Exam (elaborations)

DOT MEDICAL EXAMINER EXAM NEWEST ACTUAL EXAM WITH 150 UPDATED QUESTIONS AND ANSWERS (VERIFIED ANSWERS) [ALREADY GRADED A+]

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DOT MEDICAL

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DOT MEDICAL

DOT MEDICAL EXAMINER EXAM NEWEST ACTUAL EXAM WITH 150 UPDATED QUESTIONS AND ANSWERS (VERIFIED ANSWERS) [ALREADY GRADED A+] Who should get spirometry testing? - All drivers with COPD and smokers at age of 35+ ABG should be obtained if? - FEV1 less than 65% predicted FEV1/FVC ratio le...

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Institution DOT MEDICAL
Course DOT MEDICAL

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DOT MEDICAL EXAMINER EXAM NEWEST 2024-2025

ACTUAL EXAM WITH 150 UPDATED QUESTIONS AND

ANSWERS (VERIFIED ANSWERS) [ALREADY GRADED

A+]

Who should get spirometry testing? - All drivers with COPD and

smokers at age of 35+

ABG should be obtained if? - FEV1 less than 65% predicted

FEV1/FVC ratio less than 65% predicted

FVC less than 60% predicted

OR

pulse ox less than 92%

ABG Disqualification Criterias - PO2 less than 65 mm hg (or if at

more than 5000 ft elevation 60 mm hg)

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OR

PaCO2 above 45 mm hg

CXR should be obtained for? - Significant Resp Abnormalities:

-Mitral Stenosis eval

-Hypersensitivity Pneumonitis

-Spontaneous Pneumothorax

-Positive PPD

Sleep Disorder Tests - -Polysomnography

-Control sleep lab

-Maintenance Sleep Wakefulness test

-Napping test

-Multiple Sleep Latency Test

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Indications for Sleep Studies - Needs 2 of 3 to meet indication

criteria:

1. BMI >35

2. Neck Circumference > 17 in for men / >16 in for women

3. Uncontrolled / new onset HTN

4. HTN needing two meds for control

Absolute Indications for Sleep Studies - -Hx or findings of OSA

-Epworth Sleepiness scale >10

-Previously diagnosed sleep disorder

-Previous sleep study apnea / hypoapnea >5 but <30

Sleep Apnea Definitions - Apnea: cessation of airflow for > or = to

10 sec

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Hypopnea: decreased airflow (30/50%) > or = to 10 sec

associated with oxygen desaturation (4 vs 3%) &/or arousal

Mild: 5+ episodes per hour

Moderate: 15+ episodes per hour

Severe: 30+ episodes per hour

Waiting Period for Sleep Apnea after starting CPAP? - 1 month

Waiting period after Sleep Apnea after surgical intervention? - 3

months

Medical Standards/Regulations vs Medical Guidelines - Medical

Standards/Regulations - are mandatory

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