cholecystitits

A

Qualifies

Causes severe stomach pain medication can cause fatigue drowsiness can impact

22
Q

Prostatic disfunction

A

Prolonged sitting can exacerbate

Saw palmetto can decrease symptoms

23
Q

Hernia

A

Not disqualifying

24
Q

Dyspepsia gerd

A

2 year certification

25
Q

Nephropathy with fluid retention high dose medications

A

No certification

26
Q

Renal conditions

A

Pheochromocytoma
Primary aldosteronism
Renovascular disease
Unilateral renal parenchyma disease

27
Q

Which of the following requirements for drivers with insulin dm evaluated according to 49 CFR part 391.46

Possess a rapidly absorbable form of glucose while driving

Maintain a a1c less than 7

Submit blood glucose monitoring records with each certification

Check blood glucose 1 hour prior to driving

A

Submit log

28
Q

Which is true:

A driver with diabetes who uses insulin must be elevated according to procedures specified in 49 CFR part 391.46

The most important concern related to medications use for treating diabetes is hyperglycemia

Peripheral neuropathy is not a disqualifying condition

Diabetes is not a coronary heart disease equivalent condition

A

A driver with diabetes must be evaluated and meet criteria in 49 CFR 391.46

29
Q

What is the recommend certification interval for a driver with diabetes not on insulin

A

1 year

30
Q

If glucose is detected on urinalysis in a driver with no history of diabetes and appropriate next step is

A

Finger stick blood glucose

31
Q

Which of the following is the criteria that the FMCSA uses to define a sever hypoglycemia reaction

A

Seizure
Need of assistance
Coma
Confusion

32
Q

Which is true for nephropathy:

Disqualifying
Max cert 2 years
3+ proteinurea should not be certified
Specialist should make determination

A

Max cert is 2 years

33
Q

Drivers with which of the following conditions should be disqualified:

Cancer requiring chemotherapy

Umbilical hernia not surgically repaired

Renal failure on dialysis

Hemochromatosis

A

Dialysis

34
Q

If a significant and normal finding for urinalysis specific gravity, protein, or blood is found, the medical examiner should….

A

Use clinical expertise to determine if additional evaluation is required and request or recommend primary to care to follow up

35
Q

A driver with a history of kidney disease with or without transplant

A

Must be assessed regarding severity stability medication use and medication side effects adverse reactions

36
Q

Are hernias disqualifying

A

No

DOT Study (11 decks)

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