DOT Exam Questions and answers. 100% Accurate. Verified.

DOT Exam Questions and answers. 100% Accurate. Verified. When do patients require a Skilled Performance Exam? - ✔✔IF they have a FIXED motor deficit of an extremity who cannot physically qualify to drive that needs ...

DOT Exam Questions and answers. 100% Accurate. Verified. When do patients require a Skilled Performance Exam? - ✔✔IF they have a FIXED motor deficit of an extremity who cannot physically qualify to drive that needs a full evaluation by a specialist (Not for patients with a progressive motor deficit) **These patients must provide proof of the exam by the specialist in order to obtain certification or be given a referral letter if you think they need an exam*** What two special populations of drivers are given exemptions by the DOT? - ✔✔1. Patients with vision disorders 2. Diabetics ***The exemption allows the grandfathering in of certain drivers who participated in vision and diabetes waiver study programs*** ***Drivers can be certified as long as they meet the provisions and have the certificate with them at the time of the DOT exam*** What are your duties as a DOT examiner? - ✔✔To detect the presence of any physical, mental, or organic conditions of such character and extent as to affect the ability of the driver to operate a CMV safely What is the definition of Incapacitation? - ✔✔The onset of incapacitating symptoms so rapidly that they interfere with safe driving or that the driver may be unable to safely stop the vehicle before beocming incapacitated If the patient has any side effects of medications, can they be certified? - ✔✔NO!! Any side effects such as drowsiness, dizziness, orthostasis, blurred vision or changes in mental status prohibit the driver from being certified What conditions lead to AUTOMATIC DISQUALIFICATION for DOT certificates? - ✔✔DEFIBRILLATOR DIALYSIS What are the VISION requirements for DOT certification? - ✔✔1. Distant visual acuity of at least 20/40 in EACH EYE with or w/o lenses 2. Distant BINOCULAR vision of at least 20/40 in both eyes, with or w/o lenses 3. Field of vision of AT LEAST 70 DEGREES in the horizontal meridian in each eye 4. Ability to recognize/distinguish among colors of traffic signals (RED, AMBER, GREEN) Can a driver with monocular vision obtain a DOT certificate? - ✔✔YES, but the driver must be otherwise medically fit for duty and granted a FEDERAL VISION EXEMPTION CERTIFICATE **Pt must return with the certificate of exemption before the DOT certificate can be given*** If a driver comes for a physical and is otherwise fit, you can disqualify them and the driver can apply for a federal vision exemption What is MONOCULAR VISION? - ✔✔Monocular vision occurs when the vision requirements are only met in one eye, with or without corrective lenses ***MONOCULAR VISION IS AUTOMATICALLY DISQUALIFYING*** How do you certify a driver who is in the process of applying for a Federal vision exemption? - ✔✔YOu can certify the driver for up to 1 year, mark the accompanied by EXEMPTION checkbox and write vision so that the type of federal exemption is specified What are the hearing requirements to obtain a DOT certificate? - ✔✔1. Driver must first perceive a whispered voice in one ear @ no less than 5 feet (only required in 1 ear) 2. NOT have an average hearing loss in one ear >40dB at 500 Hz, 1,000 Hz and 2,000 Hz What are the BP regulations for a person with STAGE 1 HTN (BP of 140/90-159/99)? - ✔✔person is only certified for 1 year and if BP is >140/90 then they get 3 month cert at the 1 year recert What are the BP regulations for a perston with STAGE 2 HTN (BP of 160/100 to 180/110? - ✔✔Person can only get a 3 month certificate and then at recertification if the BP is less than 140/90, they can get 1 year from the date of the original exam What are the DOT regulations for a driver with STAGE 3 HTN (BP>180/110)? - ✔✔DRIVER IS DISQUALIFIED until the BP is <140/90 When BP is <140/90, they can only get a 6 month certificate forever What does a urinalysis check for DOT certification? - ✔✔Specific gravity Proteinuria Hematuria Glycosuria What should the PE rule out in every driver? - ✔✔Presence of any current CV disease accompanied by and/or likely to cause symptoms of syncope, dyspnea, collapse or CHF How long must a driver wait to be certified after having an AMI? - ✔✔There is a 2 months waiting period so driver is temporarily disqualified for 2 months and can only be certified for a max of 1 year if they are Asx, tolerating meds, has a satisfactory Exercise Tolerance test has resting EF >40% and no ischemic changes on EKG ***For the initial certification exam following an MI, an in-hospital post-MI echo showing LV EF>40% is sufficient*** What LV EF is required after an MI for a patient to obtain DOT certificate? - ✔✔LV EF>40% What conditions disqualify a patient after an MI? - ✔✔-Rest angina or change in anginal patterns -ischemic changes on rest EKG -intolerance to cardio meds How long must a driver wait after having a CABG before they can be certified? - ✔✔3 months How often is an Exercise Tolerance Test required for a patient after having an AMI vs a CABG? - ✔✔ETT every 2 years after an MI ETT every year after a CABG Can a driver with an implantable defibrillator qualify for a DOT certificate? - ✔✔NO!!! because these pts have risk of syncope if it fires Can a driver with a pacemaker qualify for a DOT certificate? - ✔✔YES What is the max amount of time that a driver on Anticoagulant therapy be certified? - ✔✔1 year ***can only be certified if the driver is stabilized for at least 1 month, provides a copy of INR results at the exam and has at least monthly INR monitoring with documentation*** What is required from a driver with a prior history of DVT before he/she can obtain DOT certification? - ✔✔Recent ultrasound showing resolution of DVT What type of documentation is required from a pt on Xarelto or Pradaxa requesting a DOT certificate? - ✔✔A letter from the treating Cardiologist stating that the patient is clear to drive ***Driver can only be certified for 1 year*** What is the required waiting period for a patient that has a history of seizures/epilepsy? - ✔✔10 years off of anticonvulsant meds and w/o any seizures What is the maximum time that an alcoholic patient can be certified? - ✔✔2 years ***no recommended time frame for alcoholism waiting period, driver can be certified as long as they have no residual disqualifying physical impairment, completed counseling or no current disqualifying alcohol-related d/o's*** What is required for a driver with a history of drug abuse to be certified? - ✔✔1. Driver must be evaluated by a SAP (Substance Abuse Person) 2. Comply with recommended rehab 3. Have a negative return-to-duty drug test What drugs prohibit you from giving a driver a DOT certificate? - ✔✔-Use of schedule 1 controlled substances (Amphetamines, Narcotics) -Any habit forming drug -Methadone (reason for Rx is irrelevant) -Marijuana (even if it's legal in that state) Can a driver with DM who uses insulin be certified? - ✔✔NO!! INsulin use is an automatic disqualifier unless the pt has a DM exemption letter/paperwork from an Endocrinologist What is the definition of a severe Hypoglycemic reaction by the Federal Motor Carrier Safety Administration (FMCSA)? - ✔✔Any reaction that results in: -SEIZURE -LOC -Need of assistance from another person -Period of impaired cognition that occurs w/o warning ***If a driver on insulin has had any such events in the past 12 mos, he can NOT be certified*** What is the waiting period for a driver that is on insulin therapy? - ✔✔-Must wait at least 1 month for a driver that was previously diagnosed and has just recently added insulin to the treatment regimen -Must wait at least 2 MONTHS for a driver that was just diagnosed and was never on any Tx for DM (b/c it takes longer to get pt under control) What is the max amount of time that a driver on insulin therapy can receive a DOT certificate? - ✔✔1 year What conditions prevent a driver with diabetes from being certified? - ✔✔-History of Severe hypoglycemic rxn in the past 1 yr -2+ severe hypoglycemic reactions in the last 5 years -loss of position sense -loss of pedal sensation -resting tachy -orthostasis -peripheral neuropathy Any driver on oral hypoglycemic meds for DM can only be certified for how long? - ✔✔1 year ***You need a letter from endocrinologist stating pt's DM is under good control and pt is not on any meds that can cause hypoglycemia, dizziness, orthostasis For which population of drivers is a skilled performance exam appropriate? - ✔✔Only for drivers with fixed deficits of the EXTREMITIES (not the neck or torso) ***SPE cannot be used as an alternative standard for deficits caused by progressive diseases such as MS*** What is the waiting period during which a driver with depression must be temporarily disqualified? - ✔✔6 months symptom free following a non-psychotic major depression unaccompanied by suicidal behavior 1 year symptom free following a MAJOR/SEVERE depressive episode, suicide attempt or manic episode ***Depressed pts can only be certified for 1 yr**