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DOT Exam PEARLS|Complete Questions with Correct Answers

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DOT Exam PEARLS|Complete Questions with Correct Answers True or false: One component of a satisfactory ETT includes a heart rate >75% of predicted maximum unless on beta blocker False 1) Must attain a HR >85% of predicted maximum unless on beta blocker 2) No significant ST segment depres...

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  • March 27, 2024
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  • 2023/2024
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DOT Exam PEARLS|Complete Questions with Correct Answers
True or false: One component of a satisfactory ETT includes a heart rate >75% of predicted maximum
unless on beta blocker

False

1) Must attain a HR >85% of predicted maximum unless on beta blocker

2) No significant ST segment depression or elevation

3) Increased diastolic BP greater than 20 mmHg without angina

FMCSA mission statement

The FMCSA is focused on reducing crashes, injuries, and fatalities involving large trucks and buses

NRCME mission statement

The NRCME is focused on improving highway safety by producing trained, certified medical examiners
who can effectively determine if a CMV driver's health meets the FMCSA standards

What "title, part, section" is used to described the 13 standards that are used to determine driver
medical fitness for duty?

Title 49, Part 391, Section 41

49 CFR 391.41

What are the 3 disqualifies that do not depend on medical clinical interpretation?

1) Vision
2) Hearing
3) Epilepsy

True or false: Insulin dependent diabetes is a disqualifier that does not depend on medical clinical
interpretation

False - this used to be a disqualifier but is no longer the case as of 2018

Any self-propelled or towed motor vehicle used on a highway in interstate commerce to transport
passengers or property when the vehicle:
1) Has a combined gross of weight or weight rating of <10,001 lbs
2) Is designed or used to transport >8 vehicles (including the driver)
3) Is used to transport >15 passengers (including the driver)
4) Transport hazardous materials

Commercial Motor Vehicle

Trade, traffic, or transportation:
1) Between a place in a State and a place outside such State
2) Between two places in a State through another State or a place outside of the US

, 3) Between two places in a State as part of trade, traffic, or transportation originating or terminating
outside the State or US

Interstate Commerce

What act requires drug and alcohol testing of safety-sensitive transportation employees in
transportation industries?

The Omnibus Transportation Employee Testing Act of 1991

True or false: As the medical examiner, you are NOT diagnosing and treating person medical conditions

True! It is your duty to educate and refer the driver for further evaluation if you suspect an undiagnosed
or worsening medical problem, but you are not treating.

"As the medical examiner, you are not treating the provider and do not treat or diagnose in this
setting"

Stage I HTN

140-159/90-99

Stage II HTN

160-179/100-109

Stage III HTN

SBP ≥ 180
DBP ≥ 110

If a driver comes in with a BP of 144/92, what should you do?

A BP >130/89 must be confirmed with a 2nd measurement taken later during the examination

NOTE: When BP and pulse rate are significant factors in why you are not certifying a driver, if
is crucial for you to re-measure them!

If a driver has a confirmed BP of 158/98, what should your certifying decision be?

The driver may be certified for one year. At recertification, if the BP is not under <160/100, the driver
can be given a one-time certificate for 3 months. If BP is <140/90, the driver may be certified for
another year

If a driver has a confirmed BP of 181>111, what should your certifying decision be?

Disqualified

- The driver should not be certified until his/her BP is reduced to <140/90. Once this is achieved, the
driver can be certified for 6 months

If a driver has a confirmed BP of 178/108, what should your certifying decision be?

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