Dot Exam Study Guide

Front 1

What is the minimum number of pounds that are needed for Grip Strength Grasp and Prehension

Back 1

58 POUNDS

Front 2

What does the Urine Dipstick Test For in a DOT PHYSICAL EXAM?

Back 2

Blood
Specific Gravity
Sugar/Glucose
Protein

Front 3

What does DQ Stand For=

Back 3

Disqualify a Driver until conditions are met for return

Front 4

What R the 4 Non-Discretionary Standards

Mnuemonic: E (Edward) got HIV

Back 4

Epilepsy
Hearing
Vision
Insulin Dependant DM

Front 5

What doe s SPE STAND FOR:

How long can they be certified to drive for:

Back 5

Skilled Performance Evaluation Drivers get with a loss of a limb, they can get 2 years of driving priviledges with a fixed deficit

Front 6

T or F is Active TB a disqualifed pathology

Back 6

T

Front 7

T or F is Narcolepsy a disqualifed pathology

Back 7

T

Front 8

T or F is Unteated Sleep Apnea disqualifed pathology

Back 8

T

Front 9

T or F is Active TB a disqualifed pathology

Back 9

T

Front 10

T or F if a driver requires any from of oxygen(equipment to assist in breathing) is that considered a disqualifed pathology

Back 10

T

Front 11

T or F is Hypoxemia at Rest a disqualifed pathology

Back 11

T

Front 12

T or F is EDS (Excessive Daytime Sleepiness) a disqualifed pathology

Back 12

T if UNTREATED ONLY

Front 13

T or F is RLS (Restless Leg Syndrome) a disqualifed pathology

Back 13

T IF UNTREATED

Front 14

T or F is OSA (Obstructive Sleep Apnea) a disqualifed pathology

Back 14

True if Untreated

Front 15

Epilepsy in the DOT WORLD IS WHAT?

Can u qualify to drive?

To ever re-qualify what must occur?

Back 15

2 or more unprovoked seizures

DQ Hell No

To re-qualify must have 10 years no medications and no unprovoked seizures

Front 16

Define TBI


Severe TBI

Back 16

Traumatic Brain Injury Automatically DQ

Moderate TBI= Do not Q on its own case by case

FOR A SEVERE TBI ALWAYS DQ

Front 17

ETOH abuse is is disqualifying, however if an examiner suspects ETOH abuse who should be contacted?

Back 17

DER (Designated Employer Representative should be informed and the driver IMMEDIATELY DISQUALIFIED.

THE DER IS RESPONSIBLE FOR REFERRAL TO A SUBSTANCE ABUSE PROFESSIONAL

Front 18

OSA = OBSTRUCTIVE SLEEP APNEA when can a driver be certified?

TWO DIFFERENT TIMES THAT WE MUST KNOW?

Back 18

1 YEAR QUALIFICATION AFTER 3 MONTHS WITH NO SYMPTOMS POST SURGERY OR

1 YEAR QUALIFICATION AFTER 1 MONTH WITH NO SYMPMPTOMS DUE TO CPAP MACHINE

Front 19

BLOOD GASSES LEVELS THAT WE MUST KNOW

IF CO2 IS GREATER THAN -------------DQ AND PaO2 IS LESS THAN -----------------------AT 5K FEET or Greather than 5K Feet------------------------------

Back 19

COS IS GREATER THAN 45
AND PAO2 IS less than 65 at less than 5K feet and or less than 60 if at an elevation greater than 5K feet

Front 20

Nuerological Disesases is it incapacitating or not? if it is Static-----Progressive----Episodic what should medical examiner do?

Back 20

Disqualify the driver

Front 21

STAGES OF HTN: STAGE 1 =

IF THIS IS A NEW DRIVER WHAT CAN THEY GET ONE TIME

Back 21

140-159 AND 90--99

1 YEAR

Front 22

HTN 140-159/90-99 AFTER THE 1ST TIME then what must the BP reading be at

WHAT happens if not lower than 140/90?

Which date is important to KNOW?

Back 22

LOWER THAN 140/90

If not then a one time certificate for 3 months is given.

If still not lower after threee months then the DRIVER IS DQ UNTIL THE BP IS BROUGHT DOWN UNDER 140/90. THEN FROM THE DATE OF THE ORIGINAL EXAM

Front 23

FOR BOTH VERTIGO/cBPV ( EITHER ACUTE OR CHRONIC) AND Peripheral Vestibulpoathy to qualify a driver HOW LONG MUST THE DRIVER BE SYMPTOM FREE?

Back 23

2 MONTHS SYMPTOM FREE

Front 24

Hypoxemia at rest can a driver with this condition be certified to drive a CMV

Back 24

Hell NO

Front 25

Can a driver be qualifed if they have Meniere's Disease?

Back 25

No

Front 26

Can a driver be qualifed if they have a either a Labyrinthine Fistula or Non Functioning Labryrinth

Back 26

Hell NO

Front 27

HTN GUIDELINES THIS IS NOT JNC 7:

FOR STAGE 2

FOR STAGE 3

Back 27

160/100 TO 179/109



STAGE 3 180/110

Front 28

ANY DRIVER THAT HAS A STAGE 3 BP LEVEL HOW LONG CAN THEY GET CERTIFIED?

WITH MEDICATIONS IF THIS DRIVER CAN GET THEIR BP UNDER 140/90 THEY ARE ELIGIBLE FOR ONLY

Back 28

DISQUALIFIED



6 MONTHS

Front 29

STAGE 2 HTN if a driver has this condition what can they be certified for?

Back 29

1 time cetification for 3 months only then if not under 140/90 they are disqualified until stabilized....

Front 30

HTN IF A DRIVER IS TAKING HTN MEDICATION THEN WHAT AND THEY ARE UNDER 140/90

Back 30

1 YEAR CERTIFICATION ONLY

Front 31

DRIVER PRESENTS WITH TACHYCARDIA AT REST CAN THEY BE CERTIFIED?

Back 31

HELL NO

Front 32

IF A DRIVER HAS ORTHOSTATIC HYPOTENSION CAN THEY BE CERTIFIED

Back 32

HELL NO

Front 33

WHAT IF

DRIVER PRESENTS WITH STAGE 3 HTN?

Back 33

AUTOMATICALLY DQ STAGE 3 HTN IS 180/110 OR MORE

IF THEY GET MEDICAL TREATMENT AND RETURN WITH BP LESS THAN 140/90 A 6 MONTH CERTIFICATION CAN BE ISSUED

Front 34

WHAT IF DRIVER TAKING HTN MEDICATION AND HIS BP IS UNDER 140/90 HOW LONG CERTIFY

Back 34

1 YEAR ONLY

Front 35

What if Driver NOT THEIR 1ST TIME HAS BEEN DRIVING CMV HAS STAGE I HTN HOW LONG CAN THEY BE CERTIFIED?

STAGE 2

Back 35

3 MONTHS THEN FOLLOWING 3 MONTHS IF NOT UNDER 140/90 THEY ARE DISQUALIFIED UNTI BP STABLE


3 MONTHS THEN FOLLOWING 3 MONTHS IF NOT UNDER 140/90 THEY ARE DISQUALIFIED UNTIL BP IS STABLE

Front 36

WHAT IS COR PULMONALE?

Back 36

Right Ventricular Hypertrophy
Dyspnea @ Rest
Dizzt
Hypotension
DQ

Front 37

Tumors ( Benign Supratentorial Brain/Spinal Area) can be certified for:


ALL OTHER TUMORS CERTIFY FOR

Back 37

2 years



1 year

Front 38

WHAT ABOUT FOR STROKE/TIA how long can these drivers be certified for?

Back 38

1 year certification and they must be static

Front 39

Audiometric Levels tested are:

Back 39

500
1000
2000
4000

Front 40

Calculating HZ levels and decibel loss how is this done add the

Back 40

THREE NUMBERS PRECEEDING 500, 1000, 2000 DONT USE 4K IN CALCULATION THEN DIVIDE BY 3 THIS IS THE AVERAGE DECIBEL LOSS

Front 41

What is the Hearing Loss Standard?


In addition what is the Forced Whisper Test Standard

Back 41

Hearing loss cannot be greater than 40 decibles in better ear with or without hearing aide.

Forced Whisper must be heard at least 5 feet

Front 42

Anxiolytics: (Anti-Anxiety) Agent Non-Sedative Only:

Hypnotics are Okay if the following stipulations are met?

Back 42

1/2 life is less than 5 hours
Low Dose
Short Term less than 2 weeks

Front 43

ECT THERAPY HOW LONG MUST THE APPLICANT WAIT FOR BEING APPROVED.....................AND HOW LONG CAN THEY BE CERTIFIED FOR?

Back 43

Must wait 6 months and can only be certified for 1 year period

Front 44

Insulin Dependent DM they are always ............................. UNLESS THEY ARE ACCOMPANIED WITH ..................................WAIVER IS GOOD FOR ............................YEARS

Back 44

Disqualified UNLESS ACCOMPANIED BY DIABETES WAIVER....Must have new exam each year with the exemption and NEW EXEMPTION EVERY 2 YEARS

Front 45

ANTI-DEPRESSANTS if they r first generation then the driver is:

Back 45

DQ

Front 46

ANTI-DEPRESSANTS and they are a second generation they can be certified T OR F

Back 46

True these are Zoloft, Wellbutrin and Prozac

Front 47

If patient has had 2 or more episodes of Hypoglycemia in the last 5 years or in last 12 months they are

Back 47

disqualified

Front 48

Murmur Grade Scale 1-6

NON-AANP/AANC

Back 48

1) Must strain to hear
2) No strain to hear
3) can clearly hear
4) Murmur with Thrill
5) Can hear with Stethoscope on skin
6) Can hear without a stethoscope at all

Front 49

New York Heart Symposium
Class 1
Class 2
Class 3
Class 4

Back 49

Class 1 Qualify Driver
Class 2 Mild-Disqualify
Class 3 Moderate-Disqualify
Class 4 Even at Rest--DQ

Front 50

DOT Definition of a Good Exercise Test?

Back 50

6 METS
HR > 85% OF PROJECTED MAXIMUM RANGE
SYSTOLIC RAISE > 20MM WITHOUT ANGINA
NO ST DEPRESSION
NO Ventricular Dysrhythmia

Front 51

A Driver has a PMHx of Hypertrophic Cardiomyopathy this is a automatic

Back 51

DQ

Front 52

POST ANGIOPLASTY RETURN TO WORK WHEN CAN THE DRIVER?

4 STIPULATIONS:

AT---------------MONTHS RECERTIFICATION EXAM IS DUE......A ETT IS DUE WITHIN--------------------MONTHS

IF BOTH CONDITIONS ARE MET THEN THE DRIVER CAN BE CERTIFIED FOR ------------------------YEAR IF RECERTIFICATION IS OKAY THEN NEXT ETT IS DUE IN -------------YEARS EVERY 2 YEARS

Back 52

1 WEEK POST PROCEDURE
MUST BE ASSYMPTOMATIC
TOLERATING MEDICATION
INGUINAL SITE IS HEALED

6 MONT RECERTIFICATION EXAM AFTER INITIAL RETURN TO DRIVING MUST HAVE ETT WITHIN 6 MONTHS



AFTER 6 MONTH RECERTIFICATION EXAM AND 6 MONTH ETT A DRIVER CAN RECEIVE A 1 YEAR RECERTIFICATION IF ETT IS OKAY THEN ETT EVERY 2 YEARS

Front 53

A Driver has a PMHx of Restrictive Cardiomyopathy this is a automatic

Back 53

this is an automatic disqualification

Front 54

A Driver has a Hx of Progressive Dementia this is a automatic

Back 54

Disqualification

Front 55

Can a driver operate a CMV and be on Schedule 1 drugs such as Methadone, Subutex or illegal drugs

Back 55

Sure no problem LOL ANSWER IS HELL NO

Front 56

Some ER due random drug testing they are looking for the following drugs:

Back 56

Cocaine
Marijuana
Opiates
PCP
Amphetimines

Front 57

Pt (Driver) has a mood disorder and has been symptom free for 1 year if suicide has been attempted how long can they be certified for?

Back 57

certify for one year

Front 58

Driver has a PMHx of a Mood disorder however has never attempted suicide?

Back 58

Certify for one year

Front 59

CAGE ? FOR ETOH ABUSE

Back 59

Cut Down
Annoyed/Annoyance
Guilty
Eye-Opener

Front 60

AAA=ABD AORTIC ANUERSYM WHAT ARE NUMBERS THAT CAN EITHER QUALIFY OR DISQUALIFY A DRIVER

Back 60

>5CM = DQ
<4CM = 1 YEAR