Exam (elaborations)
FMCSA DOT QUESTIONS AND ANSWERS 2024
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Exam of 9 pages for the course FMCSA at FMCSA (FMCSA DOT)
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FMCSA DOTCV disqualifiers - answer ECG- Ischemic changes at rest
EF - <40%
ETT - unable to pass or complete
Angina at rest or change in pattern
Symptomatic
Poor tolerance of medications
CV procedures wait periods - answer Post PCI- Wait period one week, ETT 3-6 months after PCI
Post MI- Wait period 2 months, LVEF > 40%, ETT every two years
Post CABG - Wait period 3 months, LVEF >40% and after 5 years needs an annual ETT
Any cardiac surgery 3 month wait period
Cardiomyopathies - answer Hypertrophic or restrictive - NO
Idiopathic - Yes if...
Asymptomatic, LVEF >40%, no ventricular arrhythmias
Asymptomatic, LVEF >50% if ventricular arrhythmias present
Annual certification with cardiac evaluation that includes echo and holter.
Any cardiovascular disease - answer ANNUAL certification
Ventricular Tachycardia - answer Sustained vtach >15 sec
EF <40%- do not certify
EF >40% and asymptomatic- wait period of one month after successful treatment and cleared by cardiologist
Annual certification
SVT - answer Prognosis is excellent but may have syncope or symptoms of cerebral hypoperfusion
WPW - pre-excitation presents risk for death or syncope if atrial fibrillation develops
Wait period of 1 month
Annual certification if asymptomatic
A Fib - answer Anticoagulated for 1 month
Monitored by monthly INR
Rate/rhythm control deemed adequate
Annual certification Pacemakers - answer Certify annually if...
One month after implantation, unless neurogenic or carotid sinus syncope, wait period is 3 months
Documented correct function and regular pacemaker checks
Underlying disease not disqualifying
Defibulators are disqualifying
Aortic stensosis - answer Mild - annual cert if asymptomatic, echo every 5 years
Moderate - 3 month wait period after surgery, certify annual with echo every 2-3 years
Severe - NO unless 3 months post surgery, certify annual
Aortic regugitation - answer Mild and moderate disease:
Annual certification
Echo every 2-3 years
Severe aortic regurgitation:
(see guideline)
Mitral regurgitaiton - answer Mild - certify annual
Moderate - certify annual if echo shows normal LV size and function
Severe - annual if asymptomatic, echo every 6-12 months. NO if symptomatic
Mitral stenosis - answer Mild: MVA >1.6
Moderate: MVA 1.0-1.6, certify annual if asymptomatic
Severe: NO if NHYA class II or MVA <1.0
Vascular disease - answer PVD - certify annual
Intermittent claudication:
If surgery wait 3 months
If asymptomatic- annual certification
If symptomatic - NO
DVT: Acute, do not certify until no residual thrombosis
PE: No if symptomatic
3 months with no PE and on long term treatment
Blood pressure standard - answer Must measure Bp
Only measurements taken in the exam can be used
If it is high must retake in exam
Must measure pulse
Record rate and rhythm
Hypertension regulation - answer *140-150/90-99 = Stage 1 HTN expiration - 1 year Recertification: 1 year if less than 140/90
1-time recert for 3 month if 141-159/90-99
*160-179/100-109 = Stage 2 HTN
Expiration -One time cert for 3 months
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