DOT questions Flashcards
Vision standard is at least __/__ in each eye with or without correct
20/40 acuity
Minimum visual acuity requirements are __/__ binocular
20/40
For vision, at least ___ field of vision in horizontal median measured in each eye
70 degrees
A driver on coumadin (warfarin) must have an INR test every __
30 days
Hearing requirements are first perceive a forced whispered voice, in one ear, at not less than___
Five feet
A driver must have an average hearing loss, in on ear, less than or equal to ___
40 decibels
A driver with Lewy Body Dementia may be qualified/disqualified?
Disqualified
To calculate audiometric test results:
- Record hearing test results for each ear at 500 Hz, 1,000 Hz, and 2,000 Hz (ANSI standard).
- Average the readings for each ear by adding the test results and dividing by 3.
- To pass, one ear must show an average hearing loss that is less than or equal to 40 dB.
To pass an exercise tolerance test, a driver must exercise to a workload capacity greater than ___
6 METS (metabolic equivalents)
To pass an exercise tolerance test, a driver must attain a heart rate greater than or equivalent to__
85% (unless on beta blockers)
To pass an exercise tolerance test, a driver must have a rise in systolic BP greater than or equal to ___ without angina
20mm Hg
To pass an exercise tolerance test, on an ECG, a driver must have no __
significant ST segment depression
A driver on methadone is (qualified/disqualified) from driving a CMV per FMCSA regulations
Disqualified
Glaucoma may affect ___ on a vision test
Peripheral visual fields
True/false: a driver with monocular may qualify for a medical certificate
True: they do not meet standards, but may qualify for a vision certificate under the alternative vision standards outlined in (CFR 49 391.44).
A driver with insulin treated diabetes mellitus are required to___
See their PCP for completion of the ITDM Assessment Form, MCSA-5870, which must be presented to the Certified Medical Examiner within 45 days of completion by the Treating Clinician.
A driver with stable angina may be certified if they are____ (x3)
> Asymptomatic
Tolerates medications
Has a satisfactory exercise tolerance test (ETT)
Scarring of the tympanic membrane may indicate___
Prior perforation, infection or inflammation and directly lead to hearing loss
A patient’s urine must be tested for all of the following except:
a) Specific gravity
b) Blood
c) Glucose
d) Bacteria
D) Bacteria
A driver with a AAA is recommended not to be certified if the driver has ___ (x2)
> Symptomatic, regardless of AAA size
Recommendation for surgical repair, regardless of AAA size, from a CV specialist who understands the functions and demands of commercial driving
A driver with a AAA is recommended not to be certified if the AAA: (x3)
> Is greater than 4cm but less than 5cm and the driver does not have medical clearance for commercial driving from CV specialist
Is greater than or equal to 5cm
Has increased more than 0.5cm during a 6 month period, regardless of size
FMCSA guidelines mandate that at least every ____ the driver with a history of a major mood disorder should have evaluation and clearance from a mental health specialist, such as a psychiatrist or psychologist, who understands the functions and demands of commercial driving
2 years
___ is an early symptom of cataracts
Glare, especially at night
According FMCSA guidelines, the definition of a severe hypoglycemic reaction in a driver with diabetes includes___
Period of impaired cognitive function that occurs without warning
In a driver with interstitial lung disease (often associated with occupational and environmental exposures), recommend not to certify if the driver has__ (x3)
> Hypoxemia at rest
Chronic respiratory failure
History of continuing cough
FMCSA guidelines recommend not certifying if the patient’s INR ___
Is not being monitored or is not therapeutic
Therapeutic INR is ___
between 2-3
The FMCSA recommends a driver with an ICD (implantable cardioverter defibrillator)__
Not be certified
If the driver has had CABG surgery the driver must obtain approval from their cardiologist and provide documentation of a LVEF of ___
> 40%
The Conference on Neurological Disorders and Commercial Drivers report recommends disqualification when there is a diagnosis of?
A. Meniere’s Disease
B. Benign Positional Vertigo
C. Chronic otitis media
D. Scarring of the tympanic membranes.
A. Meniere’s Disease
A driver with stage 1 HTN (140/90-159/99) may be certified for___
1 year
Stage 1 HTN is described as___
140/90-159/99
A driver with stage 2 HTN (160/100-179/109) should be treated and a one-time certificate for ___ may be issued
3 month
Stage 2 HTN is described as
160/100-179/109
A driver with stage 3 HTN (>/ 180/110) should not certified until BP is reduced to </140/90 and may be recertified
Every 6 months
In the case of a driver with monocular vision, the certified medical examiner __
Must refer the driver to an optometrist/ophthalmologist as part of the certification process
Which of the following msk disorders mandates denial of certification?
A. A missing finger
B. A missing toe
C. A nonfunctioning hand
D. A broken toe
C. A nonfunctioning hand
When performing a PFT, if the forced expiratory volume in the first second of expiration is ___, ABG measurements should be evaluated
<65%
The CMV driver utilizing insulin for blood glucose control is not physically qualified to operate a commerical motor vehicle up to the maximum 12-month period under regulation 391.45(e) until he or she provides the treating clinician with:
At least the preceding 3 months of electronic blood glucose self-monitoring records
According to the FMCSA regulations, the driver utilizing insulin for glucose control with a diagnosis of severe proliferative retinopathy can be qualified for a period of
Disqualified
A driver with a fixed limb deficit must have a valid___
Skill Performance Evaluation (SPE) certificate
In a driver with a history of TIA, the risk of having another TIA, stroke, or other vascular event is highest___
The first few weeks or months following the initial event
A driver taking anticonvulsants may be certified for a maximum period of ____
as long as the nature and severity of the underlying condition does not interfere with safe driving and the effects of medication used while operating a commercial motor vehicle do not endanger the safety of the driver and the public.
2 years
The driver who is being treated for sleep apnea should ___
remain symptom free and must agree to continued uninterrupted therapy and undergo yearly objective testing, i.e., multiple sleep latency test or maintenance of wakefulness test
The driver with a current history of epilepsy on anticonvulsant drugs____
Must be disqualified
The driver with a diagnosis of epilepsy must be seizure free and off anticonvulsants drugs for ____ before he or she can be certified to drive a CMV.
10 years
