Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

DOT Study > Fundamentals > Flashcards

Fundamentals Flashcards

1
Q

Who created the national registry of certified medical examiners?

A

Federal motor carrier safety administration

Division of the DOT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

4 reasons why crashes with CMV are catastrophic

A
  1. Increased in injury fatalities
  2. Risk to enironment
  3. Carrying people
  4. Cost
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

49 CFR 391.41

A

Physical qualifications for drivers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

49 CFR 391. 43

A

medical examination; certificate of physical qualifications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

49 CFR part 391.46

A

Physical qualifications standards for an individual with DB with insulin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

49 CFR Part 391.47

A

Resolution of conflicts of med eval

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

49 CFR 391. 49

A

Skill performance evaluation certificate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

49 CFR 391. 62

A

Limited exemptions for intra-city zone drivers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

49 CFR 391. 64

A

Grandfathering for certain drivers: vision, diabetes waiver study programs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

49 CFR Part 40

A

DOT procedures drug and alcohol testing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

49 CFR part 381

A

Waivers and exemptions pilot programs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

21 USC sec. 812

A

U. S. Drug enforcement agency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Regulation VS Guidelines

A

Regulation - laws have to be followed

Guidelines - recommendations may or may not be followed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Medical examination for

A

Interstate drivers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. CFR Part 391.64
A

Vision and diabetes waiver grandfathering study

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Who can comment on medical standards and rule making

A

Medical standards and guidelines are subject to public and comment rule making

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What’s the FMCSA medical program responsibility

A

Conduct and oversee the agency’s medical exemption and certificate program

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Conditions that are standard regulated

A

Vision- distance, horizontal,color
Diabetes- insulin
Epilepsy- with waiver
Hearing- waiver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Types of drivers (4)

A

Turn around- at home every evening
Long relay- 9-11 hours, 10 hours off
Straight through- cross country
Team drivers- alt. 5 hour driving periods with 5 hr rest periods

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Work related issues (drivers) (7)

A

Abrupt schedule changes
Long hours
Decreased support systems
Tight schedules
Adverse driving conditions
Environmental conditions: vibration, noise, temp. Extremes
Transport passengers- hazardous materials

21
Q

Snellen chart

A

Numerator- 20

Denominator- smallest type read

22
Q

Whispered Hearing test

A 
5 feet from examiner
Ear being tested toward examiner
Other ear covered
Using breath after normal expiration 
   Whisper 3 random words numbers
23
Q

Failed whispered test

A

Perform audio metric test

24
Q

Audiometric test

A

Record decibel loss at 500hz, 1000hz, 2000hz

Average the loss

25
Q

Failed audiometric testing

A

Perform whispered voice test if not performed already

26
Q

Compensated diseases

A

Diseases or conditions that don’t have symptoms of

Eg. recent femur fracture with FROM, norm. Sensation

27
Q

Not-compensated diseases

A

Diseases or conditions with symptoms

Eg. diabetes with severe peripheral neuropathy

28
Q

Stage 1 HTN

A

140/90 - 159/99

1year certification

29
Q

Recertification BP

A

Bp greater than 140/90 less than 160/100

1 time certificate - 3 months

30
Q

Stage 2 HTN

A

160/100 - 179/109

1 time certificate 3 months

Reduced BP less than 140/90 annual recertification

31
Q

Stage 3 BP

A

180/110 or more

Not certified until after BP reduced to less than 140/90

Recertification q 6 months

32
Q

Urinalysis

A

Specific gravity
Protein
Blood
Glucose

33
Q

Skill performance evaluation

A

Apply to
Granted by FMCSA
loss/impairment extremity
Skill performance evaluation certificate 391.49

34
Q

Possible additional tests in general

A 
Blood glucose finger stick
Pulse ox
Abg 
Stress exercise tolerance test - ett 
Sleep studies
Drug test
35
Q

Findings needing additional testing

A

Abnormal ua
Cardiovascular insufficiency
Abnormal affect at examination
Recently prescribed treatment or medication

36
Q

Who certifies

A

The medical examiner

Specialist provide information and recommendations can’t decide

37
Q

Advice for drivers

A

Fatigue lack of sleep bad diet emotional conditions stress illnesses can affect driving

38
Q

Advise to carry extra

A

Contact lenses/glasses
Hearing aid/ batteries
Medications

39
Q

Medications evaluate (5)

A

Side effects, interactions, synergistic effects
Read warning labels for all meds
Extra meds
Refilling prescriptions while driving
Effectiveness can be affected by storage, light heat cold moisture

40
Q

Certification possibilities

A 
Maximum 2 yrs 
Less than 2 based on med. conditions
45 days pending additional information
   Certified as until expiration date
    Expired remains expired until         
certified
   Doesn’t provide information in time new certification process
Disqualification temp or permanent
41
Q

Certification time frame with skills performance evaluation

A

Can be certified max 2 years if no other restrictions.

Including hearing aid/ corrective lenses/ skills performance evaluation

42
Q

Reasons to disqualify

A

Methadone
Current diagnosis of alcoholism/ controlled substance without prescription
Condition- epilepsy, monocular vision, hearing loss
Diagnosis will interfere with safe driving

43
Q

A medical examiner can place restrictions on lifting

A

False

44
Q

Medical examiner can indicate qualified only with

A

Corrective lens
Hearing aid
Waiver/exemption
Exempt intracity zone 49 CFR 391.62
Skill performance evaluation
Fixed extremity deficits meets standards
Grandfathering diabetes/vision 49 CFR 391.64

45
Q

Waiver/exemptions

A

Granted for 2 years
Still needs to recertify annually
Granted by the FMCSA not provider

46
Q

What is the medical examiner certificate expiration date? Examination 11/16/2011; disqualified due to diagnosis of benign positional vertigo last episode 10/11/2011; return to medical examiners office for complete new certification examination on 1/2/ 2012. Asymptotic 10/11/2011 driver qualified for 2 years

A

1/2/14 - date based on last examination

Waiting period for vertigo is 2 months symptom free

47
Q

Additional tests above and beyond what are necessitated by the examination process should be performed only when ____

A

The examination was unable to determine if the driver passed one or more requirements.

Only performed if no clear result

48
Q

The FMCSA directly regulates ____

A

Interstate commercial operations including the driver

49
Q

Driver examination 2/17/2012, blood pressure 144/102. Driver given 3 mo. Vertigo 5/17/12. The driver returns on 3/16/12 with blood pressure of 124/82. The next step for the medical examiner is ____?

A

Perform a complete examination and certify the driver for one year if the driver passes the examination

DOT Study (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions