DOT Exam Emedhome 100% Correct Answers Verified Latest 2024 Version
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DOT Exam Emedhome | 100% Correct
Answers | Verified | Latest 2024 Version
A driver is taking Celexa for the treatment of what he calls a "mild depression." He reports he
has not considered or attempted suicide. The examiner should: - Temporarily disqualify the driver
until he obtains written cl...
DOT Exam Emedhome | 100% Correct
Answers | Verified | Latest 2024 Version
A driver is taking Celexa for the treatment of what he calls a "mild depression." He reports he
has not considered or attempted suicide. The examiner should: - ✔✔Temporarily disqualify the driver
until he obtains written clearance for the depression and
the medication from the treating provider.
The following statements are true concerning hearing requirements of commercial drivers
EXCEPT:
a. Hearing aids may not be worn during the forcedwhisper test.
b. Either the forced whisper or audiometry tests may be performedfirst.
c. The forced whisper test is passed if one ear perceives the forced whisper at 5 feet.
d. Administration of both tests is only necessary if the first test is failed. - ✔✔Hearing aids may not be
worn during the forcedwhisper test.
A driver with a history of diabetes, who is taking Metformin, provides a note from his
primary care provider that lists his A1c level as 10. His exam is essentially normal
including laboratory analysis, except he is very overweight. The medical examiner
should certify the driver for how long? - ✔✔Certify the driver for 1 year.
A driver has had his second spontaneous pneumothorax on the same side 3 months ago. There has
been no surgical intervention. The FVC is 68%. The correct determination in thiscase is: - ✔✔Do not
certify until the condition has been corrected surgically.
The driver reports a suicide attempt 6 months earlier, following the break-up of his marriage. He noted
seeing a psychiatrist and he takes Citalopram daily and he reports he feels fine now and is moving on
with
his life. He provides a release from his doctor that he may return to work without restrictions. The
medical examiner should? - ✔✔Disqualify the driver.
,A driver with an Abnormal Aortic Aneurysm (AAA) can be certified: - ✔✔For 1 year if between 4 and 5
cm, asymptomatic, with a recommendation from a cardiovascular
specialist who understands the functions and demands of commercial driving.
Which of the following is false concerning additional information the driver is to provide for any "yes"
responses on the history section of the examination form? - ✔✔Must list only prescription medications,
not vitamins or supplements.
Upon examination of a 46-year-old male smoker, you detect an irregularly irregular heart rhythm.
The rate is 140 bpm. This is unknown to the driver and he denies any symptoms of lightheadedness,
shortness of breath, dizziness, palpitations, nor any cardiac history. What would you do? - ✔✔a.
Disqualify and refer to his PMD or cardiologist for further evaluation
Which 3 cardiac condition is disqualifying? - ✔✔HOCM
Torsades
Brugada syndrome
You must review and discuss with the driver any "yes" answers to include any illness or injury in
the last how many years. - ✔✔years
A driver was discharged from the hospital 10 weeks ago, after an MI. He is asymptomatic and has a
note from the cardiologist that he had a satisfactory in office ETT the week prior to your examination
and that he may drive. His pre-discharge ECHO shows an EF of 45%. His examination is normal.
What is the max certification period? - ✔✔1 year
Concerning the medical certificate, can you give a copy to the current or prospective employer? - ✔✔No
they must get it from the driver
Which of the following is an assessment of L4 nerve root pathology? - ✔✔Patellar reflex
, What indicators will you need to refer a driver for PFT? - ✔✔history of COPD, symptoms of wheezing,
cigarette smoking in drivers 35 years or older
How soon may a driver be certified after coronary artery bypass grafting (CABG) surgery? - ✔✔.3 months
with clearance by cardiologist, resting echocardiogram with an LVEF >40% after
CABG, and asymptomatic status with no angina.
A driver presents for his DOT physical. He notes occasional lower back pain. A lateral pulsation is
palpated approximately 2 inches superior of the umbilicus. Auscultation in this area reveals an
obvious bruit. What is the most important next step? - ✔✔.Arrange for immediate transport to an
Emergency Department
Arriving for a recertification exam, a 48 year-old male non-smoker is 5'4", 275lbs. His supervisor calls
you ahead of time stating he recently went off the side of the road crashing into a guard rail. There
were no injuries and the truck sustained only minor damage. When the medical assistant goes to
bring him back, he is found asleep, snoring in the waiting room and she needs to wake him by gently
shaking him by the shoulder. She reports this to you. When you arrive in the exam room the patient
appears to be nodding off while sitting on the exam table. Upon further questioning, he admits that
his wife frequently elbows him because of his snoring and that he gasps and snorts in his sleep.
When asked, he denies nodding off while driving. His exam is notable for obesity, Mallampati 4
oropharynx, HTN controlled with 2 medications, otherwise normal. Appropriate next steps: -
✔✔disqualify and refer to PMD for sleep study
Physical qualifications for vision regulations include all but: - ✔✔Field of vision of at least 85 degrees in
the horizontal meridian in each eye
A 69-year-old male driver had a femoral-popliteal bypass 4 months ago, with resolution of chronic
leg pain due to claudication. His surgeon clears him for driving. He is on coumadin with INRs
consistently in the therapeutic range since discharge. what is the max certification? - ✔✔meets
standards, qualified for one year
Drivers must have the following physical abilities except:
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