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DOT Flashcards

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1
Q

Medical cert with FMCSA physical qualifications is required for commercial vehicle drivers in interstate commerce for the following four possible criteria?

A
  1. Combined gross vehicle weight or weight rating of 10,001 lbs or more
  2. 9-15 passengers including drive for compensation
  3. 16 or more passengers including the drive for compensation or not
  4. Hazardous material transport using placard under hazardous material regulation
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2
Q

Psych conditions to DQ on exam?

A

Active psychosis, negative symptoms prominent, and adverse medication side effects

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3
Q

1st gen antidepressant?

A

Do not certify (MAOIs/TCAs) unless exceptional circumstance

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4
Q

MDD and Bipolar ?

A

6 month symptom free after non-psych MDD

1 year symptom free after severe depression, suicide attempt, and manic episode

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5
Q

Hypnotic use?

A

Lowest effective dose for 2 weeks

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6
Q

Anxiolytics?

A

Must be stable and well controlled

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7
Q

Non-discretionary medical standards?

A

Seizures, vision, and hearing

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8
Q

Vision requirements?

A

20/40 in EACH eye w/wo correction, 70 degrees horizontal meridian in each eye, and red/green/amber (basic color vision)

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9
Q

If corrective lenses required to pass test?

A

Must be used while driving

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10
Q

Monocular vision? One eye does not meet 20/40 w/wo correction

A

DQ, consider vision exemption program

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11
Q

Telescopic lens?

A

DQ

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12
Q

ITDM ?

A

No exemption program any more, need to consult with treating provider, though

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13
Q

Vision exemption requirements?

A

Driving records, optho/opto within past 3 months

Exemption for 2 years with annual exam

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14
Q

Hearing standard?

A

Only required in one ear. 1) forced whisper at no less than 5 feet, only one ear to pass 2) Fail the forced whisper, audiogram with 500, 1000, and 2000 hz avg. Better ear must average less than 40db for the above freq

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15
Q

Menieres Dz?

A

DQ

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16
Q

Vertigo

A
  • DQ if uncontrolled
  • 2 month symptom free with dx of BPV and acute/chronic peripheral vestibulopathy
  • DQ for labyrinthe fistula or non-functioning
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17
Q

Concern with diabetes and meds?

A

Hypoglycemia, insulin and incretin mimetics are higher risk. Symptoms past 12 months, may need to f/u with PCM

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18
Q

Diabetes certification period?

A

Max 2 years, can do 1. Provider preference.

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19
Q

ITDM certify?

A

Annual, MCSA-5876 within 45 days by treating provider. There is no exemption program, use the treating provider form mentioned.

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20
Q

Severe retinopathy?

A

DQ

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21
Q

Exenatide (byetta)?

A

Incretin mimetic, increased hypoglycemia with sulfonylurea. 1 year cert guidance

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22
Q

NIDDM?

A

Generally 1 year, but not required

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23
Q

A1C that’s acceptable?

A

There is no specific A1C

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24
Q

Stage 1 HTN?

A

140-159/90-99 mm Hg
1 year cert, annual < or = 140/90
<160/90 but not at goal, extend for 3 mo x 1

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25
Stage 2 HTN?
160-179/100-109 1 x 3 mo annually if < or = 140/90
26
Stage 3 HTN?
> or = 180/110 Don't certify until < or = 140/90 Only 6 month certification in the future
27
Pacemaker?
Can certify after appropriate waiting period
28
ICD?
DQ even if inactivated
29
Anticoagulant tx for cardiac condition?
1 month to stabilize, max cert 1 year. INR and then monthly INR afterwards
30
EF for heart condition?
> or = 40%
31
Pulmonary HTN
DQ
32
Cardiac parameters after MI etc, testing?
ETT > 6 mets, HR >= 85%, rise in systolic >= 20 w/o angina, no st depression
33
CHD
Needs to be well controlled and may get more info
34
AAA ?
< 4.0 cm and asymptomatic, 1 year cert 4-5 cm asymptomatic and vascular surgeon, annual cert afterwards 5 cm or greater, symptomatic. DQ, wait 3 month after surgery and then annual cert
35
thoracic aneurysm
< 3.5 cm can clear
36
DVT?
If symptomatic, DQ | Coumadin regulated for 1 month and then consider annual certification
37
Post MI?
Wait 2 months. Cardiac tests to ensure good functional status, clearance. May cert for 1 year.
38
Angina?
3 months of no resting angina, aka unstable. Then 1 year cert
39
PCI?
1 week wait period. Initial for 6 months, cert. Then ETT 3-6 months post-PCI (make sure no re-occlusion)
40
CABG ?
3 month wait afterwards, cert for 1 year after wait period. Card clearance and healed sternum. 5 years post CABG, consider annual ETT.
41
For most murmur heart?
Mild - echo q5 yr Mod - echo q1-2 yr Severe - DQ, 3 month wait post surgery
42
Valve replacement?
3 month wait post surgery. Cards clearance. Echo post DC | Mechanical - EF >=40%, monthly INR
43
MV (stenosis) balloon procedure?
wait 4 weeks post procedure
44
MVP ?
Consider cert 1 year
45
Hypertrophic/restrictive cardiomyopathy?
DQ
46
Idiopathic, dilated cardiomyopathy, and CHF ?
Asymp, Vent A, LVEF <= 50% | Asymp, no Vent Arrhythmias < 40%
47
Afib?
1 month anticoag reg if needed
48
A flutter?
1 month post ablation wait
49
Pacemaker wait times?
1 month wait SA/AV block | 3 month wait neurocardiogenic and hypersensitive carotid sinus
50
ICD ?
DQ
51
heart transplant?
1 year wait afterwards. q6 mo recert with cards eval afterwards
52
DQ resp conditions?
hypoxia at rest, cough syncope, unstable
53
antihistamines?
1st gen sedation 2nd gen - less sedating abstain 12 hours prior to driving
54
Asthma and COPD?
must be controlled, FEV1 > 65%, PaO2 > 65 mm Hg
55
pneumothorax?
No cert if 2 or more spontaneous on same side with no surgical correction
56
o2 while driving?
Most of the time DQ
57
narcolepsy?
DQ
58
grip strength test?
There is no specific test
59
SPE ?
Fixed deficit of foot, leg, hand, or arm. Not something progressive like MS. Renew q 2 yrs
60
MSK conditions that are rare to DQ
Myotonia, Isaac's, Stiff-Man
61
MS?
consider if specialist eval and well controlled. Eval motor and vision. Cognition and mood eval
62
Dialysis?
DQ
63
CKD stages?
Stage 1 or 2, q 2yrs Stage 3, annual Stage 4, q 6 months Stage 5, Dialysis then DQ
64
Epilepsy?
DQ also if taking antiseizure meds for seizures
65
Non-epileptic seizure or LOC of unknown cause?
6 month wait period of meds, neuro eval
66
Intracerebral or subarachnoid hemorrhage?
w/o risk for seizures, wait 1 year off meds monitored | w/ risk for seizures, 5 years seizure free off meds monitored
67
childhood febrile seizures?
If well controlled and resolved after childhood
68
Epilepsy wait period to drive ?
10 yrs off antiseizure meds monitored and seizure free | DQ if still taking meds for seizures
69
Single unprovoked seizure?
5 years off antiseizure med and seizure free
70
Mild TBI?
< 30 min, no dural penetration | 2 year cert
71
Moderate TBI?
>30 min -24 hrs, LOC, no dural penetration 2 year wait (5 year if early seizures) cert 1 year
72
Severe TBI?
> 24 hours, LOC, any dural penetration | DQ
73
Seizure exemption program?
epilepsy: 8 yr seizure free (off meds and stable past 2 years) single unprovoked? 4 yr seizure free (off meds and stable past 2 years)
74
HA?
Incapacitating then DQ
75
BPV and acute/chronic vestibulopathy?
2 months asymptomatic, then cert 2 years
76
Aseptic meningitis?
No seizure risk
77
Bacterial/viral meningitis w/o early seizures?
1 yr seizure free and off meds
78
Bacterial meningitis with early seizures?
5 yr seizure free and off meds
79
Viral meningitis with early seizures?
10 yr seizure free and off meds
80
CNS tumors ?
DQ malignant or benign
81
CNS tumor removal?
1 year wait, benign tumor removal and no seizures in meantime 2 year wait for supratentorial tumor and spinal , seizure free during period
82
Dementia?
DQ
83
Stroke?
cerebellum/brainstem - 1 year wait cortical/subcortical - 5 year wait On oral anticoagulants or meds that depress nervous system, don't cert
84
TIA ?
1 year wait
85
Paraplegic ?
DQ
86
Parkinson Dz?
If mild may consider cert with neuro consults
87
Psych condition to DQ ?
Schizophrenia and active psychosis
88
Methadone use?
DQ
89
ECT tx?
6 month wait period afterwards
90
Meds that DQ a driver?
From FMCSA webpage: A driver cannot take a controlled substance or prescription medication without a prescription from a licensed practitioner. If a driver uses a drug identified in 21 CFR 1308.11 (391.42(b)(12)) or any other substance such as amphetamine, a narcotic, or any other habit forming drug, The driver is medically unqualified. There is an exception: the prescribing doctor can write that the driver is safe to be a commercial driver while taking the medication. In this case, the Medical Examiner may, but does not have to certify the driver. Any anti-seizure medication used for the prevention of seizures is disqualifying. The Medical Examiner has 2 ways to determine if any medication a driver uses will adversely affect safe operation of a CMV: 1. Review each medication - prescription, non-prescription and supplement 2. Request a letter from the prescribing doctor

DOT Exam (1 decks)

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