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60 Cards in this Set
- Front
- Back
What is the minimum number of pounds that are needed for Grip Strength Grasp and Prehension
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58 POUNDS
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What does the Urine Dipstick Test For in a DOT PHYSICAL EXAM?
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Blood
Specific Gravity Sugar/Glucose Protein |
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What does DQ Stand For=
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Disqualify a Driver until conditions are met for return
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What R the 4 Non-Discretionary Standards
Mnuemonic: E (Edward) got HIV |
Epilepsy
Hearing Vision Insulin Dependant DM |
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What doe s SPE STAND FOR:
How long can they be certified to drive for: |
Skilled Performance Evaluation Drivers get with a loss of a limb, they can get 2 years of driving priviledges with a fixed deficit
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T or F is Active TB a disqualifed pathology
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T
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T or F is Narcolepsy a disqualifed pathology
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T
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T or F is Unteated Sleep Apnea disqualifed pathology
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T
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T or F is Active TB a disqualifed pathology
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T
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T or F if a driver requires any from of oxygen(equipment to assist in breathing) is that considered a disqualifed pathology
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T
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T or F is Hypoxemia at Rest a disqualifed pathology
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T
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T or F is EDS (Excessive Daytime Sleepiness) a disqualifed pathology
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T if UNTREATED ONLY
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T or F is RLS (Restless Leg Syndrome) a disqualifed pathology
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T IF UNTREATED
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T or F is OSA (Obstructive Sleep Apnea) a disqualifed pathology
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True if Untreated
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Epilepsy in the DOT WORLD IS WHAT?
Can u qualify to drive? To ever re-qualify what must occur? |
2 or more unprovoked seizures
DQ Hell No To re-qualify must have 10 years no medications and no unprovoked seizures |
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Define TBI
Severe TBI |
Traumatic Brain Injury Automatically DQ
Moderate TBI= Do not Q on its own case by case FOR A SEVERE TBI ALWAYS DQ |
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ETOH abuse is is disqualifying, however if an examiner suspects ETOH abuse who should be contacted?
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DER (Designated Employer Representative should be informed and the driver IMMEDIATELY DISQUALIFIED.
THE DER IS RESPONSIBLE FOR REFERRAL TO A SUBSTANCE ABUSE PROFESSIONAL |
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OSA = OBSTRUCTIVE SLEEP APNEA when can a driver be certified?
TWO DIFFERENT TIMES THAT WE MUST KNOW? |
1 YEAR QUALIFICATION AFTER 3 MONTHS WITH NO SYMPTOMS POST SURGERY OR
1 YEAR QUALIFICATION AFTER 1 MONTH WITH NO SYMPMPTOMS DUE TO CPAP MACHINE |
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BLOOD GASSES LEVELS THAT WE MUST KNOW
IF CO2 IS GREATER THAN -------------DQ AND PaO2 IS LESS THAN -----------------------AT 5K FEET or Greather than 5K Feet------------------------------ |
COS IS GREATER THAN 45
AND PAO2 IS less than 65 at less than 5K feet and or less than 60 if at an elevation greater than 5K feet |
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Nuerological Disesases is it incapacitating or not? if it is Static-----Progressive----Episodic what should medical examiner do?
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Disqualify the driver
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STAGES OF HTN: STAGE 1 =
IF THIS IS A NEW DRIVER WHAT CAN THEY GET ONE TIME |
140-159 AND 90--99
1 YEAR |
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HTN 140-159/90-99 AFTER THE 1ST TIME then what must the BP reading be at
WHAT happens if not lower than 140/90? Which date is important to KNOW? |
LOWER THAN 140/90
If not then a one time certificate for 3 months is given. If still not lower after threee months then the DRIVER IS DQ UNTIL THE BP IS BROUGHT DOWN UNDER 140/90. THEN FROM THE DATE OF THE ORIGINAL EXAM |
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FOR BOTH VERTIGO/cBPV ( EITHER ACUTE OR CHRONIC) AND Peripheral Vestibulpoathy to qualify a driver HOW LONG MUST THE DRIVER BE SYMPTOM FREE?
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2 MONTHS SYMPTOM FREE
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Hypoxemia at rest can a driver with this condition be certified to drive a CMV
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Hell NO
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Can a driver be qualifed if they have Meniere's Disease?
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No
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Can a driver be qualifed if they have a either a Labyrinthine Fistula or Non Functioning Labryrinth
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Hell NO
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HTN GUIDELINES THIS IS NOT JNC 7:
FOR STAGE 2 FOR STAGE 3 |
160/100 TO 179/109
STAGE 3 180/110 |
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ANY DRIVER THAT HAS A STAGE 3 BP LEVEL HOW LONG CAN THEY GET CERTIFIED?
WITH MEDICATIONS IF THIS DRIVER CAN GET THEIR BP UNDER 140/90 THEY ARE ELIGIBLE FOR ONLY |
DISQUALIFIED
6 MONTHS |
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STAGE 2 HTN if a driver has this condition what can they be certified for?
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1 time cetification for 3 months only then if not under 140/90 they are disqualified until stabilized....
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HTN IF A DRIVER IS TAKING HTN MEDICATION THEN WHAT AND THEY ARE UNDER 140/90
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1 YEAR CERTIFICATION ONLY
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DRIVER PRESENTS WITH TACHYCARDIA AT REST CAN THEY BE CERTIFIED?
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HELL NO
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IF A DRIVER HAS ORTHOSTATIC HYPOTENSION CAN THEY BE CERTIFIED
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HELL NO
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WHAT IF
DRIVER PRESENTS WITH STAGE 3 HTN? |
AUTOMATICALLY DQ STAGE 3 HTN IS 180/110 OR MORE
IF THEY GET MEDICAL TREATMENT AND RETURN WITH BP LESS THAN 140/90 A 6 MONTH CERTIFICATION CAN BE ISSUED |
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WHAT IF DRIVER TAKING HTN MEDICATION AND HIS BP IS UNDER 140/90 HOW LONG CERTIFY
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1 YEAR ONLY
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What if Driver NOT THEIR 1ST TIME HAS BEEN DRIVING CMV HAS STAGE I HTN HOW LONG CAN THEY BE CERTIFIED?
STAGE 2 |
3 MONTHS THEN FOLLOWING 3 MONTHS IF NOT UNDER 140/90 THEY ARE DISQUALIFIED UNTI BP STABLE
3 MONTHS THEN FOLLOWING 3 MONTHS IF NOT UNDER 140/90 THEY ARE DISQUALIFIED UNTIL BP IS STABLE |
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WHAT IS COR PULMONALE?
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Right Ventricular Hypertrophy
Dyspnea @ Rest Dizzt Hypotension DQ |
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Tumors ( Benign Supratentorial Brain/Spinal Area) can be certified for:
ALL OTHER TUMORS CERTIFY FOR |
2 years
1 year |
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WHAT ABOUT FOR STROKE/TIA how long can these drivers be certified for?
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1 year certification and they must be static
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Audiometric Levels tested are:
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500
1000 2000 4000 |
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Calculating HZ levels and decibel loss how is this done add the
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THREE NUMBERS PRECEEDING 500, 1000, 2000 DONT USE 4K IN CALCULATION THEN DIVIDE BY 3 THIS IS THE AVERAGE DECIBEL LOSS
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What is the Hearing Loss Standard?
In addition what is the Forced Whisper Test Standard |
Hearing loss cannot be greater than 40 decibles in better ear with or without hearing aide.
Forced Whisper must be heard at least 5 feet |
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Anxiolytics: (Anti-Anxiety) Agent Non-Sedative Only:
Hypnotics are Okay if the following stipulations are met? |
1/2 life is less than 5 hours
Low Dose Short Term less than 2 weeks |
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ECT THERAPY HOW LONG MUST THE APPLICANT WAIT FOR BEING APPROVED.....................AND HOW LONG CAN THEY BE CERTIFIED FOR?
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Must wait 6 months and can only be certified for 1 year period
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Insulin Dependent DM they are always ............................. UNLESS THEY ARE ACCOMPANIED WITH ..................................WAIVER IS GOOD FOR ............................YEARS
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Disqualified UNLESS ACCOMPANIED BY DIABETES WAIVER....Must have new exam each year with the exemption and NEW EXEMPTION EVERY 2 YEARS
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ANTI-DEPRESSANTS if they r first generation then the driver is:
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DQ
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ANTI-DEPRESSANTS and they are a second generation they can be certified T OR F
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True these are Zoloft, Wellbutrin and Prozac
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If patient has had 2 or more episodes of Hypoglycemia in the last 5 years or in last 12 months they are
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disqualified
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Murmur Grade Scale 1-6
NON-AANP/AANC |
1) Must strain to hear
2) No strain to hear 3) can clearly hear 4) Murmur with Thrill 5) Can hear with Stethoscope on skin 6) Can hear without a stethoscope at all |
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New York Heart Symposium
Class 1 Class 2 Class 3 Class 4 |
Class 1 Qualify Driver
Class 2 Mild-Disqualify Class 3 Moderate-Disqualify Class 4 Even at Rest--DQ |
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DOT Definition of a Good Exercise Test?
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6 METS
HR > 85% OF PROJECTED MAXIMUM RANGE SYSTOLIC RAISE > 20MM WITHOUT ANGINA NO ST DEPRESSION NO Ventricular Dysrhythmia |
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A Driver has a PMHx of Hypertrophic Cardiomyopathy this is a automatic
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DQ
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POST ANGIOPLASTY RETURN TO WORK WHEN CAN THE DRIVER?
4 STIPULATIONS: AT---------------MONTHS RECERTIFICATION EXAM IS DUE......A ETT IS DUE WITHIN--------------------MONTHS IF BOTH CONDITIONS ARE MET THEN THE DRIVER CAN BE CERTIFIED FOR ------------------------YEAR IF RECERTIFICATION IS OKAY THEN NEXT ETT IS DUE IN -------------YEARS EVERY 2 YEARS |
1 WEEK POST PROCEDURE
MUST BE ASSYMPTOMATIC TOLERATING MEDICATION INGUINAL SITE IS HEALED 6 MONT RECERTIFICATION EXAM AFTER INITIAL RETURN TO DRIVING MUST HAVE ETT WITHIN 6 MONTHS AFTER 6 MONTH RECERTIFICATION EXAM AND 6 MONTH ETT A DRIVER CAN RECEIVE A 1 YEAR RECERTIFICATION IF ETT IS OKAY THEN ETT EVERY 2 YEARS |
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A Driver has a PMHx of Restrictive Cardiomyopathy this is a automatic
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this is an automatic disqualification
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A Driver has a Hx of Progressive Dementia this is a automatic
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Disqualification
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Can a driver operate a CMV and be on Schedule 1 drugs such as Methadone, Subutex or illegal drugs
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Sure no problem LOL ANSWER IS HELL NO
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Some ER due random drug testing they are looking for the following drugs:
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Cocaine
Marijuana Opiates PCP Amphetimines |
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Pt (Driver) has a mood disorder and has been symptom free for 1 year if suicide has been attempted how long can they be certified for?
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certify for one year
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Driver has a PMHx of a Mood disorder however has never attempted suicide?
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Certify for one year
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CAGE ? FOR ETOH ABUSE
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Cut Down
Annoyed/Annoyance Guilty Eye-Opener |
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AAA=ABD AORTIC ANUERSYM WHAT ARE NUMBERS THAT CAN EITHER QUALIFY OR DISQUALIFY A DRIVER
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>5CM = DQ
<4CM = 1 YEAR |