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A comprehensive set of questions and answers related to the dot certification exam, covering key topics such as medical standards, vision requirements, and physical qualifications for commercial motor vehicle drivers. It is a valuable resource for individuals preparing for the dot certification exam, offering insights into the latest regulations and best practices.
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What are the differences between the medical standards and the medical guidelines? ✔✔ Standards/regulations are law. Guidelines are best practices. In which regulation(s) are the driver physical qualification standards cited? ✔✔ 49 CFR 391. In which regulation(s) are the medical examiners responsibilities cited? ✔✔ 49 CFR 391. What objective tests and measurements are required as part of the driver physical examination? ✔✔ - Height and weight
What eye conditions must the medical examiner ask the driver about and if indicated request specialist evaluation? ✔✔ Retinopathy, cataracts, aphakia (absence of the lens), glaucoma, and macular degeneration According to FMCSA regulations, which of the following must the ME evaluate when examining a driver's eyes? A. Pupil reactivity B. Iris symmetry C. Conjunctiva injection D. Corneal thickness ✔✔ Pupil reactivity Purpose of the Vision Exemption? ✔✔ To certify some drivers with monocular vision. Where is Federal Vision Examination Program cited? ✔✔ 49 DFR 391.41(b)(10) Minimum standard for hearing evaluation via audiometry? ✔✔ </= 40 dB hearing loss in at least one ear Is audiometry required? ✔✔ No, not if forced whisper test passed in at least one ear. Mandatory waiting period after diagnosis of DM? ✔✔ None
✔✔ 1. Bronchiectasis w/ hemoptysis
What tests must be order if minimum FEV1 or FVC requirements are not met? ✔✔ Oximetry or ABG Minimum pulse oximetry? ✔✔ 92% Minimum required PaO2 at >5000 ft? ✔✔ 60 mmHg Elevation of Twin Falls and required minimum PaO2? ✔✔ 3,745 ft and >65 mmHg What happens to PaO2 at high altitudes? ✔✔ It decreases. Make adjustments for drivers traveling to and from varying elevations. Purpose of the SPE (Skill Performance Evaluation)? ✔✔ Certify a driver with a fixed deficit of lost extremity Can a medical examiner grant an SPE? ✔✔ No. There are four FMCSA regional centers. Certification period for a SPE certificate? ✔✔ 2 years Is medicinal marijuana allowed? ✔✔ No Who reviews a positive drug screen? ✔✔ MRO (Medical Review Officer) Max certification period if on anticoagulation? ✔✔ 1 year for heart, disqualified for brain. Maximum allowed hypoglycemia episodes in 12 months and 5 years, respectively? ✔✔ 1 and 2
extent as to affect the driver's ability to operate a CMV safely. This examination is for public safety determination and is considered by FMCSA to be a "medical fitness for duty" examination. What is the mission of the FMCSA? ✔✔ FMCSA is focused on reducing crashes, injuries and fatalities involving large trucks and buses. Who and what does FMCSA regulate? ✔✔ FMCSA regulates interstate commercial operation, including driver, vehicle, motor carrier, and the transport of hazardous materials. Duration of vision exemption? ✔✔ 1 year Normal LVEF? ✔✔ 55 - 70% True/False: Annual documentation from treating provider required for those with CPAP? ✔✔ True Can those with fixed nerve damage get a SPE? ✔✔ Yes