DOT Certification exam Questions and answers. Graded A+. 2023/2024

DOT Certification exam Questions and answers. Graded A+. 2023/2024 what type of driver is required to take exam - ✔✔all interstate comercial drivers who: -have a vehcile weight of 10,000 pounds -drivers using vehic ...

DOT Certification exam Questions and answers. Graded A+. 2023/2024 what type of driver is required to take exam - ✔✔all interstate comercial drivers who: -have a vehcile weight of 10,000 pounds -drivers using vehicle carrying 9 to 15 people if for compensation -drivers transporting 16 passangers or more even if not for compensation -drivers transporting hazardous material non discretionary standards that immediately disqualify driver - ✔✔1. use of insulin for diabete 2. seizure disorder or epilepsy 3. failure of hearing or vision discretionar standards` - ✔✔loss of foot, leg hand or arm -no current diagnosis of mi, angia thrombosis, coronary insufeciency or other disease that can results in syncope, dyspnea, collapse or chf -no respiratory conditoin or htn -no arhtritis or ortho pissues no psych issues -no amphetamine, or narcotic or alcoholism temporary 2 year relief fromon or more of the fmcsa regulations. two medical expmptions - ✔✔vision exemption and diabetes but must be made by fmcsa not yoU!! must the driver have a ua - ✔✔yes what is the most critical issue for a driver with diabetes - ✔✔preventing hypoglycemia factors that could affect glucose - ✔✔fatigue, emotional , sleep deprivation, stress, poor diet, missed meals reason to disqualify a diabetic - ✔✔insulin prolonged periods of hyperglycermia can lead to what disqualifying conditions - ✔✔neuropathy retinopathy nephropathy atheroscelerosis fmcsa definition of severe hypoglycemic reaction is one that results in - ✔✔seizure, loss of conciousness, needs assistance from another person period of impaired cognitive fuciton occuring without warning if a driver has had a severe hypoglycemic reaction in the last ___ months, what should you do - ✔✔12, disqualify if the driver has had two or more severe hypogylcemic episodes in the past __ yers, do what - ✔✔five years, disqualify what medication do you only certify the driver for one year if taking - ✔✔injectable non insulin what diabetes complications are severe enough they can be disqualifying - ✔✔1. renal : insufficiency, proteinuria, nephrotic syndrome 2. cardio: coronary artery disease, htn, tsa, stroke, pvd 3. neuro: peripheral neuopath, decrease seasation, and autonomic lneuroathy, cardia, gi , fu what is periphereal neuropathy - ✔✔weakness, numbness, pain in extremities, in hands makes it hard to steer, in feet makes hard for balance and to press gas recommended to disqualify driver if he has perifpheral neuropathy unless - ✔✔neurologist or physiologist who understands demands and skillls needed conducats a simulated driving skills test to verify he meets standards, must be reevaluated annually diabetic retinopathy must - ✔✔be examined by opthamologist blood pressure - ✔✔orthostatic hypotension disqualify heart rate - ✔✔resting tachycardia, disqualify if a driver does not know they have dm, and have glucosuria on ua then what - ✔✔finger stick, if probable dm they should see a pcp before certifying, what hemoglobin a1c is considered poro control - ✔✔over 10, don't certify until under tht disqualifying eye conditions - ✔✔unstable proliferative retinopathy (diagnosed by opthamoligist), diagnosis of macular degeneration even with telescopic lenses federal diabetes exception program allows some driers wtih dm that require insulin to operate a cmv for - ✔✔2 years but it is granted by fmcsa not me requirements to be except by fmcsa - ✔✔deemed medically fit to drive by me otherwise, annual exam by board certifed endocrinologist. annual eval by opthamologist or optometrist with vision checklist, d. retionpathy must be by opthamologist, must have yearly medical re certs, must participation in diabetes education annually, must possess a rapidly absorble form of glucose will driving (ic 20 g glucose tablerts, blood glucose monioring, finger stic one hour bfore and every four hours while driving, submit blood glucose moniotring logs at annual, must have a copy of exception letter while on duty a man is a diabetic and has been takign oral medicatio but is starting on insulin, what now - ✔✔needs 1 mpnth period on insulin to establish control for the exception newly diagnosed diabetic starts on insulin - ✔✔needs 2 month period on insulin to establish stable control what diabetics get grandfathered in - ✔✔ones who participated in the study in 1996, as long as they get annual pe by endocrinologist, acceptable accucheck range for driving - ✔✔100 to 400 considered safe for driving outcomes drivers not using insulin but who are dm due what - ✔✔annual recertification is recommended how long is the normal certificate - ✔✔2 years what are the qualifications to pass the hearing test - ✔✔one of the following must be passed in the drivers better ear with or without hearing aids: 1. forced whisper test, driver must hear a whispered voice in better ear at five or more feet, with or without hearing aid 2. audiometric hearing test: driver must not have an average hearing loss of greater thant 40 decibles at 500hz, 1,000 hz and 2,000 hz in better ear and if aid is required must be performed by specialist such as audiologist or heari aid center using the right equipment how to perform forced whipser test - ✔✔patient turn ear being tested toward examiner and cover other ear, stand 5 feet behind or to side of patient, after a normal expiration, me use remaining breath to whisper number or phrase that the person needs to repeat, can use hearing aids what three frequencies are tested - ✔✔500, 1,000,, 2000 how to calculate resulets - ✔✔add the results of all three frequencies and divide by three to get avergage hearing loss, inodrer to be certified, average loss must be less than 40 decibels in better ear if driver fails both tests - ✔✔refer to audiologist if driver wears hearing aid what must he do - ✔✔always wear it an have a spare batter source what hearing conditions are recommended to not be certified - ✔✔uncontrolled vertigo menier'es labyrinthene fistula non functioning fistual and recommned at two month wait period if they have acute and chronic peripheral vestibulopathy or bpv with no symptoms for two months not about contact lenses that are not acceptable corrective lenses for meeting requirements - ✔✔if they correct one for distant acuity and one for near requiered vision tests - ✔✔central, peripheral and color vision are assessed passing parameteres vision - ✔✔DISTANT VISual acuity: 20/40 snell in each eye without corrective lenses or visual acuity corrected 20/40, distant binocular acuity of 20/40 in both with or without lenses reasons drivers fail for vision - ✔✔telescopic lenses are not accepted as a way to correct loss of central vision and will be disqualified what colors must they be able to recognize - ✔✔red, green , amber does colorblindness disqualify driver - ✔✔no but must be able to see red, green and amber monocular vision is what - ✔✔whenonly one eye meets requirements with or without correction, they are disqualified if driver is disqualified for vision then wht - ✔✔can apply for exception federal vision excemption; - ✔✔for monocular vision issued for two years, eye doctor must exam in previous three months, must have valid report, can be certified for one year, check accompanied by exception box, annual eye doctor visit required, and letter, qualified for one year what type of vision affected wtih macular degenration - ✔✔centeral, decrese visual cuiy, takes longer to recover from bright lights treatment age related macular degenration - ✔✔telescopic lenses attept to compensate but reduce peripheral vision so are not allowed -zinc, antioxidants, vascular endothelial growth inhibitors what is glaucoma - ✔✔increased intraocular pressure leading to atrophy of optic nerve cells what visoin is affected with glaucoma - ✔✔peripheral vision, also night and color symptoms of glaucoma - ✔✔painless, gradual loss of vison tx of glaucoma - ✔✔beta blocking agents alpha blocking, cholinergic agonists somotic agents, prostaglandin analogs, combination cataracts cause what - ✔✔diminished visual acuity due to opacified lenses cataracts s/s - ✔✔glare is early sympom, decreased color and contrast resolution, what accelerated cataracts - ✔✔injury, radiation, steroids, gout, diabetes tx of cataracts - ✔✔suregery removal of catarcts and replacemtn of occular lese retinopathy is whta - ✔✔non inflmmatory retinal damage usually by diabetes, intraretinal hemorrhgaes and microaneurysms commmons s/s of retinopathy - ✔✔contrast sensitivity, color idenfication vision loss retinopathy treatmetn - ✔✔strict glucose control, manage comoridities. if diabetes, annual exam, annual eye exam, unstable proliferative retinopathy is disqualifigying bp cuff too small results in - ✔✔a falsely elevated reasons bp cuff to large means - ✔✔falsely low stage 1 htn - ✔✔over 140/90 but less than 160/100 drivers certified for one year if this is first tie being diagnosed with htn and not on medicine a one time three month certificate given to driver if - ✔✔presents with one year certificate prior untrated stage 1 tgn, no prescriptions for meds, has diaggnosis of tn and being and is being treated with htn meds, and has no s/e could lead to problems the 3 month cert - ✔✔cannot be given back to back but not limited to one per lifetime reasons to disqualify driver with stage 1 htn: - ✔✔3 moth certificate and bp still over 140/90 or driver has a history of stage 3 htn with current bp over 140/90 he can be recertified for one year once he gets it down stage 2 htn - ✔✔between 160/100 but less 180/110 a one time certificate if - ✔✔no history of htn, doe snot use mediccation or has diagnosis and being treated and no s/e reasons to disqualify with stage 2 htn - ✔✔driver prsents with a three month certifiate for stage two htn and bp over 140/90, driver has stage 3 history and is over 140/90 stage 3 htn - ✔✔180/110 bp DRIVER IS DISQUALIFIED SEE PCP a driver who is disqualified due to stage 3 htn must - ✔✔lower bp to less than 14090, be treated wth medicaiotn, recert is only for six months. if at 6 moht exm, stage 1 or 2, may get three month certificate s/e of anticonvulsant meds - ✔✔depressed mood, cognitive deficits, unsteadiness, sedation certification - ✔✔max 2 years if med has been shown to be effect and free from hazardous s/e if anticonvulsant meds used to control seizure disorder - ✔✔disqualifed anticoagulant therapy - ✔✔waiting period 1 month stabilized, max cert is one year if it is met needs letter from cardio or pcp that he gets inr once a month review chart on slide 135 - ✔✔k romberg test is what - ✔✔have patient with eet together arms at their sides, and observ for one minutes with eyes open then ask patient to close eyes and observe, too much sway is a positive cerebellar dysfunction reflexes chart - ✔✔slide 138? DO WE NEED O TKNOW 1 YEAR SIEZURE FREE AND OFF medicine for the following - ✔✔bacterial meningitis without early seixures and viral encephalitis without early seizures 5 years seizure free and off anticonvulsants for what - ✔✔bacterial meniingtis with early seizures minimum 10 years seiures free and off medicine for what infection - ✔✔viral encephalitis with early seizures aseptic meningitis - ✔✔can be certified, not associated with seizures active cns infection: - ✔✔disqualify waiting period for bpv and acute and chronic peripheral vsetibulopathy - ✔✔2 months asymptomatic neuro conditions not to certify - ✔✔meniere's labyrintheine fistula nonfuncitoning labyrinths bvp with s/s in past two months acute and chornic peripheral vestibulopathy with symptoms in last two months rsk of seizure does not decrease for who - ✔✔severe head injuries or surgical procedues involving dural penetration so must disqualify reasons for a waiting period of one year seizure and anticonvulsant free after structural insult - ✔✔mild inssult without early seizures. stroke w/o risk for seizures, intracerebral or subarachnoid hemorrhege with seizure risk reason for 2 year seizure free and ac free - ✔✔modertate insult wihtout early seizures, mild insult with early seizures minimum 5 years seizure free and ac free with the following situations - ✔✔moderate insult with early seizures, stroke with risks for seizures, intracerebal or subarachoid hemorrhage with risk for seizures childhood febrile seizures -