Dot exam stuvia Study guides, Class notes & Summaries

a 30 year old driver presents for a biennial recertification. the driver notes in his hx he's had 3 episodes of BPV 6 months ago but has been asymptomatic since. he provides a letter from his neurologist stating he is cleared to work w/o restrictions. exam is negative with no abnormalities. how long may he be qualified alified due to not waiting the recommended period fied up to 2 years to tilt table test for CT of brain - ANSWERSB use of muscle relaxants such as skelaxin, soma, or fle...

FMCSA Mission Statement - ANSWERSTo reduce crashes, injuries, fatalities involving large trucks/buses Medical Examiner - ANSWERSLicensed, certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test FMCSA - ANSWERSFederal Motor Carrier Safety Administration NRCME - ANSWERSNational Registry of Certified Medical Examiners Commerical Motor Vehicle - ANSWERSWeight >1000 lb ; or transports ...

When do patients require a Skilled Performance Exam? - ANSWER-IF they have a FIXED motor deficit of an extremity who cannot physically qualify to drive that needs a full evaluation by a specialist (Not for patients with a progressive motor deficit) **These patients must provide proof of the exam by the specialist in order to obtain certification or be given a referral letter if you think they need an exam*** What two special populations of drivers are given exemptions by the DOT? - ANSWER-...

Skill Performance Evaluation (SPE) certificate - ANSWER-A driver with an impairment of an arm, leg, hand, or foot who is otherwise medically qualified, may be certified if the driver applies for and is determined by the FMCSA to be qualified for a SPE certificate. Issued by FMCSA, not Medical Examiner. Issued up to two years; may be renewed. To legally operate a CMV, the driver must carry a SPE certificate and a valid Medical Examiner's certificate. The driver is responsible for ensu...

The waiting period after pacemaker implantation for treatment of sinus node dysfunction is __________. One week. Two weeks. One month. Three months. - ANSWER-One month. The maximum thoracic aneurysm size that allows driver certification is _ 3.0 cm 3.5 cm 4.0 cm 5.0 cm - ANSWER-3.5cm Which of the following is a qualification recommendation following coronary artery bypass graft (CABG) surgery? A. Exercise tolerance testing (ETT) every two years after five years. B. Echocard...

To Promote safety, the Office of Medical Programs - ANSWER--Oversees the national medical certification process for CMV who operate in interstate commerce -develops and implements medical regulations, policies, and procedures -Oversees and supports the Medical Review Board in accordance with the Federal Advisory Committee Act -Develops and implements the national registry program: a national medical examiner system and a linked national driver medical reporting system. -Conducts and oversee...

The driver presents with a SPE Certificate. The Medical Examiner's next step should be: - ANSWERSProceed with the examination. A 21-year-old driver presents with a history of ADHD for 10 years, taking stable dosing of Adderall. He describes no side effects. Which of the following is true? a. A significant percentage of individuals with adult ADHD show a moderate to marked degree of improvement on central nervous system stimulant medication. b. ADHD is a disqualifying condition. c. Adde...

Who can perform eye exams? - ANSWER-You, optometrist, or an ophthalmologist, (and medical assistant w snellen) What eye conditions should you be concerned for? - ANSWER-Retinopathy, cataracts, aphakia, glaucoma, and macular degeneration. What exams need to be done w each driver - ANSWER-Vision, Hearing, BP/Pulse, UA Give examples of "Yes" answers for hearing and ears on the health history that may require further examination before a medical examiner can make a CMV driver certificatio...

Corrective lenses that are prohibited by the FMCSA, including: - ANSWERSlenses that correct distance vision in one eye and near vision in the other. telescopic lenses Medical guidelines for the driver with diabetes mellitus include: - ANSWERSAnnual medical examination. Annual ophthalmologist or optometrist eye evaluation. Disqualification for a diagnosis of unstable proliferative retinopathy. Monocular Vision - ANSWERSMonocular vision is disqualifying. However, the driver who has monoc...

Upon examination of a 46 y/o male smoker, you detect an irregularly irregular heart rythm. 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. You would: - ANSWERSDisqualify and refer to his PMD or cardiologist for further evaluation. Concerning the medical certificate, which is false? - ANSWERSProvide the original to the driver being examined. Retain a copy for at least 3 year...