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DOT Study > Fundamentals > Flashcards

Fundamentals Flashcards

1
Q

Who created the national registry of certified medical examiners?

A

Federal motor carrier safety administration

Division of the DOT

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2
Q

4 reasons why crashes with CMV are catastrophic

A
  1. Increased in injury fatalities
  2. Risk to enironment
  3. Carrying people
  4. Cost
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3
Q

49 CFR 391.41

A

Physical qualifications for drivers

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4
Q

49 CFR 391. 43

A

medical examination; certificate of physical qualifications

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5
Q

49 CFR part 391.46

A

Physical qualifications standards for an individual with DB with insulin.

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6
Q

49 CFR Part 391.47

A

Resolution of conflicts of med eval

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7
Q

49 CFR 391. 49

A

Skill performance evaluation certificate

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8
Q

49 CFR 391. 62

A

Limited exemptions for intra-city zone drivers

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9
Q

49 CFR 391. 64

A

Grandfathering for certain drivers: vision, diabetes waiver study programs

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10
Q

49 CFR Part 40

A

DOT procedures drug and alcohol testing

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11
Q

49 CFR part 381

A

Waivers and exemptions pilot programs

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12
Q

21 USC sec. 812

A

U. S. Drug enforcement agency

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13
Q

Regulation VS Guidelines

A

Regulation - laws have to be followed

Guidelines - recommendations may or may not be followed

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14
Q

Medical examination for

A

Interstate drivers

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15
Q
  1. CFR Part 391.64
A

Vision and diabetes waiver grandfathering study

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16
Q

Who can comment on medical standards and rule making

A

Medical standards and guidelines are subject to public and comment rule making

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17
Q

What’s the FMCSA medical program responsibility

A

Conduct and oversee the agency’s medical exemption and certificate program

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18
Q

Conditions that are standard regulated

A

Vision- distance, horizontal,color
Diabetes- insulin
Epilepsy- with waiver
Hearing- waiver

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19
Q

Types of drivers (4)

A

Turn around- at home every evening
Long relay- 9-11 hours, 10 hours off
Straight through- cross country
Team drivers- alt. 5 hour driving periods with 5 hr rest periods

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20
Q

Work related issues (drivers) (7)

A

Abrupt schedule changes
Long hours
Decreased support systems
Tight schedules
Adverse driving conditions
Environmental conditions: vibration, noise, temp. Extremes
Transport passengers- hazardous materials

21
Q

Snellen chart

A

Numerator- 20

Denominator- smallest type read

22
Q

Whispered Hearing test

A 
5 feet from examiner
Ear being tested toward examiner
Other ear covered
Using breath after normal expiration 
   Whisper 3 random words numbers
23
Q

Failed whispered test

A

Perform audio metric test

24
Q

Audiometric test

A

Record decibel loss at 500hz, 1000hz, 2000hz

Average the loss

25
Failed audiometric testing
Perform whispered voice test if not performed already
26
Compensated diseases
Diseases or conditions that don’t have symptoms of Eg. recent femur fracture with FROM, norm. Sensation
27
Not-compensated diseases
Diseases or conditions with symptoms Eg. diabetes with severe peripheral neuropathy
28
Stage 1 HTN
140/90 - 159/99 1year certification
29
Recertification BP
Bp greater than 140/90 less than 160/100 1 time certificate - 3 months
30
Stage 2 HTN
160/100 - 179/109 1 time certificate 3 months Reduced BP less than 140/90 annual recertification
31
Stage 3 BP
180/110 or more Not certified until after BP reduced to less than 140/90 Recertification q 6 months
32
Urinalysis
Specific gravity Protein Blood Glucose
33
Skill performance evaluation
Apply to Granted by FMCSA loss/impairment extremity Skill performance evaluation certificate 391.49
34
Possible additional tests in general
``` Blood glucose finger stick Pulse ox Abg Stress exercise tolerance test - ett Sleep studies Drug test ```
35
Findings needing additional testing
Abnormal ua Cardiovascular insufficiency Abnormal affect at examination Recently prescribed treatment or medication
36
Who certifies
The medical examiner Specialist provide information and recommendations can’t decide
37
Advice for drivers
Fatigue lack of sleep bad diet emotional conditions stress illnesses can affect driving
38
Advise to carry extra
Contact lenses/glasses Hearing aid/ batteries Medications
39
Medications evaluate (5)
Side effects, interactions, synergistic effects Read warning labels for all meds Extra meds Refilling prescriptions while driving Effectiveness can be affected by storage, light heat cold moisture
40
Certification possibilities
``` Maximum 2 yrs Less than 2 based on med. conditions 45 days pending additional information Certified as until expiration date Expired remains expired until certified Doesn’t provide information in time new certification process Disqualification temp or permanent ```
41
Certification time frame with skills performance evaluation
Can be certified max 2 years if no other restrictions. Including hearing aid/ corrective lenses/ skills performance evaluation
42
Reasons to disqualify
Methadone Current diagnosis of alcoholism/ controlled substance without prescription Condition- epilepsy, monocular vision, hearing loss Diagnosis will interfere with safe driving
43
A medical examiner can place restrictions on lifting
False
44
Medical examiner can indicate qualified only with
Corrective lens Hearing aid Waiver/exemption Exempt intracity zone 49 CFR 391.62 Skill performance evaluation Fixed extremity deficits meets standards Grandfathering diabetes/vision 49 CFR 391.64
45
Waiver/exemptions
Granted for 2 years Still needs to recertify annually Granted by the FMCSA not provider
46
What is the medical examiner certificate expiration date? Examination 11/16/2011; disqualified due to diagnosis of benign positional vertigo last episode 10/11/2011; return to medical examiners office for complete new certification examination on 1/2/ 2012. Asymptotic 10/11/2011 driver qualified for 2 years
1/2/14 - date based on last examination Waiting period for vertigo is 2 months symptom free
47
Additional tests above and beyond what are necessitated by the examination process should be performed only when ____
The examination was unable to determine if the driver passed one or more requirements. Only performed if no clear result
48
The FMCSA directly regulates ____
Interstate commercial operations including the driver
49
Driver examination 2/17/2012, blood pressure 144/102. Driver given 3 mo. Vertigo 5/17/12. The driver returns on 3/16/12 with blood pressure of 124/82. The next step for the medical examiner is ____?
Perform a complete examination and certify the driver for one year if the driver passes the examination

DOT Study (11 decks)

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