DOT MEDICAL EXAMINER EXAM NEWEST ACTUAL EXAM WITH 150 UPDATED QUESTIONS AND ANSWERS (VERIFIED ANSWERS) [ALREADY GRADED A+]
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Course
DOT MEDICAL
Institution
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...
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
, 4|Page
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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