DOT Certification exam
what type of driver is required to take exam - ANSWER-all interstate comercial drivers
who:
-have a vehcile weight of 10,000 pounds
-drivers using vehicle carrying 9 to 15 people if for compensation
-drivers transporting 16 passangers or more even if not for compensation
-drivers transporting hazardous material
non discretionary standards that immediately disqualify driver - ANSWER-1. use of
insulin for diabete
2. seizure disorder or epilepsy
3. failure of hearing or vision
discretionar standards` - ANSWER-loss of foot, leg hand or arm
-no current diagnosis of mi, angia thrombosis, coronary insufeciency or other disease
that can results in syncope, dyspnea, collapse or chf
-no respiratory conditoin or htn
-no arhtritis or ortho pissues
no psych issues
-no amphetamine, or narcotic or alcoholism
temporary 2 year relief fromon or more of the fmcsa regulations. two medical
expmptions - ANSWER-vision exemption and diabetes but must be made by fmcsa not
yoU!!
must the driver have a ua - ANSWER-yes
what is the most critical issue for a driver with diabetes - ANSWER-preventing
hypoglycemia
factors that could affect glucose - ANSWER-fatigue, emotional , sleep deprivation,
stress, poor diet, missed meals
reason to disqualify a diabetic - ANSWER-insulin
prolonged periods of hyperglycermia can lead to what disqualifying conditions -
ANSWER-neuropathy
retinopathy
nephropathy
atheroscelerosis
,fmcsa definition of severe hypoglycemic reaction is one that results in - ANSWER-
seizure, loss of conciousness, needs assistance from another person period of impaired
cognitive fuciton occuring without warning
if a driver has had a severe hypoglycemic reaction in the last ___ months, what should
you do - ANSWER-12, disqualify
if the driver has had two or more severe hypogylcemic episodes in the past __ yers, do
what - ANSWER-five years, disqualify
what medication do you only certify the driver for one year if taking - ANSWER-
injectable non insulin
what diabetes complications are severe enough they can be disqualifying - ANSWER-1.
renal : insufficiency, proteinuria, nephrotic syndrome
2. cardio: coronary artery disease, htn, tsa, stroke, pvd
3. neuro: peripheral neuopath, decrease seasation, and autonomic lneuroathy, cardia,
gi , fu
what is periphereal neuropathy - ANSWER-weakness, numbness, pain in extremities, in
hands makes it hard to steer, in feet makes hard for balance and to press gas
recommended to disqualify driver if he has perifpheral neuropathy unless - ANSWER-
neurologist or physiologist who understands demands and skillls needed conducats a
simulated driving skills test to verify he meets standards,
must be reevaluated annually
diabetic retinopathy must - ANSWER-be examined by opthamologist
blood pressure - ANSWER-orthostatic hypotension disqualify
heart rate - ANSWER-resting tachycardia, disqualify
if a driver does not know they have dm, and have glucosuria on ua then what -
ANSWER-finger stick, if probable dm they should see a pcp before certifying,
what hemoglobin a1c is considered poro control - ANSWER-over 10, don't certify until
under tht
disqualifying eye conditions - ANSWER-unstable proliferative retinopathy (diagnosed by
opthamoligist), diagnosis of macular degeneration even with telescopic lenses
federal diabetes exception program allows some driers wtih dm that require insulin to
operate a cmv for - ANSWER-2 years but it is granted by fmcsa not me
, requirements to be except by fmcsa - ANSWER-deemed medically fit to drive by me
otherwise, annual exam by board certifed endocrinologist. annual eval by opthamologist
or optometrist with vision checklist, d. retionpathy must be by opthamologist, must have
yearly medical re certs, must participation in diabetes education annually, must possess
a rapidly absorble form of glucose will driving (ic 20 g glucose tablerts, blood glucose
monioring, finger stic one hour bfore and every four hours while driving, submit blood
glucose moniotring logs at annual, must have a copy of exception letter while on duty
a man is a diabetic and has been takign oral medicatio but is starting on insulin, what
now - ANSWER-needs 1 mpnth period on insulin to establish control for the exception
newly diagnosed diabetic starts on insulin - ANSWER-needs 2 month period on insulin
to establish stable control
what diabetics get grandfathered in - ANSWER-ones who participated in the study in
1996, as long as they get annual pe by endocrinologist,
acceptable accucheck range for driving - ANSWER-100 to 400 considered safe for
driving
outcomes drivers not using insulin but who are dm due what - ANSWER-annual
recertification is recommended
how long is the normal certificate - ANSWER-2 years
what are the qualifications to pass the hearing test - ANSWER-one of the following must
be passed in the drivers better ear with or without hearing aids:
1. forced whisper test, driver must hear a whispered voice in better ear at five or more
feet, with or without hearing aid
2. audiometric hearing test: driver must not have an average hearing loss of greater
thant 40 decibles at 500hz, 1,000 hz and 2,000 hz in better ear and if aid is required
must be performed by specialist such as audiologist or heari aid center using the right
equipment
how to perform forced whipser test - ANSWER-patient turn ear being tested toward
examiner and cover other ear, stand 5 feet behind or to side of patient,
after a normal expiration, me use remaining breath to whisper number or phrase that
the person needs to repeat, can use hearing aids
what three frequencies are tested - ANSWER-500, 1,000,, 2000
how to calculate resulets - ANSWER-add the results of all three frequencies and divide
by three to get avergage hearing loss, inodrer to be certified, average loss must be less
than 40 decibels in better ear
if driver fails both tests - ANSWER-refer to audiologist
what type of driver is required to take exam - ANSWER-all interstate comercial drivers
who:
-have a vehcile weight of 10,000 pounds
-drivers using vehicle carrying 9 to 15 people if for compensation
-drivers transporting 16 passangers or more even if not for compensation
-drivers transporting hazardous material
non discretionary standards that immediately disqualify driver - ANSWER-1. use of
insulin for diabete
2. seizure disorder or epilepsy
3. failure of hearing or vision
discretionar standards` - ANSWER-loss of foot, leg hand or arm
-no current diagnosis of mi, angia thrombosis, coronary insufeciency or other disease
that can results in syncope, dyspnea, collapse or chf
-no respiratory conditoin or htn
-no arhtritis or ortho pissues
no psych issues
-no amphetamine, or narcotic or alcoholism
temporary 2 year relief fromon or more of the fmcsa regulations. two medical
expmptions - ANSWER-vision exemption and diabetes but must be made by fmcsa not
yoU!!
must the driver have a ua - ANSWER-yes
what is the most critical issue for a driver with diabetes - ANSWER-preventing
hypoglycemia
factors that could affect glucose - ANSWER-fatigue, emotional , sleep deprivation,
stress, poor diet, missed meals
reason to disqualify a diabetic - ANSWER-insulin
prolonged periods of hyperglycermia can lead to what disqualifying conditions -
ANSWER-neuropathy
retinopathy
nephropathy
atheroscelerosis
,fmcsa definition of severe hypoglycemic reaction is one that results in - ANSWER-
seizure, loss of conciousness, needs assistance from another person period of impaired
cognitive fuciton occuring without warning
if a driver has had a severe hypoglycemic reaction in the last ___ months, what should
you do - ANSWER-12, disqualify
if the driver has had two or more severe hypogylcemic episodes in the past __ yers, do
what - ANSWER-five years, disqualify
what medication do you only certify the driver for one year if taking - ANSWER-
injectable non insulin
what diabetes complications are severe enough they can be disqualifying - ANSWER-1.
renal : insufficiency, proteinuria, nephrotic syndrome
2. cardio: coronary artery disease, htn, tsa, stroke, pvd
3. neuro: peripheral neuopath, decrease seasation, and autonomic lneuroathy, cardia,
gi , fu
what is periphereal neuropathy - ANSWER-weakness, numbness, pain in extremities, in
hands makes it hard to steer, in feet makes hard for balance and to press gas
recommended to disqualify driver if he has perifpheral neuropathy unless - ANSWER-
neurologist or physiologist who understands demands and skillls needed conducats a
simulated driving skills test to verify he meets standards,
must be reevaluated annually
diabetic retinopathy must - ANSWER-be examined by opthamologist
blood pressure - ANSWER-orthostatic hypotension disqualify
heart rate - ANSWER-resting tachycardia, disqualify
if a driver does not know they have dm, and have glucosuria on ua then what -
ANSWER-finger stick, if probable dm they should see a pcp before certifying,
what hemoglobin a1c is considered poro control - ANSWER-over 10, don't certify until
under tht
disqualifying eye conditions - ANSWER-unstable proliferative retinopathy (diagnosed by
opthamoligist), diagnosis of macular degeneration even with telescopic lenses
federal diabetes exception program allows some driers wtih dm that require insulin to
operate a cmv for - ANSWER-2 years but it is granted by fmcsa not me
, requirements to be except by fmcsa - ANSWER-deemed medically fit to drive by me
otherwise, annual exam by board certifed endocrinologist. annual eval by opthamologist
or optometrist with vision checklist, d. retionpathy must be by opthamologist, must have
yearly medical re certs, must participation in diabetes education annually, must possess
a rapidly absorble form of glucose will driving (ic 20 g glucose tablerts, blood glucose
monioring, finger stic one hour bfore and every four hours while driving, submit blood
glucose moniotring logs at annual, must have a copy of exception letter while on duty
a man is a diabetic and has been takign oral medicatio but is starting on insulin, what
now - ANSWER-needs 1 mpnth period on insulin to establish control for the exception
newly diagnosed diabetic starts on insulin - ANSWER-needs 2 month period on insulin
to establish stable control
what diabetics get grandfathered in - ANSWER-ones who participated in the study in
1996, as long as they get annual pe by endocrinologist,
acceptable accucheck range for driving - ANSWER-100 to 400 considered safe for
driving
outcomes drivers not using insulin but who are dm due what - ANSWER-annual
recertification is recommended
how long is the normal certificate - ANSWER-2 years
what are the qualifications to pass the hearing test - ANSWER-one of the following must
be passed in the drivers better ear with or without hearing aids:
1. forced whisper test, driver must hear a whispered voice in better ear at five or more
feet, with or without hearing aid
2. audiometric hearing test: driver must not have an average hearing loss of greater
thant 40 decibles at 500hz, 1,000 hz and 2,000 hz in better ear and if aid is required
must be performed by specialist such as audiologist or heari aid center using the right
equipment
how to perform forced whipser test - ANSWER-patient turn ear being tested toward
examiner and cover other ear, stand 5 feet behind or to side of patient,
after a normal expiration, me use remaining breath to whisper number or phrase that
the person needs to repeat, can use hearing aids
what three frequencies are tested - ANSWER-500, 1,000,, 2000
how to calculate resulets - ANSWER-add the results of all three frequencies and divide
by three to get avergage hearing loss, inodrer to be certified, average loss must be less
than 40 decibels in better ear
if driver fails both tests - ANSWER-refer to audiologist
