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DOT Study > Respiratory > Flashcards

Respiratory Flashcards

1
Q

49 CFR 391.41 b 5

A

Physical qualifications respiratory

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2
Q

49 CFR 391. 43 f

A

Lung medical exam

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3
Q

Lung examination

A 
And normal chest wall expansion
Respiratory rate
Breath sounds -wheezing alveolar takes
Impaired respiratory function
Dyspnea
Cyanosis
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4
Q

Indications for pulmonary function testing

A

COPD

Lung disease

Symptoms - sob, cough, chest tightness, wheezing

Smoking over the age of 35

Chronic respiratory failure

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5
Q

PFT Includes the following:

A

Forced expiratory volume in first second of expiration FEV1

Forced viral capacity FVC

FEV1/FVC Ratio

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6
Q

Indications for ABG

A 
Airway obstruction 
PFT FEV1 <65% predicted 
FEV1/FVC Ratio less than 65%
FVC <60% indicating restrictive
Pulse ox <92%
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7
Q

Don’t certify with ABG results

A

<65 mm hg altitudes below 5,000 ft
<60 mm hg altitudes above 5,000 ft
PaCO2 >45 at all altitudes

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8
Q

Chest X-ray indications

A 
Annual monitoring mitral stenosis
Respiratory abnormalities 
Hypersensitivity pneumonitis
Positive PPD test
Spontaneous pneumothorax
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9
Q

Sleep apnea screening

A

Epworth
Berline
Stanford

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10
Q

Objective tests for sleep apnea

A

Polysomnography
Napping tests
Maintenance of wakefulness test
Multiple sleep latency test

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11
Q

Supplemental oxygen

A

Disqualifying

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12
Q

Do not certify these respiratory conditions

A

Hypoxemia at rest

Untreated symptomatic obstructive sleep apnea

Narcolepsy

Primary idiopathic alveolar hypoventilation syndrome

Idiopathic central nervous system hypersomnolence

Restless leg syndrome with excessive daytime somnolence

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13
Q

Sleep study indicated with following criteria 2 out of 3

A

BMI > 35

Neck size >17 in men / 16 in women

New/uncontrolled HTN

Sleep hx suggests sleep apnea

Epworth >10

Previously diagnosed

Previous sleep study >5 but less than 30

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14
Q

Apnea definition

A

Airflow ceases more than 10 seconds

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15
Q

Hyponea definition

A

Airflow decreases for >10 sec

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16
Q

Mild sleep apnea

A

5+ episode/hr

17
Q

Moderate sleep apnea

A

15+ episode/hr

18
Q

Severe sleep apnea

A

30+ episode/hr

19
Q

Obstructive sleep apnea

A

> 30 episode/hr

20
Q

True or false: you can certify a driver for untreated or suspected sleep apnea

A

False

21
Q

Sleep disorders waiting/certification

A

Waiting 1 month

Minimum 3 month symptom free after surgery

Max 1 year certification

22
Q

COPD waiting/maximum

A

Waiting - no recommendations
Max cert 2 years
Has to be stable

23
Q

Pneumothorax

A

Waiting period - no recommendations

Certify- asymptomatic, confirmed resolution, meets pulmonary standards

Max 2 years

24
Q

Asthma waiting certification

A

Waiting none

Max certification 2 years

25
Q

Allergic reactions

A

Recommended to keep epipen in truck with driver

26
Q

Allergic rhinitis

A

No waiting period

Can’t take antihistamine medication within 12 hours of driving

27
Q

Pulmonary hypertension

A

Can’t certify - dyspnea at rest, dizziness, hypotension, paO2 <65 mm

28
Q

Pulmonary TB waiting/certification

A

Waiting no timeframe

2 years max certification

29
Q

Don’t certify TB if

A

Contagious

Advanced TB not meeting PFT requirements

Chronic TB not meeting PFT

Hasn’t completed treatment

Cranial nerve damage affect balance/hearing

30
Q

Atypical TB

A

No waiting period
Max cert 2 years
Can’t certify until tx completed

31
Q

Cor pulmonale can’t certify if

A 
dyspnea
dizziness
hypotension
partial pressure <65%
FEV1 <65%

Certified after successful treatment

32
Q

A driver experienced a pneumothorax four weeks ago. The medical examiner tests the driver’s respiratory function and the FVC is 58% of predicted. What should the certification be?

A

Don’t certify pending further testing

33
Q

Pulse ox saturation =90%. Abg paO2 =60, paco2 =42 what is the determination

A

Certification depends on altitudes

34
Q

The Max certification interval for driver diagnosed with asthma is

A

2 years

35
Q

A spirometry should be performed on drivers who smoke and who are over the age ____ ?

A

35

36
Q

Which one is disqualifying:
PaCO2 less than 45

Pa02 less than 70 at altitudes less than 5000

Pa02 less than 65 at altitudes above 5000

PaCO2 greater than 45

A

Greater than 45 paco2

DOT Study (11 decks)

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