dot training course missed questions with complete answers 2023

dot training course missed questions with complete answers 2023 How long must the medical examiner keep records of the driver's medical examination report? 3 years Medical Examiners can use discretion when evaluating driver's with an extremity impairment. true what is the leading cause of death and medical disease in cmv drivers cardiovascular illness What is the waiting period post-AAA surgical repair? 3 months All of the following are requirements of the Federal Diabetes Exemption Program for a driver that requires insulin include all of the following except: 1. annual exam by endocrinologist and opthamologist 2. annual podiatry exam 3. annual participation in diabetes education program 4. driving with a form of rapidly absorbable glucose 5. glucose logs podiatry exam not required Any known diabetic drivers require a letter from their PCP stating how the disease is controlled, last HgbA1c, and how often they are followed. true driver presents for his recertification physical. He possesses a SPE certificate that he received almost 2 years ago for an impaired left leg. He has no other disqualifying conditions. Have the driver see a physiatrist or orthopedic surgeon A driver with an SPE certificate must also have a medical evaluation by a physiatrist or orthopedic surgeon to verify any medical changes since last certification. An SPE certification is valid for 2 years and must always be carried with the driver while on duty. An SPE certification can be given to a driver with a progressive deficit. t/f f- only fixed deficit A 57 year old male presents for certification. On physical exam, he has tenderness to palpation over his lumbar spine. The rest of the exam was unremarkable. CORRECT ANSWER: Obtain radiographic imaging or further evaluation If there are positive findings on physical examination, radiographic imaging or further evaluation by neurologist of physiatrist may be needed to assess disease and determine certification A 32 year old male presents for his certification physical. The results of his urinalysis reveals significant proteinuria. CORRECT ANSWER: Disqualify driver An individual with significant proteinuria should undergo further investigation. The driver should not be certified until the etiology of the proteinuria is confirmed and treatment is effective, safe and stable. A 56 year old male presents for his DOT physical with a complaint of left groin pain. Upon examination, it is determined that the driver has an inguinal hernia. He states the pain worsens with heavy lifting. What is the next step? disqualify the driver until he obtains further testing` A 42 year old female presents for her certification physical. After reviewing her history, you notice she has a history of anemia and takes a daily iron supplement. The driver denies fatigue and shortness of breath. Physical exam was within normal limits. CORRECT ANSWER: Obtain a CBC to determine if the driver is anemic, and then determine certification This driver has a history of anemia and is still taking daily iron supplementation. Although the driver seems to be asymptomatic, follow up testing should be done to determine the severity. However, it is up to the medical examiner's discretion to determine if symptoms will interfere with safety. A driver is found to have a vision of 20/100 uncorrected, and 20/20 corrected in the left and right eyes. What is the next step? CORRECT ANSWER: Disqualify the driver Monocular vision disqualifies the driver because it decreases the ability to perceive contrast. Medical examiner should still continue the examination because they may qualify for the vision exemption program. During the field of vision test, you are unable to conclude if the driver was able to see 70 degrees in the horizontal meridian What do you do? ORRECT ANSWER: Refer the driver to an optometrist or ophthalmologist If the test is inconclusive, a specialist with advanced equipment can properly determine measurements. A driver was disqualified for having a blood pressure of 186/112 on February 6, 2014. After receiving medical attention and initiating antihypertensive medication, he returns on April 17, 2014 for follow up. His blood pressure is found to be 136/82. The medication is well tolerated and the patient is asymptomatic. what is his date of recertification CORRECT ANSWER: August 6, 2014 The driver will be recertified for only 6 months from the initial exam date because he has Stage 3 hypertension. At a recertification exam Mr. Smith's blood pressure is 150/94. It is confirmed with a second reading. He has no prior history of hypertension What type of certificate (if any) should be given to Mr. Smith? CORRECT ANSWER: 1 year This driver has Stage 1 Hypertension. He has no prior history and is not on anti-hypertensive medication (Rx or OTC). Therefore, patient can be given a 1 year certification. A 45 year old female presents with a history of Multiple Sclerosis that was diagnosed in her twenties. She has not had any symptoms of fatigue, weakness, or other neurological deficits since her initial diagnosis. She is evaluated by a Neurologist who orders an MRI that does not show any new lesions since her original probable diagnosis. She was told by her doctor that she is disqualified from driving. Her doctor is not a certified medical examiner. CORRECT ANSWER: You allow her to appeal on the fact that she meets all the appeal criteria. You may grant the appeal after she retakes and passes an on-the-road driving test and is evaluated by a Neurologist annually. Your certification is determined in collaboration with the specialist and is on a case-to-case basis. Multiple sclerosis appeal criteria include: a benign course of MS (no further dysfunction after the initial attack at least 5 years post-diagnosis) or if the diagnosis is possible/probable, there are no signs of relapse or progression, neurological deficits are insignificant enough to not interfere with safe driving, no history of excessive fatigue, normal MRI and triple evoked potential studies or no new lesions on two studies done at least one year apart. This patient meets the appeal criteria.Together with a neurologist, on a case-by-case basis, a driver can potentially be approved. What is the minimum waiting period after surgery for a benign supratentorial tumor? 2 years A 68 year old male develops tinnitus and vertigo. He has been disqualified as an interstate driver until diagnosis has been made. He is sent to an ENT by his PCP and an MRI reveals an acoustic neuroma. He is scheduled to have surgery but calls to inquire if he will ever be able to drive again. CORRECT ANSWER: He must wait a minimum of 1 year after surgery and have proof of imaging that tumor has been fully resected. He also must be off all anticonvulsant medicine and free of seizures during that waiting time period. A neurologist should provide clearance stating stable neurological deficit if any. The minimum post-surgical waiting period for an acoustic neuroma is 1 year. The drivermust have proof of imaging that shows the tumor has been fully resected. The driver also must be off all anticonvulsant medicine and free of seizures during that waiting time period. A neurologist should provide clearance stating stable neurological deficit if any. A 40 year old male presents for his DOT re-certification. He has a history of asthma which has been controlled for the last 5 years. On exam, he seems to struggle to inhale and wheezes can be heard bilaterally. He is afebrile. His PFTs are abnormal but improve 20% upon administration of nebulizer treatments and corticosteroids. He states he has had this breathlessness for the last week and that it persists through the night. CORRECT ANSWER: to disqualify him until he can stabilize his asthma The patient has asthma (not COPD) since his PFTs improve > 15% upon nebulizer treatments and corticosteroid administration. However, it is recommended to disqualify a driver who has uncontrolled, symptomatic asthma, such as in this case.