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DOT Certification > Exam > Flashcards

Exam Flashcards

1
Q

Absolute nondiscretionary conditions

A

diabetes on insulin, epilepsy, hearing loss

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2
Q

Those with seizures can quality if

A

last seizure and last seizure med taken was more than 5 years ago

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3
Q

To meeting hearing standard, the driver must be able to complete hearing test in

A

at least one ear.

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4
Q

Whisper test is passed if able to hear at ____

A

5 feet or greater

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5
Q

If failed whisper test, then next step is

A

refer for audiometric testing

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6
Q

Audiometry is calculated by average hearing loss at

A

500, 1000, and 2000 Hz

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7
Q

The driver cannot have an average loss of ___ in ONE ear.

A

more than 40 dB

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8
Q

Must have visual acuity of at least ____ in each eye and both eyes

A

20/40

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9
Q

Must have field of vision of at least ____ in both eyes

A

70 degrees

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10
Q

Must be able to recognize these colors

A

red, amber, green

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11
Q

Those with amputations, immobile joints, or paralysis cannot quality unless they’ve been issued a

A

SPE

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12
Q

FEV1 needs to be

A

greater than 65%

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13
Q

FVC needs to be

A

greater than 60%

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14
Q

FEV1/FVC needs to be

A

greater than 65%

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15
Q

If patient fails LFTs, then

A

ABG needed

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16
Q

ABG needs to have Pa02 greater than ____ and PaC02 less than ____

A

65; 45

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17
Q

Those patients with BMI greater than ____ need to be considered for sleep study

A

30-33

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18
Q

Drivers with HTN can be certified for max of

A

1 year

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19
Q

Certification requirements for drivers with CVD/MI

A

max certification for 1 year, ETT every 2 years

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20
Q

Audiometric results that would disqualify driver would be

A

both ears having average greater than 40 dB

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21
Q

Mission is focused on reducing crashes, injuries, and fatalities involving large trucks and buses

A

FMCSA

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22
Q

The mission of the _______ is to promote the safety of America’s roadways through the promulgation and implementation of medical regulations, guidelines and policies that ensure commercial motor vehicle drivers engaged in interstate commerce are physically qualified to do so

A

Office of Medical Programs

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23
Q

The primary mission of the _____ is to improve highway safety by producing trained, certified medical examiners who can effectively determine if a commercial motor vehicle driver’s health meets Federal Motor Carrier Safety Administration standards.”

A

National Registry of Certified Medical Examiners

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24
Q

medical certification is required for drivers that

A
  • have a combined weight of 10,000 lb or more;
  • transport 9-15 passengers;
  • transport 16 or more passengers with/without compensation;
  • transports hazardous mateirals
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25
Q

certification cannot exceed

A

2 years

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26
Q

an alternative physical qualification standard for the driver with a fixed musculoskeletal deficit of an extremity who cannot physically qualify to drive

A

SPE

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27
Q

The only two exemption programs

A

diabetes and vision

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28
Q

two or more unprovoked seizures

A

epilepsy

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29
Q

Those with ICD

A

should be disqualified xt

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30
Q

disqualifying vision includes

A
  • monocular vision,

- one contact lens that corrects distant while the other corrects near;

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31
Q

converting ISO to ANSI standards:
subtracting __ dB from ISO for 500 Hz,
subtracting __ dB from ISO for 1000 Hz,
subtracting __ dB from ISO for 2000 Hz,

A

14; 10; 8.5

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32
Q

another BP measurement must be taken if initial is

A

greater than 140/90

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33
Q

A one-time, three-month medical certificate is granted in these two cases:

A
  • Stage 2 HTN;

- driver has stage 1 that hasn’t reached goal of less than 140/90 at recert

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34
Q

stage 1 HTN

A

140-159/90-99

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35
Q

stage II HTN

A

160-179/100-109

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36
Q

Stage III HTN

A

greater than 180/110

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37
Q

UA tests for

A

specific gravity, blood, protein, and glucose

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38
Q

minimum amount of time to keep records of driver’s medical records and certificate

A

3 years

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39
Q

SPE certificate is valid for

A

2 years

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40
Q

A driver with monocular vision

A

can apply for exemption if otherwise qualified

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41
Q

The otherwise medically qualified driver with a Federal vision exemption can be recertified for

A

one year

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42
Q

these people have high risk of cataracts

A

gout, diabetes, steroid use

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43
Q

Most common cause of retinopathy is

A

diabetes

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44
Q

syllables for whispered ear test

A

three, two-syllable words

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45
Q

avoid saying this during forced whisper

A

s-words

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46
Q

those with vertigo can be certified if they have been symptom-free for _____

A

at least 2 months

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47
Q

recommended to disqualify these ear conditions

A

Meniere’s, labyrinthine fistula

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48
Q

An individual diagnosed with Stage 1 hypertension may be certified for ____

A

one year

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49
Q

Stages of certification for stage 1 HTN

A

If first time having stage I, then one year certificate.
If next year it is still above 140/90, then a one-time certificate for 3 months can given.
If at 3 months still above 140/90, then can disqualify until reached goal.

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50
Q

Stages of certification for Stage 2 HTN

A

First time having stage II, then one time certification for 3 months.
If still not at goal, then can disqualify

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51
Q

The driver who is disqualified for stage 3 hypertension may be recertified for ___ if BP is lowered to less than 140/90 and medications are well tolerated.

A

6 months

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52
Q

examples of secondary HTN

A

pheochromocytoma, primary aldosteronism, renovascular disease

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53
Q

Those on coumadin can be certified for max of ____

A

1 year

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54
Q

Those on coumadin can be certified if they’ve be stable on meds for at least ____ and ____

A

1 month; have monthly INR monitoring

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55
Q

waiting period after AAA repair

A

3 months

56
Q

A driver with AAA can be certified if it is less than

A

4 cm and asymptomatic

57
Q

A driver with AAA can be certified if it is less than 5 cm AND

A

has clearance by cardiovascular specialist.

58
Q

waiting time after PE

A

3 months

59
Q

max certification for 2 years for these CV conditions

A

superficial phlebitis, varicose veins

60
Q

A driver with thoracic aneurysm can be certified if it is less than

A

3.5 cm

61
Q

Waiting time after thoracic aneurysm

A

3 months, clearance from cardiovascular specialist

62
Q

electronic devices that treat cardiac arrest, ventricular fibrillation, and ventricular tachycardia

A

Implantable Cardioverter-Defibrillators

63
Q

an implantable device designed to treat bradycardia

A

pacemaker

64
Q

waiting period after pacemaker insertion is __ month(s) if d/t sinus node dysfunction or AV block

A

1

65
Q

waiting period after pacemaker insertion is __ month(s) if d/t neurocardiogenic syncope or hypersensitive carotid sinus syncope

A

3

66
Q

A driver is not qualified if LVEF is

A

less than 40%

67
Q

waiting period for MI

A

at least 2 months

68
Q

Driver with hx of MI can be qualified if they are

A
  • asymptomatic for at least 3 mo,
  • passes ETT,
  • LVEF greater than 40%
69
Q

Driver can certified with ____ angina

A

stable

70
Q

waiting time for CABG

A

at least 3 months

71
Q

monitoring and testing needed for post-CABG

A

annual ETT after 5 years

72
Q

waiting time after PCI

A

1 week

73
Q

certification requirements after PCI

A

initial f/u within 6 months, then annually after

74
Q

Those post-PCI should have a ____ within 3-6 months

A

ETT

75
Q

congenital downward displacement of the tricuspid valve

A

Ebstein anomaly

76
Q

max certification after heart transplant

A

6 months

77
Q

The driver should abstain from antihistamine medication for ____ prior to operating a vehicle

A

12 hours

78
Q

PFTs are indicated in these drivers:

A
  • hx of any lung disease;
  • symptoms of SOB, cough, wheezing;
  • smoking in those 35 and older
79
Q

If pulse ox is less than ___, an ABG is recommended

A

92%

80
Q

provoked seizures can be caused by

A

meds, anesthesia, hypoglycemia, fever

81
Q

side effects of anticonvulsants

A

depressed mood, decreased reflexes, unsteadiness, sedation

82
Q

For mild insult without early seizures, stroke without risk for seizures, or SAH without risk for seizures, minimum waiting period is

A

1 year

83
Q

clearance for seizures requires

A

being off of seizure meds and seizure free;
clearance from neurologist;
normal neuro exam

84
Q

max certification for febrile seizures

A

2 years if occurred before age 5

85
Q

driver with hx of single unprovoked seizure needs to be seizure free and off meds for at least

A

5 years

86
Q

minimum waiting period for bacterial meningitis with early seizures

A

5 years

87
Q

minimum waiting period for viral meningitis with early seizures

A

10 years

88
Q

certification for those with peripheral neuropathy

A

DO NOT certify

89
Q

minimum waiting time s/p strokes not a risk for seizures

A

1 year

90
Q

minimum waiting time s/p strokes at risk for siezures

A

5 years

91
Q

these kinds of hemorrhages and strokes are not associated with an increased risk for seizures.

A

cerebellum and brainstem

92
Q

these kinds of hemorrhages and strokes are associated with an increased risk for seizures.

A

Cortical and subcortical

93
Q

has no dural penetration or loss of consciousness and lasts for fewer than 30 minutes

A

mild TBI

94
Q

does not penetrate the dura but causes a loss of consciousness lasting longer than 30 minutes, but less than 24 hours

A

moderate TBI

95
Q

waiting period for mild to moderate TBI

A

2 years seizure free and off meds

96
Q

neuro disorders that have 10 year waiting period

A

epilepsy, viral encephalitis with seizures

97
Q

neuro disorders that have 5 year waiting period

A

single unprovoked seizure, bacterial meningitis with seizures

98
Q

The SPE applies only to _____ of the extremities, not those caused by a ______

A

fixed deficits; progressive disease.

99
Q

examples of grip strength tests

A

dyamometer, squeezing a sphygmomanometer

100
Q

The diabetes qualification standard parameter is ____, not the diagnosis of diabetes mellitus.

A

use of insulin

101
Q

Hemoglobin A1c (HbA1c) greater than ___ is an indicator of poor blood glucose control.

A

10%

102
Q

Proof of grandfathered status is the original letter from ___ granting the right to continue to drive as long as the driver can meet physical qualification requirements.

A

1996

103
Q

hypoglycemia can be self-treated by the ingestion of at least _____ of glucose tablets or carbohydrates

A

20 grams

104
Q

Diabetes Exemption requires this monitoring

A
  • annual eval by endocrinologist;
  • annual vision eval;
  • blood sugar recordings
105
Q

blood sugar recordings for diabetes exemption drivers should record sugars

A

before driving and every 2-4 hours while driving

106
Q

blood glucose levels for those on diabetes exemption should be between

A

100-400

107
Q

waiting time for diabetes

A

1 month if previously on diabetic meds; 2 months if newly diabetic just starting on meds

108
Q

waiting time s/p ECT

A

6 months

109
Q

minimum waiting period if driver is symptom free from a brief reactive psychosis or schizophreniform disorder

A

6 months

110
Q

Certification for driver with substance abuse may require successful completion of a

A

substance abuse professional (SAP) rehab program

111
Q

drugs that disqualify driver

A

schedule I drugs, amphetamines, narcotics, methadone, marijuana

112
Q

What to do if driver passes hearing test in one ear but fails in other ear

A

can certify for 2 years

113
Q

Chantix

A

immediate disqualification

114
Q

Antabuse

A

med taken for substance abuse; can be disqualifying

115
Q

CPAP monitoring

A

must provide CPAP compliance reports annually

116
Q

waiting period for severe depression and suicide attempts

A

1 year

117
Q

stable angina must be static with these 4 conditions

A

Emotion
Extreme in weathers
Exertion
Ecstacy

118
Q

examples of changes in BP that are disqualified

A

resting tachycardia and/or orthostatic hypotension

119
Q

certification with afib

A

1 year if rate controlled

120
Q

a good exercise tolerance test is greater than ___ METS

A

6

121
Q

only stage of HF that can qualify for certification

A

Stage 1

122
Q

if suspected substance abuse

A

contact employer and disqualify

123
Q

types of antidepressants that are disqualifying

A

1st generations: TCA

124
Q

non-sedating anxiolytics are qualifying if…

A
  • half life less than 5 hours;
  • low dose;
  • short term therapy for less than 2 weeks
125
Q

monitoring for Ebstein anomaly

A

ECHO yearly

126
Q

___ lbs is normal grasp and prehension.

A

58 lbs

127
Q

The patient on CPAP has to have been on it for at least ____ before being certified

A

1 month without symptoms

128
Q

driver cannot drink alcohol up to ___ hours before driving

A

4 hours

129
Q

minimally acceptable use of CPAP for certification

A

70% nights

130
Q

Adriverwhohasahistoryof____or
moreepisode(s)ofspontaneouspneumothorax
requires______before
qualifying

A

2; surgery

131
Q

Adriverwhoisotherwisequalifiedwhen

accompaniedbyanSPEcanbecertifiedfor

A

2 years

132
Q

A driver with a hx of bacterial meningitis with seizures but has been seizure and med free for more than 5 years can qualify for ___ year certification

A

2

133
Q

Autonomicneuropathy

A

Can certify

134
Q

how long does a newly diagnosed diabetic need to be on insulin before being able to be examined?

A

2 months

135
Q

An A1C is equivalent to a blood glucose of

A

240

136
Q

Modafinil (Provigil) is used for

A

nacrolepsy

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