DOT Medical Exam and Commercial Motor Vehicle Certification Latest 2022 Graded A+

DOT Medical Exam and Commercial Motor Vehicle Certification Latest 2022 Graded A+ An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed correct answers- Every Two Years A driver presents with history of an isolated TIA 6 months ago. He has a return to work letter from his primary care provider (PCP) and neurologist. He is taking and tolerating well hydrochlorothiazide and simvastatin. All other aspects of the exam and history were normal. What should the medical examiner do next? correct answers- Disqualify driver for now FMCSA regulates interstate commercial operation including the correct answers- Driver, Vehicle, and Motor Carrier During the CMV exam a driver perceived a whispered voice at 5 feet in his left year and 4 feet in his right year. Exam was otherwise normal. What do you do as the medical examiner? correct answers- Certify driver for 2 years Which of the following is an assessment of L4 nerve root pathology?

A. Plantar flexion B. Patellar reflex C. Hip extension D. Babinski reflex correct answers- Patellar reflex A driver presents for medical exam and reports being a smoker and having frequent shortness of breath. What do you do next? correct answers- Order a spirometer test According to regulation, which of the following must be evaluated as part of the eye exam?

A. Pupil reaction B. Iris symmetry C. Conjunctiva injection D. Tonometry pressure

correct answers- Pupil reaction Continued certification of NRCE Medical Examiners requires which of the following?

A. Periodic training at least every five years B. Completion of recertification test every five years C. Completion of certification test every 10 years D. Electronic transmission to FMCSA CMV Medical Examination Results at least monthly correct answers- Periodic training at least every five years, Completion of certification test every 10 years, Electronic transmission to FMCSA CMV Medical Examination Results at least monthly A driver presents for recertification. The only condition he lists is GERD, for which he takes OTC omeprazole. He says that when he is driving and eating fast foods, he is more likely to have heartburn than when off‐duty. You should correct answers- Correlate history with abdominal exam Which of the following findings is disqualifying?

A. Oxygen saturation 90% B. LVEF 40% C. FEV 68% predicted D. All of the above correct answers- Oxygen saturation 90% The driver presents for recertification and submits an ultrasound report indicating an abdominal aortic aneurysm from two months ago, shortly before he had surgical correction. He has surgical clearance and says he is doing well, has no symptoms. You should correct answers- Inform the driver of the 3 month waiting period before he can be certified The driver takes diphenhydramine twice a day to treat nasal congestion. What must you document in order to certify? correct answers- Cannot drive within 12 hours of taking diphenhydramine The driver has a history of carpal tunnel repair of her right hand 2 months ago. Her grip strengths are symmetrical and strong. What is necessary in order to qualify this driver? correct answersDocument her findings for 2‐year certification Which of the following abdominal complaints is most likely to be incapacitating?

A. IBS B. GERD C. Urinary tract infection D. Nephrolithiasis

correct answers- Nephrolithiasis The waiting period for benign positional vertigo is correct answers- 2 months The driver's BP is 148/96. You verify her history, which indicates she has no prior history of hypertension. If otherwise qualified, you may certify her for correct answers- 1 year The driver's current BP is 135/76. Your records indicate at history of Stage III hypertension 4 years ago. The maximum certification for this driver is correct answers- 6 months The driver presents for examination with a recent history (five weeks ago) of pneumothorax. He has no prior history of pneumothorax. In order to be considered medically qualified, his forced vital capacity (FVC) should be greater than correct answers- 65% The recommended waiting period (WP) and certification period (CP) for a driver following surgical correction for intermittent claudication are correct answers- WP 3 months, CP 1 year Which of the following are disqualifying?

A. Pacemaker B. Implanted defibrillator C. Both a and b D. Neither correct answers- Implanted defibrillator Five years post‐CABG, the driver must provide a copy of _________ in order to qualify for recertification correct answers- ETT The driver has a 5‐year history of asthma, described as "well‐controlled". He carries rescue inhaler for the times when he becomes short of breath, but says this is rare. He provides pulmonary functions performed last week and his FEV1 is 62% of predicted and his Pa02 is 62 mm. You should correct answersDisqualify and recommend that he return to his personal provider What is the Primary mission of FMCSA? correct answers- To promote the safety of the roadways.

During a driver's history, she describes her role and responsibilities as limited to the driving component and excluding strenuous activities. You should correct answers- Conduct the full and standard physical examination During the examination, a driver reveals, "I had a touch of sugar" two years ago, but stopped taking the prescribed medication when it ran out, the name of which was forgotten. Driver did not indicate "yes" on the medical history for diabetes. The examination and urinalysis are unremarkable. What is the appropriate action you would take to complete this examination? correct answersCorrect the medical history in your narrative and discuss the signs, symptoms and health impact of diabetes and the need for regular follow‐up in certifying the driver View full document at: https://www.stuvia.com/doc/1450726/dot-medical-exam-and-commercialmotor-vehicle-certification-latest-2022-graded-a https://www.stuvia.com/doc/1450726/dot-medical-exam-and-commercial-motor-vehicle-certificationlatest-2022-graded-a https://www.stuvia.com/doc/1450726/dot-medical-exam-and-commercial-motor-vehicle-certificationlatest-2022-graded-a https://www.stuvia.com/doc/1450726/dot-medical-exam-and-commercial-motor-vehicle-certificationlatest-2022-graded-a https://www.stuvia.com/doc/1450726/dot-medical-exam-and-commercial-motor-vehicle-certificationlatest-2022-graded-a