DOT Exam Questions and answers. 100% Accurate. Graded A

DOT Exam Questions and answers. 100% Accurate. Graded A To Promote safety, the Office of Medical Programs - ✔✔-Oversees the national medical certification process for CMV who operate in interstate commerce -develop ...

DOT Exam Questions and answers. 100% Accurate. Graded A To Promote safety, the Office of Medical Programs - ✔✔-Oversees the national medical certification process for CMV who operate in interstate commerce -develops and implements medical regulations, policies, and procedures -Oversees and supports the Medical Review Board in accordance with the Federal Advisory Committee Act -Develops and implements the national registry program: a national medical examiner system and a linked national driver medical reporting system. -Conducts and oversees the Agency's medical exemption and certificate programs -Severes ad the lead Federal agency for the regulation of commercial motor vehicle driver health and safety and conducts relevant medical research Medical certification in accordance with FMCSA physical qualification standards is required when the driver is operating a CMV in interstate commerce that: - ✔✔-Has a combined gross vehicle weight of at least 10,001 lb -Is designed or used to transport 9-15 passengers (including the driver) for compensation -Is designed or used to transport 16 or more passengers (including the driver) whether for compensation or not -Transports hazardous materials in quantities that require placarding under the hazardous materials regulations. Which title in the Code of Federal Regulations deals with transportation? - ✔✔Title 49 How many standards are used to determine driver medical fitness for duty - ✔✔13 Which standards have objective disqualifiers that do not depend on medical examiner interpretation - ✔✔1) vision 2) Hearing 3) epilepsy 4) Diabetes mellitus How many discretionary standards are there? - ✔✔9 What is the Skill Performance Evaluation Certification Program - ✔✔Alternative physical qualification standard for a driver with a fixed MSK deficit of an extremity who cannot physically qualify to driver. The driver must be otherwise qualified to drive a CMV and meet the provisions of the alternate standard Commercial Motor Vehicle - ✔✔self propelled or towed motor vehicle used on a highway in interstate commerce to transport passengers or property when the vehicle: --has a gross vehicle weight rating of >10,001 lbs --is designed or used to transport >8 passengers including the driver for compensation --is designed to transport >15 passengers, including the driver, and is not used to transport passengers for compensation --used for hazmat materials Interstate commerce means: - ✔✔trade, traffic or transportation --between a place in a state and a place outside of such state --between two places in a state through another state or a place outside the US -between two places in a State as part of trade, traffic, or transportation originating or terminating outside the State or the US Intrastate commerce - ✔✔Any trade, traffic or transportation in any State which is not described in the term "interstate commerce" Motor Carrier definition - ✔✔For-hire motor carrier or a private motor carrier. The term includes a motor carrier's agents, officers, and representatives as well as employees responsible for the hiring, supervising, training, assigning or dispatching of drivers and employees concerned with the installation, inspection, and maintenance of motor vehicle equipment and/or accessories. This definition includes the terms "employer" and "exempt motor carrier" What is the Omnibus Transportation Employee Testing Act of 1991 - ✔✔Requires drug and alcohol testing of safety-sensitive transportation employees in aviation, trucking, railroads, mass transit, pipelines and other transportation industries Medical Review Officer - ✔✔A person who is a licensed physician and who is responsible for receiving and reviewing laboratory results generated by an employer drug testing program and evaluating medical explanations for certain drug test results Substance Abuse Professional - ✔✔A person who evaluates employees who have violated DOT drug and alcohol regulations and makes recommendations concerning education, treatment, follow-up testing, and aftercare Job of Commercial driving--the driver must: - ✔✔-be at least 21 years old -speak and read English well enough to converse with the general public, understand highway/traffic signals, respond to official questions, make legible entries on reports -Be capable of safely operating the CMV -have the current Medical Examiner's Certificate on file -Have only one valid CMV operator's license -Have provided the motor carrier with required background and violations information -Not be subject to disqualification -Have successfully completed drivers road test or equivalent Profile of the average truck or bus driver - ✔✔Male >40 years of age Sedentary Overweight Smoker Poor eating habits What's a long relay route - ✔✔Requires driving 9-11 hours, followed by at lest a 10-hour, off-duty period. What is needed for effective use of side mirrors? - ✔✔Sufficient lateral cervical mobility Injury severity equals - ✔✔Relative velocity change. The greater the mass--the less the relative velocity change Is the severity of the physical condition disqualifying because: - ✔✔-The symptoms, even if medically benign, interfere with the ability to drive? -The onset of symptoms may be so fast that the driver may be unable to stop the vehicle safely before becoming incapacitated? -the onset of symptoms may be so gradual that the driver is unaware of diminished ability to operative a CMV safely Is the presence of a mental of physiological condition disqualifying because it interferes with: - ✔✔- cognitive abilities used to process environmental cues rapidly and make appropriate responses -problem solving skills used to function independently of direct supervision in a new environment or in the event of an emergency -behavioral inhibitors that suppress inappropriate, irresponsible, or possibly violent actions T/F: the driver should check yes on the CLP/CDL Applicant/Hlder if they are applying for a CDL - ✔✔True T/F: a medical record number is required - ✔✔False! It may be left blank The driver is instructed to provide additional information for "Yes responses" including: - ✔✔-onset date -diagnosis -treating provider contact information -any limitations resulting from a current or past medical condition -medications used regularly or recently, including prescriptions, over-the-counter and herbal supplements Epilepsy is - ✔✔two or more unprovoked seizures If the driver reports symptoms consistent with undiagnosed CVD, what should you do? - ✔✔refer the driver to a specialist for further evaluation prior to certification. If a driver reports current CVD, consult with the driver health care provider and obtain documentation prior to certification. If a driver gives a "yes" answer to the question regarding heart surgery - ✔✔obtain documentation from the cardiologist before certifying. Also, FMCSA medical guidelines recommend not to certify the driver who has an ICD, due to risk of syncope and gradual or sudden incapacitation while driving a CMV. This includes a dual pacemaker/ICD, even if the ICD has not been activated T/F: if a driver is on dialysis--they cannot drive - ✔✔True What must you do to certify someone with insulin dependent diabetes? - ✔✔Check: "meets standards but periodic monitoring required for insulin" -Qualify for 1 year -Accompanied by exemption for diabetes What happens if you get a BP >139/89 - ✔✔it must be confirmed with a second measurement taken later during the exam Stage 1 HTN - ✔✔140-159/90-99 Stage II HTN - ✔✔160-179/100-109 Stage III HTN - ✔✔>180/110 What should you do if the driver has HTN and they are be recertified at the one year mark? What are the conditions? - ✔✔An individual with BP <140/90 may be certified for one year; however if the BP >140/90 but <160/100 a one-time certificate for 3 months can be issued What happens in an individual with stage 3 HTN? - ✔✔they should not be certified until his or her BP reduced to <140/90 and may be recertified every 6 months In which two instances is a one-time, three-month medical certificate granted? - ✔✔1) where the driver has a BP that is equivalent to Stage 2 HTN 2) a driver that was certified with stage 1 HTN has not achieve a BP <140/90 at recertification The 6-month expiration and recertification apply to the driver with - ✔✔a known history of stage 3 HTN who has an acceptable BP at examination time, and who tolerates treatment with no side effects affecting safe operation of a commercial motor vehicle Driver must have distant visual acuity of at least? - ✔✔20/40 in each eye Horizontal field of vision must be how many degrees - ✔✔at least 70 degrees Disqualifying Vision - ✔✔-Monocular vision -Use of contact lenses when one lens corrects distant visual acuity and the other lens corrects near visual acuity -use of telescopic lenses -failure to meet any part of the vision testing criteria with one eye or both eyes T/F: some drivers with monocular vision may be able to be certified if otherwise medically fit for duty and are granted a Federal vision exemption certificate - ✔✔True T/F: vision is the only portion of the driver physical exam that can be performed and certified by a provider other than a medical examiner - ✔✔True Per hearing regulations the driver must: - ✔✔1) first perceive a forced, whispered voice in one ear at not less than 5 feet 2) Not have an average hearing loss in one ear greater than 40 decibels at 500 hertz, 1,000 Hz and 2,000 Hz T/f: a driver may use a hearing aid to meet the standard - ✔✔True T/F: special diagnostic equipment may be needed to adequately assess a driver with a known diagnosis or who is at risk for retinopathy, cataracts, aphakia, glaucoma, or macular degeneration. Referral to a vision specialist may be required. - ✔✔T