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DOT Exam Questions
Good questions Part III
| Question | Answer |
|---|---|
| The driver with a history of CHF needs to have a documented Ejection Fraction via echocardiogram of at least what percentage? | Left ventricular ejection fraction (LVEF) of 40% or greater. |
| The driver post-CABG should complete a minimum waiting period of _________________. | 3 months. |
| Which medical standards set forth by the FMSCA MUST be followed? | Vision, hearing, the use of insulin for diabetes, and epilepsy must be followed. |
| The CMV driver with a past medical history of heart disease who has been stable on medications and has a normal physical examination should be certified for a period of ? | One year. These drivers need to be monitored more frequently. |
| A driver presents for certification, and during examination, complains of difficulty with his vision. He states that he has had increased glare and sensitivity to light during the day. What medical condition do you need to be concerned about? | Cataracts. Signs/Symptoms: fading or yellowing of colors, double vision in one eye, seeing "halos" around lights. Px exam: absent red reflex, decreased visual acuity, decrease in color vision, opacity of lens. |
| Mr. Thomas forced whisper testing results are: Rt ear: 5 feet, Lt ear: 3 feet. His remaining physical examination findings are unremarkable. According to FMCSA medical regulations for hearing, the medical examiner may certify this driver for a period of ? | Two years! As long as the driver can hear in one year, that's okay. |
| A driver with a forced whisper test result of 4 feet in the right ear and 3 feet in the left ear should be: | Sent for audiometric testing. |
| What is an acceptable ROM for the CMV driver? | An individual should be able to turn his or her head far enough that the chin is almost in line with the shoulder. The accepted range of motion for rotation of the neck is approximately 60 to 80 degrees. |
| Mr. Stanley is a 45 year old truck driver with a history of sick sinus syndrome who is s/p permanent pacemaker (PPM) insertion 6 weeks ago. How long should he be certified for? | One year, granted he is cleared by a cardiologist, healed from surgery, and has no other complaints. |
| What test is required for EVERY DOT exam? | Urinalysis |
| What is the recommended certification period for a CMV driver with Diabetes mellitus who does not use insulin or an oral anti-diabetic agent for glycemic control? | Two years. If they DO take a medication, it is recommended to certify for one year. |
| A positive Romberg’s test may indicate which of the following medical conditions? A. Vitamin B 12 Deficiency B. Graves disease C. Bell Palsy D. Guillain Barre Syndrome | |
| What is the minimum waiting period for a driver with a medical diagnosis of obstructive sleep apnea (OSA) after starting CPAP? | Minimum waiting period is one month. |
| A driver with a left BKA and functioning prosthesis maybe qualified to operate a CMV if the driver has been granted a skill performance evaluation (SPE) certificate. According to FMCSA regulations, who can issue the driver a SPE? | Only FMCSA can grant a SPE certificate |
| The New York Heart Association (NYHA) symptoms classification can be used to assist medical examiners in determining certification status for the CMV driver with heart failure. The following classes are disqualifying, except? | Class I |
| The CMV driver status- post coronary artery bypass graft (CABG) should have? | Annual evaluation by a cardiologist and a yearly ETT 5 years post procedure |
| According to FMCSA federal regulations for vision, a driver must have a distant binocular visual acuity of: | 20/40 both eyes |
| According to FMCSA guidelines, a CMV driver status-post percutaneous coronary intervention (PCI) post-MI must first complete a minimum waiting period of what time frame before he or she can be certified or recertified for duty? | 2 months! The waiting period for an MI is 2 months, and PCI is one week. Hence, the longer waiting period applies. |
| How often should a CMV driver with stable angina be evaluated by a cardiologist? | Every year |
| What is the recommended maximum certification period for the CMV driver status-post permanent pacemaker insertion for the treatment of sick sinus syndrome? | One year |
| What is the mission and main focus of the FMCSA? | To reduce the number of crashes, injuries, and fatalities caused by large CMV |
| The term minimum “waiting periods” is the time frame when: | Is the time interval during which a driver is not allowed to operate a CMV |
| How often is the driver with a history of stage 3 HTN able to be recertified? | Every 6 months! The driver should have a blood pressure less than or equal to 140/90 on examination. |
| What is the horizontal field of vision requirement for a CMV driver? | At least 70 degrees in the horizontal meridian in each eye! (So if it's MORE than that, that's fine. If less, that's bad). |
| According to FMCSA regulations, certified medical examiners are required to maintain drivers’ medical records for a minimum period of? | Three years. |
| According to FMCSA certification recommendations, a CMV driver with a clinical diagnosis of stage 1 or stage 2 chronic CKD who has met all other physical qualification standards outlined in 49 CFR 391.41 may be certified for a maximum period of: | Two years (granted there are no other disqualifying conditions). Note: those with CKD, stage 3, need to be recertified on an annual basis. |
| How long does the Medical Examiner need to keep original copies of the medical examination report? | Retain original completed Medical Examination Reports for all drivers examined and a copy or electronic version of the driver’s medical examiner’s certificate for at least 3 years from the date of the examination |
| Which drivers with CKD cannot be considered fit for duty? | Individuals who require RRT/Dialysis (excluding renal transplant) and those with stage-5 CKD who are not receiving RRT/Dialysis |
| How would you convert ISO to ANSI standards for the audiometric test? | Subtracting -14 dB from ISO for 500Hz, -10dB for 1000Hz and -8.5dB for 2000Hz. |
| A CMV driver who wears contact lenses while driving should be instructed to carry: | An extra pair of glasses. |
| A CMV driver with an inconclusive exercise tolerance test (ETT) or ischemic changes on a resting 12-lead EKG should not be certified and referred to cardiology for: | A nuclear stress test. |
| A CMV driver status-post elective (PCI) to treat angina 2 weeks ago is cleared by his cardiologist to return to work & shows unremarkable px exam. The medical examiner may initially certify the driver for 6 months and must advise the driver to: | Have an ETT within the next 3-6 months. |
| Drivers with stable angina may be certified annually, however, these drivers must have an annual evaluation from a cardiologist and a satisfactory ETT every: | 2 years Note, eval by cardiologist EVERY year and ETT every 2 years! |
| Once a driver has been issued a skill performance evaluation certificate (SPE) for a fixed deficit, the SPE certificate is valid for: | 2 years |
| A CMV driver post heart transplant who meets physical qualification standards may be certified for a maximum certification period ______________ after completing a ________________ minimum waiting period. | 6 month certification!!!! Waiting period is one year. |
| True or False: The driver with an acute DVT can be certified to drive as long as the driver has been started on anticoagulant therapy? | False; the driver with an acute DVT that has not been effectively treated should not be certified until the driver has been effectively treated and has no residual, acute DVT. The driver should provide documentation that there is no residual acute DVT. |
| FMCSA’s physical qualification standards for CMV drivers are outlined in: | 49 CFR 391.41 |
| A CMV driver who is unable to exercise at a workload capacity of greater than 6 Mets during an exercise tolerance test (ETT) should be: | Disqualified! If the ETT is inconclusive, THEN they can have a Nuclear Stress Test. |
| The certified medical examiner may certify a CMV driver with stage 4 CKD for a maximum period of 6 months if the driver has: | BP less than 140/90 and a normal EKG |
| According to medical guidance, the CMV driver taking Tricyclic antidepressants (TCAs) such as Amitriptyline (Elavil), Nortriptyline (Pamelor), and Doxepin should not be certified and evaluated on a case-by-case basis due to: | TCAs have been shown to interfere with safe driving |
| According to FMCSA medical guidelines on thoracic aneurysms, the driver with a thoracic aneurysm greater than 3.5...... | Should be disqualified! |
| A CMV driver status-post aortic valve replacement (AVR) must complete a minimum post-surgical waiting period of ___________ and have __________________. | 3 month waiting period. Must have clearance from a cardiovascular specialist. |
| Richard is a 48 year old bus driver with history ESRD who presents for recertification. The driver is on the renal transplant waiting list and has been stable on dialysis for more than 6 months. Can this driver re-qualify to operate a commercial vehicle? | No! Drivers receiving RRT must be disqualified. |
| True or False: if the certified medical examiner is concerned or suspects that a driver is abusing drugs and/or alcohol, then he or she may request that a driver undergo drug and/or alcohol screening. | True! |
| According to federal regulations for vision, the CMV driver must have distant vision acuity of ___________________ in each eye and both eyes combined. | 20/40 |
| According to medical guidance, which initial pulmonary function test should be performed in a driver with any specific lung disease? | PFT (spirometry testing) If the driver’s FEVı and FEVı/FVC ratio is less than 65% then pulse-ox and ABG study is recommended. |
| A CMV driver with a non-psychotic major depressive episode unaccompanied by suicidal behavior must _______________________________ before the driver can be qualified to operate a commercial vehicle. | 6 months |
| When a CMV driver is disqualified as a result of drug and/or alcohol abuse, which entity is responsible for providing the driver with a list of substance abuse professionals (SAPs)? | The driver's employer. |
Created by:
kbaranowski27