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DOT Exam Questions and Answers: A Comprehensive Guide for Drivers, Exams of Nursing

State University of New York Upstate Medical University (SUNY)Nursing

A comprehensive overview of dot exam requirements and regulations for drivers. It covers a wide range of topics, including physical and mental health conditions, medication restrictions, and specific requirements for drivers with diabetes, sleep apnea, and other medical conditions. Numerous questions and answers, making it a valuable resource for drivers preparing for their dot exams.

Typology: Exams

2024/2025

Available from 10/31/2024

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DOT Actual 2025 Exam With Questions and Answers
Graded A+
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
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Download DOT Exam Questions and Answers: A Comprehensive Guide for Drivers and more Exams Nursing in PDF only on Docsity!

DOT Actual 2025 Exam With Questions and Answers

Graded A+

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

  1. 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

  1. Distant BINOCULAR vision of at least 20/40 in both eyes, with or w/o lenses
  2. Field of vision of AT LEAST 70 DEGREES in the horizontal meridian in each eye
  3. 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

results at the exam and has at least monthly INR monitoring with documentation*** ***can only be certified if the driver is stabilized for at least 1 month, provides a copy of INR 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

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)

  1. Comply with recommended rehab
  2. 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)
  • 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 What is the minimum waiting period for any driver with a history of stroke? ✔✔At least 1 year for any pt that has no risk of seizures (vascular lesions in the cerebellum or brainstem) At least 5 years for a pt with stroke related to seizure risk (cortical or subcortical lesions) Driver must be cleared by neuro; Max certification for a pt that has had a stroke is 1 yr

What are the requirements for obtaining a Sleep Apnea referral for DOT drivers? ✔✔Hypertension BMI >35 % and Neck Circumference >17in in M and >16in in F How long is the waiting period for sleep apnea drivers? ✔✔At least 1 month after starting CPAP (so pt must be temporarily disqualified for at least 1 mo after starting) At least 3 months symptom free after surgery tx Max certification for 1 year Can a driver with a pacemaker be certified under the DOT and what are the regulations? ✔✔Only certify if:

  • Documented fully functioning pacemaker
  • documented completed pacemaker check
  • no disqualifying underlying dz Any pt with a combination Defibrillator/Pacemaker CANNOT be certified What are the size requirements of a AAA that allow a driver to be certified? ✔✔AAA<4 cm with no symptoms = driver can be certified AAA>4cm<5cm needs surgical clearance from a cardiovascular specialist to verify low risk of rupture AAA>5cm CANNOT BE CERTIFIED

What is the name of the test to assess for color blindness ✔✔Ishihara Test What are the hearing requirements for DOT testing? ✔✔Must first perceive whispered voice greater than or equal to 5 ft from the provider (WITH OR WITHOUT A HEARING AID) Demonstrates average hearing loss in the better ear greater than or equal to 40dB at 500, 1, and 2,000 Hz *Use of hearing aid must be noted on certificate What is the purpose of the urinalysis used for all DOT applicants? ✔✔To screen for Diabetes How do you deal with limb impairment? ✔✔SPE Certification program allows persons with loss of foot or limb to potentially qualify with use of prosthetic devices or equipment modifications *Driver must have current SPE certificate in behicle What are the restrictions placed on Diabetics by the DOT? ✔✔Only NON-INSULIN dependent diabetics can qualify if the disease is controlled by diet and oral meds AND no evidence of organ damage What is the definition of controlled Diabetes? ✔✔Fasting plasma glucose < 140 2 hour post-prandial glucose < HgbA1C < *Ask all patients about hypoglycemic episodes What are the restrictions/guidelines for applicants with Cardiovascular dz? ✔✔Current CV disease that is accompanied by or likely to cuase any symptoms of SYNCOPE, DYSPNEA, COLLAPSE OR CHF SHOULD BE DISQUALIFIED *Always obtain eval by a Cardiologist

  • If pt has established CV disease, they must undergo a resting and stress EKG *CABG, pacemakers, Coumadin or NOT disqualifying so refer to Cardiologist for clearance What is the HTN Algorithm ✔✔BP 161-180/91-100 can be qualified for 3 months. IF the BP is then less than or equal to 160/90 within the 3 months then qualify for 1 year from date of initial exam with documented Rx and BP control BP >180/104 is disqualified until reduced to <180/104 then driver can be qualified for 3 months. If the BP is <160/90 in 3 months, the driver can be qualified for 6 months with documented Rx and BP control What are the restrictions on applicants with history of epilepsy/seizures? ✔✔Any pt with a hx of epilepsy, current diagnosis of epilepsy or taking antiseizure meds is DISQUALIFIED
  • If a patient has a suddent LOC or seizure of unknown cause that did not require anti-seizure meds then there is a 6 month waiting period with neurologic clearance. If Neuro does not prescribe pt with anti-seizure meds, pt can then be cleared Vision ✔✔Use of contact lenses in 1 eye for distance and 1 eye for near vision means driver must be disqualified
  • If visual acuity is normal only while wearing corrective lenses, then the patient must wear them in order to qualify What medications are disqualifying according to the DOT? ✔✔Schedule 1 meds such as Heroine, Marijuana, Amphetamines, Narcotics or any other habit-forming drugs (Exception is only if the driver was prescribed the med by a doctor familiar with the patient's history, duties and has been told it will not interfere with safe driving) Hypertension Stage 1 ✔✔BP between 140/90 and 159/ One year certification

How long must a driver stop driving after an MI? ✔✔ 2 months

  • Driver needs an Echo with EF>40% and ETT How long must a driver stop driving after a CABG? ✔✔ 3 months to allow for full sternal healing Can a driver taking medical marijuana be given a DOT card? ✔✔NO, per the FMCSA it is against the rules What is the criteria for a patient to return to work after having a STENT placed? ✔✔Exam and approval letter from treating Cardiologist Asymptomatic ETT 3 - 6 months post PCI (Stent placement) Annual medical exam Negative ETT at least every other year Is hematuria a disqualifying medical disorder? ✔✔No, you can certify the patient, but you must document a referral to the patients PCP or specialist for further workup Proteinuria ✔✔This is a sign of renal dysfunction Always document referral to Nephrologist Can a driver who needs a Diabetes or vision exemption be certified? ✔✔No! They are disqualified until they obtain the exemption