DOT certification medical examiner test Questions
and Correct Answers, With Complete Solutions.
Coronary Artery Bypass Graft
3 months post procedure waiting period then qualified for one year if asymptomatic,
LVEF >40% and meets general requirements
CHF accompanied by dyspnea at rest?
DQ; not medically fit for duty
Unstable angina
DQ
Qualify post pneumothorax-when?
Qualify when FEV >65% (60mmHg if above 5k' elevation)
asymptomatic, confirmed resolution of SINGLE spontaneous pneumoT., has successful
pleurodesis & meets pulm req.
Psychological assessment
1.) suspicious behavior
2.) hallucinations
3.) signs of flat affect
Purpose of CMV physical exam
Public Safety and "medical fitness for duty"
FMSCA Mission
Reduction of crashes, injuries and fatalities involving large trucks and buses
Who and what does FMSCA regulate?
They regulate interstate commercial operation, including driver, vehicle, motor carrier
and transport of hazardous material.
Driver Stressors
1.) ADL interruption
2.) Environmental factors
3.) Potential dangerous situations
Possible outcomes of CMV physical exam
Qualification or Dysqualification
Who can perform vision portion of exam
CMV Medical examiner, MA, opthalmologist/optometrist
Visual acuity requirements
20/40 unilateral and bilateral
Which 5 eye conditions must be asked about and then referred to eye specialist?
1.) glaucoma
2.) retinopathy
3.) aphakia (absence of the lens of the eye)
4.) macular degeneration
5.) cataracts
Whisper test must be performed at
5 feet, must meet 5' in at least 1 ear
Time post MI prior to driving
, 2 months and meets all other PE requirements
Minimum LVEF
40%
Maximum size abdominal aortic aneurysm
5 cm
Stage I HTN
140-159/90-99
Minimum PaO2 below 5000 ft
65
Minimum PaO2 above 5000 ft
60
Minimum FEV1 requirement
65%
Minimum time lapse after taking sedating medication
12 hours
Minimum FVC
65%
History of two pneumothorax without surgical repair
DQ
Qualification for CMV with loss of limb
May with SPE according to 49 CFR 391.49
Someone using insulin may be qualifed
Yes, but only with a Federal Diabetes Exemption
Which of the following is evaluated in the eye
Pupil reactivity-this is a cranial nerve test
Minimum pulse oximetry
92%
Vision regulation
CFR 391.41(b)(10)
CFR 391.43
Medical Examiner responsibilities
Converting ANSI to ISO
500Hz-14 dB
1000Hz-10 dB
2000Hz-8.5 dB
Average hearing loss
less than 40 dB
What if BP > 139/89?
Confirm with second reading
160-179/100-109
Stage 2 HTN, treat & give one time 3 month cert
Greater than 180/110
Stage 3 HTN, do not cert until BP reduced to 140/90 or less, then may be certified every
6 months
Urinalysis evaluation of
and Correct Answers, With Complete Solutions.
Coronary Artery Bypass Graft
3 months post procedure waiting period then qualified for one year if asymptomatic,
LVEF >40% and meets general requirements
CHF accompanied by dyspnea at rest?
DQ; not medically fit for duty
Unstable angina
DQ
Qualify post pneumothorax-when?
Qualify when FEV >65% (60mmHg if above 5k' elevation)
asymptomatic, confirmed resolution of SINGLE spontaneous pneumoT., has successful
pleurodesis & meets pulm req.
Psychological assessment
1.) suspicious behavior
2.) hallucinations
3.) signs of flat affect
Purpose of CMV physical exam
Public Safety and "medical fitness for duty"
FMSCA Mission
Reduction of crashes, injuries and fatalities involving large trucks and buses
Who and what does FMSCA regulate?
They regulate interstate commercial operation, including driver, vehicle, motor carrier
and transport of hazardous material.
Driver Stressors
1.) ADL interruption
2.) Environmental factors
3.) Potential dangerous situations
Possible outcomes of CMV physical exam
Qualification or Dysqualification
Who can perform vision portion of exam
CMV Medical examiner, MA, opthalmologist/optometrist
Visual acuity requirements
20/40 unilateral and bilateral
Which 5 eye conditions must be asked about and then referred to eye specialist?
1.) glaucoma
2.) retinopathy
3.) aphakia (absence of the lens of the eye)
4.) macular degeneration
5.) cataracts
Whisper test must be performed at
5 feet, must meet 5' in at least 1 ear
Time post MI prior to driving
, 2 months and meets all other PE requirements
Minimum LVEF
40%
Maximum size abdominal aortic aneurysm
5 cm
Stage I HTN
140-159/90-99
Minimum PaO2 below 5000 ft
65
Minimum PaO2 above 5000 ft
60
Minimum FEV1 requirement
65%
Minimum time lapse after taking sedating medication
12 hours
Minimum FVC
65%
History of two pneumothorax without surgical repair
DQ
Qualification for CMV with loss of limb
May with SPE according to 49 CFR 391.49
Someone using insulin may be qualifed
Yes, but only with a Federal Diabetes Exemption
Which of the following is evaluated in the eye
Pupil reactivity-this is a cranial nerve test
Minimum pulse oximetry
92%
Vision regulation
CFR 391.41(b)(10)
CFR 391.43
Medical Examiner responsibilities
Converting ANSI to ISO
500Hz-14 dB
1000Hz-10 dB
2000Hz-8.5 dB
Average hearing loss
less than 40 dB
What if BP > 139/89?
Confirm with second reading
160-179/100-109
Stage 2 HTN, treat & give one time 3 month cert
Greater than 180/110
Stage 3 HTN, do not cert until BP reduced to 140/90 or less, then may be certified every
6 months
Urinalysis evaluation of
