Front | Back |
DOT regulates what types of vehicles/passengers?
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1) Gross vehicle weight 10,001 lbs or more
2) Transport 8 passengers for profit 3) Transmort 15 passengers 4) Carries HAZMAT |
Which dept. operates within the DOT and oversees the medical cert of drivers?
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FMCSA
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The ME has no discretion when it comes to which standards?
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Hearing, vision, epilepsy, insulin use.
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Hearing test(s) absolutely required
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Whisper test or Audiogram
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Vision test(s) absolutely required
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Distant, peripheral, and color vision
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Urinalysis components
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Specific gravity, protein, blood, and sugar
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If a driver requires an exemption when do they see the medical examiner?
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The driver must FIRST see the medical examiner. If eligible to drive except for exemption, driver certified at least 6 months.
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Components of a satisfactory ETT
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-Capacity of 6 METS
-Resting HR >85% predicted -Rise systolic BP >20mm Hg w/out angina -No significant ST depression or elevation Driver should NOT experience orthostatic symptoms upon standing. |
Myocardial infarction waiting period
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2 months post MI. Must have satisfactory ETT prior to recert.
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Angina Pectoris- Reasons for DQ
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-Resting/unstable angina
-Abnormal ETT -Ischemic changes on ECG -Medication intolerance |
Percutaneous Coronary Intervention (PCI, stents, balloons) waiting period
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1 week
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Reasons to disqualify individual with PCI
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Incomplete healing at access site
Resting angina ischemic changes on ECG |
Monitoring for individual after PCI
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Must wait 1 week waiting period. Monitor with ETT 3-6 months post PCI. Then every 2 years.
Certification: 1 year |
Waiting period CABG
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3 months
Cerification: 1 year |
Post CABG Requirements for certification
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Cerifty if:
-Completed the 3 month waiting period -LVEF >= 40% -Asymptomatic -Card Clearance |