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DOT > DOT questions > Flashcards

DOT questions Flashcards

1
Q

Vision standard is at least __/__ in each eye with or without correct

A

20/40 acuity

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2
Q

Minimum visual acuity requirements are __/__ binocular

A

20/40

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3
Q

For vision, at least ___ field of vision in horizontal median measured in each eye

A

70 degrees

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4
Q

A driver on coumadin (warfarin) must have an INR test every __

A

30 days

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5
Q

Hearing requirements are first perceive a forced whispered voice, in one ear, at not less than___

A

Five feet

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6
Q

A driver must have an average hearing loss, in on ear, less than or equal to ___

A

40 decibels

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7
Q

A driver with Lewy Body Dementia may be qualified/disqualified?

A

Disqualified

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8
Q

To calculate audiometric test results:

A
  1. Record hearing test results for each ear at 500 Hz, 1,000 Hz, and 2,000 Hz (ANSI standard).
  2. Average the readings for each ear by adding the test results and dividing by 3.
  3. To pass, one ear must show an average hearing loss that is less than or equal to 40 dB.
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9
Q

To pass an exercise tolerance test, a driver must exercise to a workload capacity greater than ___

A

6 METS (metabolic equivalents)

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10
Q

To pass an exercise tolerance test, a driver must attain a heart rate greater than or equivalent to__

A

85% (unless on beta blockers)

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11
Q

To pass an exercise tolerance test, a driver must have a rise in systolic BP greater than or equal to ___ without angina

A

20mm Hg

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12
Q

To pass an exercise tolerance test, on an ECG, a driver must have no __

A

significant ST segment depression

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13
Q

A driver on methadone is (qualified/disqualified) from driving a CMV per FMCSA regulations

A

Disqualified

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14
Q

Glaucoma may affect ___ on a vision test

A

Peripheral visual fields

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15
Q

True/false: a driver with monocular may qualify for a medical certificate

A

True: they do not meet standards, but may qualify for a vision certificate under the alternative vision standards outlined in (CFR 49 391.44).

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16
Q

A driver with insulin treated diabetes mellitus are required to___

A

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.

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17
Q

A driver with stable angina may be certified if they are____ (x3)

A

> Asymptomatic
Tolerates medications
Has a satisfactory exercise tolerance test (ETT)

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18
Q

Scarring of the tympanic membrane may indicate___

A

Prior perforation, infection or inflammation and directly lead to hearing loss

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19
Q

A patient’s urine must be tested for all of the following except:

a) Specific gravity
b) Blood
c) Glucose
d) Bacteria

A

D) Bacteria

20
Q

A driver with a AAA is recommended not to be certified if the driver has ___ (x2)

A

> 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

21
Q

A driver with a AAA is recommended not to be certified if the AAA: (x3)

A

> 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

22
Q

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

A

2 years

23
Q

___ is an early symptom of cataracts

A

Glare, especially at night

24
Q

According FMCSA guidelines, the definition of a severe hypoglycemic reaction in a driver with diabetes includes___

A

Period of impaired cognitive function that occurs without warning

25
Q

In a driver with interstitial lung disease (often associated with occupational and environmental exposures), recommend not to certify if the driver has__ (x3)

A

> Hypoxemia at rest
Chronic respiratory failure
History of continuing cough

26
Q

FMCSA guidelines recommend not certifying if the patient’s INR ___

A

Is not being monitored or is not therapeutic

27
Q

Therapeutic INR is ___

A

between 2-3

28
Q

The FMCSA recommends a driver with an ICD (implantable cardioverter defibrillator)__

A

Not be certified

29
Q

If the driver has had CABG surgery the driver must obtain approval from their cardiologist and provide documentation of a LVEF of ___

A

> 40%

30
Q

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

A. Meniere’s Disease

31
Q

A driver with stage 1 HTN (140/90-159/99) may be certified for___

A

1 year

32
Q

Stage 1 HTN is described as___

A

140/90-159/99

33
Q

A driver with stage 2 HTN (160/100-179/109) should be treated and a one-time certificate for ___ may be issued

A

3 month

34
Q

Stage 2 HTN is described as

A

160/100-179/109

35
Q

A driver with stage 3 HTN (>/ 180/110) should not certified until BP is reduced to </140/90 and may be recertified

A

Every 6 months

36
Q

In the case of a driver with monocular vision, the certified medical examiner __

A

Must refer the driver to an optometrist/ophthalmologist as part of the certification process

37
Q

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

A

C. A nonfunctioning hand

38
Q

When performing a PFT, if the forced expiratory volume in the first second of expiration is ___, ABG measurements should be evaluated

A

<65%

39
Q

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:

A

At least the preceding 3 months of electronic blood glucose self-monitoring records

40
Q

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

A

Disqualified

41
Q

A driver with a fixed limb deficit must have a valid___

A

Skill Performance Evaluation (SPE) certificate

42
Q

In a driver with a history of TIA, the risk of having another TIA, stroke, or other vascular event is highest___

A

The first few weeks or months following the initial event

43
Q

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.

A

2 years

44
Q

The driver who is being treated for sleep apnea should ___

A

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

45
Q

The driver with a current history of epilepsy on anticonvulsant drugs____

A

Must be disqualified

46
Q

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.

A

10 years

47
Q
A

DOT (1 decks)

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