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DOT Exam Questions
Good questions Part II
| Question | Answer |
|---|---|
| The driver with a pulmonary embolism must complete a minimum waiting time frame of ______________ | 3 months. |
| True or False: a driver with an ICD or ICD/Pacemaker should automatically be disqualified. | True |
| True or False: a driver with severe Aortic Stenosis should be disqualified regardless of symptoms or LV dysfunction, unless the valve has been surgically repaired and driver meets surgical guidelines. | True |
| True or False: The ME should not certify a driver with moderate AS if the driver has one or more of the following: Angina, HF, A-Fib, LVEF <50%, and/or Thromboembolism. | True |
| How often does a driver with Aortic Stenosis need to have an echocardiogram? | Echocardiography repeated every: •5 years if mild aortic stenosis. •1 to 2 years if moderate aortic stenosis |
| The driver with severe aortic regurgitation can be certified (as long as they meet certain parameters) for ___________________. | 6 months |
| True or False: The CMV driver status-post percutaneous Balloon Mitral Valvotomy can be certified for a period of one year after completing a minimum waiting period of 4 weeks. | True |
| True or False: the minimum waiting period for a CMV driver status-post pacemaker implantation for the treatment of Neurocardiogenic Syncope is one month. | FALSE The waiting period is three months. |
| The CMV driver on anticoagulant therapy for a neurological condition can be certified to driver for a period of one year. | FALSE This is a no-go. |
| How often should the driver with Stage 3 HTN (and now controlled) be certified for? | 6 months |
| Under the new regulations for the CMV driver requiring insulin for glycemic control, the driver must meet all the medical standards outlined under ____________ and all the physical qualifications standards outlined in _________________. | 49 CFR 391.46 & 49 CFR 391.41 |
| The ME may certify a CMV driver with diet controlled DM for a max period of ___________, however, due to the progressive nature of the disease, the FMSCA recommends a max certification period of _________________. | 2 yrs & 1 year |
| According to the FMSCA regulations, a driver with the diagnosis of severe non-proliferative or proliferative diabetic retinopathy must be __________________ . | Disqualified. |
| Severe hypoglycemia is defined by the FMSCA as a reaction that results in (list four things): | o Seizure. o Loss of consciousness. o Need of assistance from another person. o Period of impaired cognitive function that occurred without warning. |
| According to the FMSCA new regulations outlines in 49 CFR 391.46, there is no longer any recommended waiting period for the driver requiring insulin for glycemic control. | TRUE |
| What is the recommended max certification period for a CMV driver with a clinical diagnosis of asthma? | 2 years |
| The ME should NOT certify a driver with a history of an allergy-related life threatening condition if that driver does not have.... | 1. An effective txt regime 2. Successful preventative measures |
| The driver with a diagnosis of COPD should not be certified to driver if the driver has (list three things): | The driver has: • Hypoxemia at rest. • Chronic respiratory failure. • History of continuing cough with cough syncope. |
| What kind of testing needs to be done in smokers over the age of 35? | Spirometry |
| A driver who presents or reports having dyspnea during rest should first have _______________. If the FEV in the first second of expiration (FEV1) is less than ________________ then the driver should have ____________. | PFT, <65%, Arterial Blood Gas |
| The driver who is being treated for OSA should remain symptom free and agree to: | • Continue uninterrupted therapy. • Undergo yearly objective testing (e.g., multiple sleep latency test or maintenance of wakefulness test). |
| The ME should educate and instruct the CMD driver to refrain from operating a vehicle for at least ___________________ after taking and medications (prescribed, OTC antihistamines, narcotic antitussive) that may cause drowsiness and loss of attention. | Driver must wait 12 hours! Or at least they should. |
| According to the FMSCA guidelines, the certified medical examiner should NOT certify a driver with pulmonary HTN if the driver has (list four things): | The driver has: • Dyspnea at rest. • Dizziness. • Hypotension. • Partial pressure of arterial oxygen (PaO2) less than 65 millimeters of mercury (mm Hg). |
| Screening for pulse oximetry and/or arterial blood gas (ABG) analysis are indicated when certain respiratory conditions cause airway obstruction and PFT results are as follows (list 3 things): | • Condition causes airway obstruction and pulmonary function test results are: o FEV1 less than 65% of the predicted value. o FEV1/FVC ratio less than 65%. • Restrictive impairment is present and FVC is less than 60%. |
| It is recommended to NOT certify a driver when ABG measurements reveal: | •PaO2 less than: o 65 millimeters of mercury (mm Hg) at altitudes below 5,000 feet. o 60 mm Hg at altitudes above 5,000 feet. • PaCO2 greater than 45 mm Hg at any altitude. |
| Some objective tests used to determine the prescence of sleep disorders include: | •Polysomnography in a controlled sleep lab •Napping test: maintenance of wakefulness test or multiple sleep latency test |
| An apnea-hypopnea index of ________ is diagnostic for obstructive sleep apnea. | 30 or more |
| A CMV river must not have any mental, _________________, ______________, _________________, or psychiatric disorder that can interfere with his/her ability to drive. | Nervous, organic, functional disease |
| A CMV driver with a medical history or clinical diagnosis of bacterial meningitis with early seizures or single unprovoked seizure must wait a minimum of _____________ yrs, seizure free and off anticonvulsant meds before they can be certified to drive. | 5 years |
| A CMV driver with a medical history or clinical diagnosis of epilepsy or viral encephalitis with early seizures must complete a minimum waiting period of _______________________ years and off anti-convulsant meds. | 10 years |
| The minimum waiting period for the CMV driver with a clinical diagnosis of acute seizure secondary to a structural insult to the CNS must wait a minimum period of _____________________ years, and the driver can be certified for a period of ________ . | 2 yrs & 1 yr (as long as seizure free and off of Anti-convulsant medications). |
| The minimum waiting period is two years for the driver with a medical history of ______________________ or spinal tumors, or a history of ________________ without early seizures. | Surgically removed benign supratentorial tumor & moderate insult (TBI) |
| The CMV driver who falls under these categories must wait how long? •TIA •Stroke/Intracerebral hemorrhage without risk for stroke •Surgically removed AVM without risk for stroke •Benign spinal tumor •Pituitary adenoma | 1 yr |
| The CMV driver with a diagnosis of Vertigo and Dizziness can be certified for a max period of 2 years if the driver has a clinical diagnosis of ________________ or ___________________ AND the driver has been asx for _____________. | BPPV & acute/chronic vestibulopathy & 2 months |
| The ME should disqualify the driver for what neuromuscular condtions (list 6) | •Congenital myopathies •Metabolic muscle disease •Motor neuron disease •Muscular dystrophy •Neuromuscular junction d/o •Peripheral neuropathies |
| What is the waiting period and certification interval for the driver with a medical hx of acute seizures 2/2 a systemic metabolic illness. What are the stipulations? | No waiting period. Can certify for 2 yrs. • The underlying systemic metabolic dysfunction has been corrected. • The driver has no disqualifying risk of recurrence of the primary condition. |
| What is the waiting period for the driver with a history of single unprovoked seizure? Can they potentially return to driving sooner? | Waiting period 5 yrs and off anti-convulsant medications. The may return to driving sooner if they have a normal neuro exam, a normal electroencephalogram, and clearance from a specialist in epilepsy. |
| Discuss the waiting period for the driver who sustains a stroke and has a risk for seizures, moderate TBI and risk for seizures, or intracerebral hemorrhage with risk for seizures. | 5 yrs. |
| For the driver with a single unprovoked seizure and has waited the minimum time frame, what is the max certification period? | 1 year |
| True or False: you may certify the driver with a diagnosis of autonomic neuropathy for a period of 2 years if you believe that the nature and severity of the medical condition does not endanger the health and safety of the driver and the public. | True |
| The driver with a past medical history of a CNS infection/disease (such as aseptic meningitis, bacterial meningitis, or viral encephalitis) can be certified for a max period of 2 yrs. | Yes. As long as they wait the appropriate amount of time and has no current CNS infection. |
| True or false: The maximum certification period for the driver with hx of a TBI is one year, OR can be up to 2 ears for mild TBI without a hx of early seizures. | True |
| True or false: The max certification period for a driver with a history of a TIA is one year. | True |
| According to the FMSCA regulations, "A person is physically qualified to drive a commercial vehicle if that person has NO loss of a foot, a leg, a hand, or an _______________________, or he or she has been granted a _______________________. | Arm & Skill performance evaluation certificate |
| What is the maximum certification for the CMV driver with autonomic neuropathy? Who should NOT be certified. | 2 yrs max certification. Do not certify the driver who has cardiovascular autonomic neuropathy that causes resting tachycardia and/or orthostatic hypotension. |
| According to the FMCSA guidelines, the ME should NOT certify the driver who has these known MSK conditions (list 3). | •Myotonia •Isaac's Syndrome •Stiff-man Syndrome |
| The CMV driver who has a fixed deficit of an extremity and is otherwise medically qualified during physical examination may be certified for a period of _________. The driver also needs a valid ________________. | 2 yrs certification Skill Performance Certificate |
| True or false: The driver with a deficit of an extremity caused by a progressive disease should NOT be certified to drive. | True |
| True of False: an SPE certificate only applies to fixed deficits of the extremities, not those caused by progressive neuromuscular diseases. | True |
| The CMV driver with a clinical diagnosis of ADHD may be certified for a maximum period of ___________ granted the driver (list three things). | The CMV driver can be certified for one year granted: •the driver complies with treatment program. •Tolerates txt without disqualifying side effects •Has a comprehensive evaluation from an appropriate mental health profession. |
| A driver comes to you (who has a diagnosis of Bipolar Mood Disorder). Discuss the waiting periods required should they have symptoms. | Waiting period---Minimum — 6 months symptom free following a nonpsychotic major depression unaccompanied by suicidal behavior Waiting period---Minimum — 1 year symptom free following a severe depressive episode, a suicide attempt, or a manic episode |
| The CMV driver with Bipolar Mood Disorder may be certified for a maximum period of one yr if the driver (list four things): | • Completes an appropriate symptom-free waiting period. • Complies with txt program. • Tolerates txt without disqualifying side effects • Has a comp eval from an appropriate mental health professional |
| A driver with a history of a major mood disorder should have an evaluation and clearance from a mental health specialist, such a psychiatrist or psychologist who understands the functions and demands of commercial driving at least _______________. | Needs evaluation every 2 years. |
| A CMV driver with a history of Major Depression must complete a minimum waiting period of ______________________ symptom free following a severe depressive episode, a suicide attempt, or a manic episode. | 1 year |
| True or False. The ME should advise a driver with a Major Mood Disorder to report any manic/depressive episodes within 30 days of onset to the driver's employer, ME, or appropriate HCP and to seek medical attention. | TRUE |
| The CMV driver with a clinical diagnosis of personality disorder may be certified to drive for a max period of one year. | TRUE |
| A CMV driver may use a controlled substance if the substance or drug is ___________________. HOWEVER, the exception criteria does not apply to ________________________. | If prescribed by a licensed medical provider, and does not apply to schedule I substances. |
| What is the max certification period for a driver with a history of Alcoholism. When should they NOT be certified? | Can be certified for 2 years. The driver has: • A current clinical diagnosis of alcoholism. • Signs of a current alcoholic illness and/or non-compliance • An alcohol-related unstable physical condition • Not met return-to-duty requirements. |
| What is the max certification period for the driver with a history of drug abuse? | 2 yrs |
| The ME should NOT certify a driver with a history of drug abuse if the driver is actively using...... | The driver uses: • Schedule I controlled substances. • Amphetamines. • Narcotics. • Any other habit-forming drug for which the exception guidelines do not apply. • Methadone (regardless of the reason for the prescription |
| When should a CMV driver be tested for drugs and/or alcohol? | •Pre-employment •Post-accident (fatal crashes/moving violation) •Reasonable suspicion •Random •Return to duty and Follow-up |
| What are the employer's responsibilities for when it comes to drug testing/monitoring? | • Implementing & conducting drug & alcohol testing programs. • Providing a list of SAPs. • Ensuring that a driver has complied with SAP recommendations. • Follow-up testing to monitor that the driver is compliant with DOT alcohol conduct guidelines |
| True or False: The driver taking marijuana for medical use may be certified. | FALSE |
| True or False: A CMV driver may use methadone if the drug is prescribed by a licensed medical practioner who is familiar with the driver's medical history and assigned duties. | FALSE |
| How long can the driver with asthma be certified for? | 2 years |
| According to FMCSA guidelines, a driver taking Provigil (Modafinil), for shift work sleep disorder, can be certified for a period of: | One year These drivers should be monitored for side effects for at least 6 weeks. |
| According to FMCSA guidelines, how often should drivers status-post MI be re-certified and have an exercise tolerance test (ETT) performed? | These drivers are certified annually, with an ETT performed every 2 years. |
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kbaranowski27
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