{"id":131781,"date":"2024-01-22T20:55:30","date_gmt":"2024-01-22T20:55:30","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=131781"},"modified":"2024-01-22T20:55:34","modified_gmt":"2024-01-22T20:55:34","slug":"dot-exam-study-guide-with-complete-solutions","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/01\/22\/dot-exam-study-guide-with-complete-solutions\/","title":{"rendered":"DOT Exam Study Guide With Complete Solutions"},"content":{"rendered":"\n

DOT Exam Study Guide With Complete Solutions<\/h1><\/p>\n\n\n\n

DOT Exam Study
Guide With
Complete Solutions<\/p>\n\n\n\n

DOT Exam Study Guide With Complete
Solutions
5 Feet – Answer A CMV driver must perceive a forced whispered voice in the better
eat at not less than _ with or w\/o a hearing aid Audiogram – Answer This test is performed only when the Forced Whisper Test is failed in both ears 40 decibels – Answer If tested by the use of an audiometric device, they must not have an AVERAGE hearing loss in the better ear greater than _ at 500Hz, 1000Hz, and 2000Hz One – Answer<\/em> ear and two eyes certifies!
Audiologist – Answer A driver with a hearing aid usually must go to an __<\/strong> or a
hearing aid center for audiometry testing
2 Years – Answer How long can a driver who meets the hearing requirements in one
ear be certified?
Acute and Peripheral Vesitbulopathy – Answer Inflammation of the inner ear that
causes a sudden onset of vertigo. This requires a 2 month waiting period.
Benign Positional Vertigo – Answer This occurs when a small piece of bone-like
calcium breaks free and floats inside the Eustachian tube sending confusing
messages to your brain about your body’s position. This requires a 2-month waiting
period.
False – Answer T\/F It is OK to certify someone with Uncontrolled Vertigo, Meniere’s
Disease, Labrythine Fistula, or Non-Functioning Labryinthes
Meniere’s Disease – Answer An inner ear disorder that affects balance and hearing.
Labrythine Fistula – Answer An abnormal opening in the bony capsule of the inner
ear resulting in the leakage of the peri lymph from the semicircular canals of the
middle ear.
Non-Functioning Labryinths – Answer Loss of vestibular function in both Labryinths
leading to characteristic dysfunction in vision and balance. These symptoms reflect
how crucial our Labryinth sense is for generating proper reflexes so that we can see
clearly when we are moving and not lose our balance when we are standing or
walking.
Inner Ear – Answer Another name for the Labryinth
Elevated Blood Pressure – Answer 1 or 2 readings greater than or equal to 140\/90 on
the same day
Hypertension – Answer Two readings greater than or equal to 140\/90 on consecutive
exams on two different days<\/p>\n\n\n\n

The examiner – Answer Who should remeasure abnormal BP and or pulse rate or
rhythm, especially if they are significant factors in determining certification?
Even with the Sternum or right atrium of the driver – Answer When measuring a
driver’s BP they should sit in the chair for at least 5 min, back is supported, legs are
uncrossed, and feet are touching the ground. Support the drivers arm at the elbow
so the midpoint of the BP cuff is\u2026
140-159\/90-99 – Answer Stage 1 HTN
1 year – Answer How long can you certify someone who comes in for certification for
the first time and has Stage 1 HTN?
1 year on BP meds – Answer If someone with Stage 1 HTN comes into the clinic for
recertification how long can you certify them for if they are on BP meds and their BP
is less than 140\/90?
1-2 years if not on any BP meds – Answer If someone with Stage 1 HTN comes into
the clinic for recertification how long can you certify them for if they are not on any
BP meds?
1 time, 3 month certification card – Answer If a patient with Stage 1 HTN comes in for
recertification and their BP is 140-159\/90-99 what type of certification would they
receive?
1 year from the date of the of the complete exam – Answer If a patient with Stage
one HTN who comes back in for a 3-month recheck and their BP is <140\/90 how long can they be certified for? 160-179\/100-109 – Answer What is Stage 2 HTN? 3 months – Answer When does a person need to come back to be seen with Stage 2 HTN after their first exam for recertification? 1 year from the date of the complete exam – Answer A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can they be certified if their BP is <140\/90 and they are on BP meds? 1-2 years from the date of the complete exam – Answer A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can they be certified if their BP is <140\/90 and they are not on BP meds? Providers discretion – Answer A person with Stage 2 HTN returns for their recheck exam after 3 months. How long can they be certified if their BP is >140\/90?<\/p>\n\n\n\n

\n

180\/11 – Answer Stage 3 HTN
Powered by https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n<\/blockquote>\n\n\n\n

DOT Exam Study Guide<\/p>\n\n\n\n

    \n
  1. A CMV driver must perceive a forced whispered voice 5 Feet
    in the better eat at not less than _<\/em> with or w\/o a
    hearing aid<\/li>\n\n\n\n
  2. This test is performed only when the Forced Whisper Audiogram
    Test is failed in both ears<\/li>\n\n\n\n
  3. If tested by the use of an audiometric device, they 40 decibels
    must not have an AVERAGE hearing loss in the better
    ear greater than __<\/em> at 500Hz, 1000Hz, and 2000Hz<\/li>\n\n\n\n
  4. _<\/em> ear and two eyes certifies! One<\/li>\n\n\n\n
  5. A driver with a hearing aid usually must go to an __<\/em> Audiologist
    or a hearing aid center for audiometry testing<\/li>\n\n\n\n
  6. How long can a driver who meets the hearing require- 2 Years
    ments in one ear be certified?<\/li>\n\n\n\n
  7. Acute and Peripheral Vesitbulopathy
    Inflammation of the inner ear that causes a sudden
    onset of vertigo. This requires a 2 month waiting period.<\/li>\n\n\n\n
  8. Benign Positional
    Vertigo
    This occurs when a small piece of bone-like calcium
    breaks free and floats inside the Eustachian tube
    sending confusing messages to your brain about
    your body’s position. This requires a 2-month waiting
    period.<\/li>\n\n\n\n
  9. T\/F It is OK to certify someone with Uncontrolled False
    Vertigo, Meniere’s Disease, Labrythine Fistula, or
    Non-Functioning Labryinthes<\/li>\n\n\n\n
  10. An inner ear disorder that affects balance and hear- Meniere’s Disease
    ing.<\/li>\n\n\n\n
  11. An abnormal opening in the bony capsule of the inner Labrythine Fistula
    ear resulting in the leakage of the peri lymph from the
    semicircular canals of the middle ear.
    1 \/ 24
    DOT Exam Study Guide<\/li>\n\n\n\n
  12. Non-Functioning
    Labryinths
    Loss of vestibular function in both Labryinths leading
    to characteristic dysfunction in vision and balance.
    These symptoms reflect how crucial our Labryinth
    sense is for generating proper reflexes so that we
    can see clearly when we are moving and not lose our
    balance when we are standing or walking.<\/li>\n\n\n\n
  13. Another name for the Labryinth Inner Ear<\/li>\n\n\n\n
  14. Elevated Blood
    Pressure
    1 or 2 readings greater than or equal to 140\/90 on the
    same day<\/li>\n\n\n\n
  15. Two readings greater than or equal to 140\/90 on con- Hypertension
    secutive exams on two different days<\/li>\n\n\n\n
  16. Who should remeasure abnormal BP and or pulse The examiner
    rate or rhythm, especially if they are significant factors in determining certification?<\/li>\n\n\n\n
  17. Even with the
    Sternum or right
    atrium of the driver
    When measuring a driver’s BP they should sit in the
    chair for at least 5 min, back is supported, legs are
    uncrossed, and feet are touching the ground. Support
    the drivers arm at the elbow so the midpoint of the BP
    cuff is\u2026<\/li>\n\n\n\n
  18. Stage 1 HTN 140-159\/90-99<\/li>\n\n\n\n
  19. How long can you certify someone who comes in for 1 year
    certification for the first time and has Stage 1 HTN?<\/li>\n\n\n\n
  20. 1 year on BP
    meds
    If someone with Stage 1 HTN comes into the clinic
    for recertification how long can you certify them for if
    they are on BP meds and their BP is less than 140\/90?<\/li>\n\n\n\n
  21. 1-2 years if not on
    any BP meds
    If someone with Stage 1 HTN comes into the clinic
    for recertification how long can you certify them for
    if they are not on any BP meds?<\/li>\n\n\n\n
  22. 1 time, 3 month
    certification card
    2 \/ 24
    DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

    If a patient with Stage 1 HTN comes in for recertification and their BP is 140-159\/90-99 what type of
    certification would they receive?<\/p>\n\n\n\n

      \n
    1. 1 year from the
      date of the of the
      complete exam
      If a patient with Stage one HTN who comes back in for
      a 3-month recheck and their BP is <140\/90 how long
      can they be certified for?<\/li>\n\n\n\n
    2. What is Stage 2 HTN? 160-179\/100-109<\/li>\n\n\n\n
    3. When does a person need to come back to be seen 3 months
      with Stage 2 HTN after their first exam for recertification?<\/li>\n\n\n\n
    4. 1 year from the
      date of the complete exam
      A person with Stage 2 HTN returns for their recheck
      exam after 3 months. How long can they be certified
      if their BP is <140\/90 and they are on BP meds?<\/li>\n\n\n\n
    5. 1-2 years from the
      date of the complete exam
      A person with Stage 2 HTN returns for their recheck
      exam after 3 months. How long can they be certified
      if their BP is <140\/90 and they are not on BP meds?<\/li>\n\n\n\n
    6. Providers discretion
      A person with Stage 2 HTN returns for their recheck
      exam after 3 months. How long can they be certified
      if their BP is >140\/90?<\/li>\n\n\n\n
    7. Stage 3 HTN > 180\/11<\/li>\n\n\n\n
    8. If a person comes in for an exam and their BP is Disqualified
      180\/110 then they should be \u2026?<\/li>\n\n\n\n
    9. Certify for 6
      months with recertification every six
      months
      Stage 3 HTN patient returns for a recheck. How long
      can they be certified and how often should they be
      recertified?<\/li>\n\n\n\n
    10. The patient should
      be disqualified.
      What should happen if a Stage 3 HTN patient comes
      in for a recheck and their BP is greater than 140\/90??
      33.
      3 \/ 24
      DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

      One Time 3 month
      card
      This certificate is included in the annual certification
      interval and is not an extension of the certification
      period. It can not be used in consecutive increments.<\/p>\n\n\n\n

        \n
      1. Drivers who must
        be tested for drugs
        and alcohol
        Drivers who operate CMVs of 26,001 pounds or more,
        transport 16 or more passengers, or who carry placarded hazardous material on the public roadway — All
        drivers operating CMVs in interstate commerce — All
        drivers required to have a CDL<\/li>\n\n\n\n
      2. If they were in
        a testing program
        within the last 30
        days and was tested within the last
        6 months or a
        was a program for
        the previous 12
        months
        When is a driver exempt from Pre-Employment testing?<\/li>\n\n\n\n
      3. 8 hours for ETOH
        and 32 hours for
        drugs
        What is the time frames for ETOH and drug testing
        after a crash?<\/li>\n\n\n\n
      4. Post-Accident
        Testing
        Testing that has to occur when the crash involves the
        loss of human life, the driver receives a citation within
        8 hours of the accident, there is bodily injury to a
        person who immediately received medical treatment
        away from the scene, or if 1 or more MVs must be
        transported away by tow truck<\/li>\n\n\n\n
      5. 6 drug tests within
        the first year
        When a driver returns to duty after violating drug
        and ETOH standards, how many f\/u drug and ETOH
        tests would they need in the first year of returning to
        driving?<\/li>\n\n\n\n
      6. Directly Observed
        Testing
        Employee must raise shirt and lower underpants to
        mid-thigh to show no device is being worn during
        what kind of urine testing?
        4 \/ 24
        DOT Exam Study Guide<\/li>\n\n\n\n
      7. >2 drinks\/day for
        men<\/li>\n<\/ol>\n\n\n\n
        \n

        1 drink\/day for
        women
        Heavy drinking average for men and women?<\/p>\n\n\n\n

          \n
        1. A pattern of ETOH consumption that brings the Blood Binge Drinking
          Alcohol Concentration (BAC) level to 0.08% or more
          in a 2-hour period – Men 5 or more drinks and Women
          4 or more drinks<\/li>\n\n\n\n
        2. A pattern of drinking that results in harm to one’s Alcohol Abuse
          health, interpersonal relationships, or ability to work.
          Long term use can turn into dependence.<\/li>\n\n\n\n
        3. Alcohol Dependence
          A chronic disease that includes a strong craving for
          ETOH despite repeated physical, psychological, or
          intepersonal problems; An inability to limit drinking<\/li>\n\n\n\n
        4. SAP (Substance
          Abuse Professional)
          Evaluates employees who have violated DOT drug
          and ETOH regulations and makes recommendations
          concerning education, treatment, F\/U testing, and aftercare<\/li>\n\n\n\n
        5. MRO (Medical Review Officer)
          Licensed MD responsible for receiving and reviewing
          labs generated by a drug testing program, contacts
          the user when there is a positive result for an interview to determine if there is an alternate explanation
          for drug findings in the urine specimen<\/li>\n\n\n\n
        6. DER (Designated
          Employee Representative)
          Individual who receives communications and test results from service agents, authorized to take immediate action to remove employees from safety sensitive
          duties, and to make required decisions in the testing
          and evaluation process– Must be an employee of the
          company<\/li>\n\n\n\n
        7. When in remission, _<\/strong> is not disabling unless Alcoholism
          transient or permanent neurological changes have
          occurred
          5 \/ 24
          DOT Exam Study Guide<\/li>\n<\/ol>\n<\/blockquote>\n\n\n\n
            \n
          1. REVIEW MEDICATIONS AND IF THEY ARE SAFE FOR
            CMV DRIVERS<\/li>\n\n\n\n
          2. A1C: 5% Normal Labs
            Fasting Glucose: 99 or below
            Oral GTT: 139 or Below<\/li>\n\n\n\n
          3. A1C: 5.7-6.4% Prediabetes
            Fasting Glucose: 100-125
            Oral GTT: 140-199<\/li>\n\n\n\n
          4. A1C: 6.5% or greater Diabetes
            Fasting Glucose: 126 or above
            Oral GTT: 200 or above<\/li>\n\n\n\n
          5. Lack of insulin production, must receive insulin, se- Type 1 DM
            verely compromised counter-regulatory mechanisms<\/li>\n\n\n\n
          6. Adult Onset or Non-Insulin Taking, patient can pro- Type 2 DM
            duce insulin, treatment is diet and oral medication which preserves blood glucose mechanisms for
            years<\/li>\n\n\n\n
          7. If the driver takes
            insulin
            Certification of a CMV driver with diabetes is based
            on what?<\/li>\n\n\n\n
          8. Macrovascular
            Disease
            Accelerated atherosclerosis of coronary, cerebral,
            and peripheral vessels, higher risk for cardiovascular
            disease, can cause TIA or stroke, leading cause of
            death among diabetics<\/li>\n\n\n\n
          9. Microvascular Disease
            Neuropathy, Nephropathy, Retinopathy, Macular Degeneration<\/li>\n\n\n\n
          10. Disturbance in sensation and touch, loss of position Neuropathy
            sense, loss of vibratory sense, autonomic neuropathy<\/li>\n\n\n\n
          11. Fatigue, lethargy, sluggishness, transient cognitive
            disruption; Sudden onset unlikely; May begin around
            6 \/ 24
            DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

            Symptoms of
            Acute Hyperglycemia
            280-300% but is more likely with a sustained plasma
            glucose of greater than 400%<\/p>\n\n\n\n

              \n
            1. The FMCSA Medical Examiner Handbook states that >10%
              a Hgb A1C of __<\/em> (275%) indicates poor glucose
              control<\/li>\n\n\n\n
            2. Mild Hypoglycemia
              Rapid heart rate, sweating, weakness, and hunger<\/li>\n\n\n\n
            3. Severe Hypoglycemia
              Seizure, loss of consciousness, need of assistance
              from another person, period of impaired cognitive
              function without warning<\/li>\n\n\n\n
            4. When performing a UA\u2026 A MA detects glycosuria. Blood Glucose
              What should be the test that she performs?<\/li>\n\n\n\n
            5. Glomerular Damage
              Diabetics with excessive proteinuria may be indicative of what?<\/li>\n\n\n\n
            6. How often should diabetics be recertified because of Annualy
              the progressive nature of DM and the potential for
              complications?<\/li>\n\n\n\n
            7. Transportation Equity Act of 1998
              The act revised the authority of the Secretary of
              Transportation to grant waivers or exemptions and
              established procedures for pilot exemption programs<\/li>\n\n\n\n
            8. This 2005 act eliminated the 3-year driving require- SAFETEA-LU
              ment of driving a CMV while on insulin, adopted new
              waiting periods<\/li>\n\n\n\n
            9. New Diabetic
              Waiting Periods because
              of the 2005
              SAFETEA-LU
              Minimum 1-month if the driver was previously diagnosed and treated with oral mess but now requires
              insulin
              Minimum 2-months of the driver is newly diagnosed
              with no prior treatment and is now starting insulin
              7 \/ 24
              DOT Exam Study Guide<\/li>\n\n\n\n
            10. There are no specific FMCSA guidelines regarding True
              meeting musculoskeletal tasks of lifting, pushing,
              pulling, and bending<\/li>\n\n\n\n
            11. Skill Performance
              Evaluation
              If a driver has limitations in extremity movement the
              medical examiner can send the driver for an on-road
              performance eval or a\u2026?<\/li>\n\n\n\n
            12. L3-L4 (Nerve Root
              L4)
              Motor Weakness: Extension of Quadriceps
              Screening Exam: Squat and Rise
              Reflexes: Knee Jerk Diminished<\/li>\n\n\n\n
            13. L4-L5 (Nerve Root
              5)
              Motor Weakness: Dorsiflexion of the Great Toe and
              Foot
              Screening Exam: Heel Walking
              Reflexes: None Reliable<\/li>\n\n\n\n
            14. L5-S1 (Nerve
              Root S1)
              Motor Weakness: Plantar flexion of the great toe and
              foot
              Screening Exam: Walking on toes
              Reflexes: Ankle
              jerk diminished<\/li>\n\n\n\n
            15. This is a one-time driving examination by the FMCSA
              so it is not appropriate for a progressive or fluctuating limb disorder; Formerly called the Limb Waiver;
              Allows a person with the loss of an extremity (wrist up
              or ankle up) or with a fixed musculoskeletal impairment to be certified to drive a CMV; This loss can be
              more anatomically distal if the examiner determines
              that it impairs the ability to drive safely<\/li>\n\n\n\n
            16. Physically qualified to drive a CMV if a distant visual Vision Standard
              acuity of 20\/40 in each eye w\/ or w\/0 corrective lenses
              or visual acuity separately corrected to 20\/40 or better
              with corrective lenses AND distant binocular acuity
              of 20\/40 in both eye w\/ or w\/o corrective lenses AND
              a field of vision at least 70 degrees AND the ability
              8 \/ 24
              DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

              to recognize the colors of traffic control signals and
              devices showing standard red, green, and amber<\/p>\n\n\n\n

                \n
              1. Due to persistent or acute damage to the retina of the Retinopathy
                eye; Ongoing inflammation and vascular remodeling
                may occur over periods of time where someone is not
                aware of the extent of the disease; Usually any ocular
                manifestation of systemic disease<\/li>\n\n\n\n
              2. The most common cause of blindness. It is a clouding Cataracts
                of the lens inside the eye which leads to a decrease
                in vision. Can be corrected with surgery.<\/li>\n\n\n\n
              3. The absence of the lens of the eye due to surgical Aphakia
                removal. Without the focusing power of the lens the
                eye becomes very far sighted. This can be corrected
                by wearing glasses, contact lenses, or implanting an
                artificial lens.<\/li>\n\n\n\n
              4. A term describing a group of ocular eye disorders Glaucoma
                that damage the optic nerve often associated with
                increased fluid pressure in the eye. It affects vision
                by decreasing the visual field by first affecting the peripheral vision and then potentially leading to blindness.<\/li>\n\n\n\n
              5. Macular Degeneration
                This usually affects older adults and causes a loss of
                vision in the center of the visual field due to damage
                of the retina. It can make it difficult or impossible to
                read or recognize faces, although enough peripheral
                vision remains to allow other ADL<\/li>\n\n\n\n
              6. Distant Visual
                Acuity
                Peripheral Vision
                along the horizontal meridian in
                each eye
                Color vision
                Required vision tests
                9 \/ 24
                DOT Exam Study Guide<\/li>\n\n\n\n
              7. If a driver has an inconclusive vision test, the next An eye specialist
                step should be to refer them to\u2026?<\/li>\n\n\n\n
              8. Causes a progressive decrease in peripheral vision Glaucoma<\/li>\n\n\n\n
              9. Diminished visual acuity, contrast, and color resolu- Cataracts
                tion; also causes increased glare<\/li>\n\n\n\n
              10. Macular Degeneration
                Leading cause of untreatable blindness in the US,
                Affects the central vision<\/li>\n\n\n\n
              11. DM is the most common cause; Can affect central Retinopathy
                vision, contrast sensitivity, and color discrimination.<\/li>\n\n\n\n
              12. 1 ear, _<\/strong> certifies! Max certification is one year. 2 eyes<\/li>\n\n\n\n
              13. Can someone be certified if they have contact lenses No
                that correct distant acuity in one eye and near acuity
                in another eye?<\/li>\n\n\n\n
              14. Vision in one eye; In low illumination or glare it can Monocular Vision
                cause deficiencies in contrast, recognition, and depth
                perception compared to binocular vision<\/li>\n\n\n\n
              15. Allows drivers with monocular vision to operate a Vision Exemption
                CMV – Should be recertified annually<\/li>\n\n\n\n
              16. Transient Ischemic Attack
                Focal neurological dysfunction, lasts > than a few
                seconds but less than 30-40 min<\/li>\n\n\n\n
              17. Waiting period after TIA 1 year<\/li>\n\n\n\n
              18. Max certification for someone with TIA 1 year<\/li>\n\n\n\n
              19. Most common cause of stroke ages 45-65, caused Thrombotic Stroke
                by large artery atherosclerosis, often preceded by
                TIA; Treatment: Medical: Antiplatelet agents Surgical:
                Carotid Endardectomy<\/li>\n\n\n\n
              20. Embolism Stroke
                10 \/ 24
                DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

                The heart is usually the source of the embolus,
                prognosis often worse than thrombotic stroke because of larger stroke area and an increased incidence of blood at the stroke site; Treatment: Medical- Coumadin, Requires INR monitoring, Increased
                Bleeding Risks<\/p>\n\n\n\n

                  \n
                1. 1 year if the driver is not at risk for
                  seizures
                  Waiting period after a stroke<\/li>\n\n\n\n
                2. Intracerebral Hemorrhage
                  Bleeding into the substance of the brain, Caused by
                  ruptured arteriovenous malformation, there are also
                  other causes as well<\/li>\n\n\n\n
                3. Subarachnoid Hemorrhage
                  Bleeding primarily in the space around the brain;
                  often from a ruptured aneurysm<\/li>\n\n\n\n
                4. 1 year; No additional time if no
                  increased seizure
                  risk and not on any
                  anti-seizure meds
                  Waiting period for cerebellum or brain stem stroke<\/li>\n\n\n\n
                5. Cortical or Subcortical Stroke
                  waiting period
                  1 year for stroke plus an additional 4 years if there is
                  a seizure risk; Must be seizure free and off meds for 5
                  years but this waiting period may be shortened after
                  consultation<\/li>\n\n\n\n
                6. Requires an individual assessment
                  Loss of position sense with peripheral neuropathies
                  is disqualifying but loss of sensation\u2026<\/li>\n\n\n\n
                7. Peripheral Neuropathies
                  Hereditary or aquired conditions that affect nerves,
                  including the axon, myelin, or the myelin outside the
                  spinal cord; common complication of DM<\/li>\n\n\n\n
                8. Seizure free and
                  off anticonvulsants for 10 years
                  If a clinician chooses to certify a driver with an established medical history of epilepsy the driver must
                  be\u2026
                  11 \/ 24
                  DOT Exam Study Guide<\/li>\n\n\n\n
                9. Two or more unprovoked seizures Epilepsy<\/li>\n\n\n\n
                10. Minimum 5 years seizure free and off anti-convulsants meds; Requires annual recertification and biennial medical examination<\/li>\n\n\n\n
                11. Severe Head Injury
                  Dural penetration, loss of consciousness for >24
                  hours, with or without a prior history of seizures the
                  risk of unprovoked seizures does not decrease over
                  time, driver should not be considered for certification.<\/li>\n\n\n\n
                12. Moderate Head
                  Injury
                  No Dural penetration, loss of consciousness >30 min
                  but <24 hours, 5 years waiting period off of anticonvulsants and seizure free if there were early seizures,
                  2 year waiting period if there was no early seizure,
                  Max certification = 1 year<\/li>\n\n\n\n
                13. No Dural penetration, loss of consciousness <30 min- Mild Head Injury
                  utes, waiting period 2 years if there was an early
                  seizure, max 1 year certification, No seizure = No
                  waiting period; Max certification = 2 years<\/li>\n\n\n\n
                14. Waiting period for History of Epilepsy and Viral En- 10 years
                  cephalitis with an Early Seizure<\/li>\n\n\n\n
                15. Waiting period for Single, unprovoked seizure, Bac- 5 Years
                  terial meningitis with early seizures, Moderate TBI
                  with early seizures, Stroke with risks of seizures, intracerebral or subarachnoid hemorrhage with risk for
                  seizure<\/li>\n\n\n\n
                16. 2 year waiting period
                  Waiting period for Seizure with acute structural insult
                  to the brain, Moderate TBI without early seizure, Surgically removed supratentorial or spinal tumor<\/li>\n\n\n\n
                17. 1 year waiting period
                  Waiting period for TIA, stroke, intracerebral or subarachnoid hemorrhage with no risk for seizure, Surgically repaired arteriovenous malformation\/aneurysm
                  12 \/ 24
                  DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

                  with no risk for seizure, Surgically removed infratentorial meningioma, acoustic neuromas, pituitary adenomas, benign spinal tumors, or other benign extra-ataxial tumor with no risk for seizures<\/p>\n\n\n\n

                    \n
                  1. Excessive daytime sleepiness
                    Sleepiness when an individual is supposed to be
                    awake and alert, Daily or almost daily for 3 months
                    or greater<\/li>\n\n\n\n
                  2. Mallampati Score
                    of 3 or 4
                    A risk factor for OSA\u2026 Upper airway narrowing; This
                    standardizes the assessment of the oropharynx<\/li>\n\n\n\n
                  3. Any driver with a neurological defecit that requires Annually
                    special evaluation and screening should have a medical certification how often?<\/li>\n\n\n\n
                  4. Transient Ischemic Attack
                    (TIA)
                    Focal Neurological Dysfunction in which there is inadequate blood supply to a portion of the brain; Usually last a few sections but usually less than 30-40
                    minutes<\/li>\n\n\n\n
                  5. How long is the waiting period for someone who has 1 Year
                    had a TIA?<\/li>\n\n\n\n
                  6. Annual Certification
                    How often should someone be recertified if they have
                    a history of TIA?<\/li>\n\n\n\n
                  7. Caused by large artery atherlosclerosis, often pre- Thrombotic Stroke
                    ceded by TIA; Treatment: Antiplatelet agents (Aspirin,
                    Plavix) and Surgical: Carotid Endarterectomy<\/li>\n\n\n\n
                  8. The heart is usually the source; This prognosis is Embolic Stroke
                    usually worse than the thrombotic stroke because the
                    emboli is larger, a larger stroke area, and there in
                    increased incidence of blood at the stroke site; Treatment: Medical – Coumadin, Requires INR Monitoring,
                    Increases bleeding risks<\/li>\n\n\n\n
                  9. Intracerebral Hemorrhage
                    Bleeding into the substance of the brain, caused by
                    ruptered arteriovenous malformation (AVM)
                    13 \/ 24
                    DOT Exam Study Guide<\/li>\n\n\n\n
                  10. Subarachnoid Hemorrhage
                    Bleeding primarily into the space around the brain,
                    often from a ruptured aneurysm<\/li>\n\n\n\n
                  11. WHAT IS THE WAITING PERIOD FOR THROMBOTIC
                    AND EMBOLIC STROKE<\/li>\n\n\n\n
                  12. Cortical or Subcortical Stroke
                    1 year for the stroke plus an additional 4 years if
                    there is a seizure risk; Must be seizure-free and off
                    anticonvulsant meds for 5 years; may shorten waiting
                    periods after consultation with an expert in epilepsy<\/li>\n\n\n\n
                  13. Off all seizure
                    meds, Seizure
                    free for 1o years,
                    has a neuro clearance
                    A clinician can only certify drivers with an established hx of epilepsy if:<\/li>\n\n\n\n
                  14. 5 years seizure
                    free and off of anticonvulsants
                    Minimum waiting period after a single, unprovoked
                    seizure<\/li>\n\n\n\n
                  15. Excessive Daytime Sleepiness
                    Sleepiness when the individual is expected to be
                    awake and alert; Daily or almost daily for nearly 3
                    months or greater<\/li>\n\n\n\n
                  16. OSA, Narcolepsy,
                    Restless Leg Syndrome
                    3 Primary Sleep Disorders<\/li>\n\n\n\n
                  17. OSA (Obstructive
                    Sleep Apnea)
                    The most common sleep disorder that causes Excessive Daytime Sleepiness<\/li>\n\n\n\n
                  18. Apnea Hypopnea
                    Index (AHI)
                    This index and the blood oxygen saturation determines the severity of the Obstructive Sleep Apnea<\/li>\n\n\n\n
                  19. This score standardizes the assessment of the Mallampati Score
                    oropharynx<\/li>\n\n\n\n
                  20. A score of 3 or 4
                    14 \/ 24
                    DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

                    A Mallampati Score of what standardizes the assessment of the oropharynx<\/p>\n\n\n\n

                      \n
                    1. A hallmark of OSA but a poor predictor because of Chronic Snoring
                      the prevelance in the general population<\/li>\n\n\n\n
                    2. Witnessed apneas or breathing
                      pauses during a
                      sleep study
                      A good predictor of OSA but not its severity; 6% of the
                      population without OSA experience this during sleep<\/li>\n\n\n\n
                    3. Men >17″ and
                      Women >16″
                      Measurement of neck size in men or women that is a
                      predictor of OSA<\/li>\n\n\n\n
                    4. Neck circumference
                      In men with the a BMI >40 what is the greatest predictor of OSA severity?<\/li>\n\n\n\n
                    5. A neck circumference of _<\/em> indicates high risk of 20″
                      OSA<\/li>\n\n\n\n
                    6. Epworth Sleepiness Scale of 16 or higher Disqualified<\/li>\n\n\n\n
                    7. Grant a limited-time certification (Typically
                      around 30 days)
                      A driver presents with suspected OSA. What can the
                      provider give them while awaiting a sleep study?<\/li>\n\n\n\n
                    8. Full, Attended
                      Polysomnography<\/li>\n<\/ol>\n\n\n\n
                      \n

                      or = to 7 channels in a lab setting, gold standard, diagnoses all sleep disorders, this is required when the
                      examiner suspects another sleep disorder in addition
                      to sleep apnea<\/p>\n\n\n\n

                        \n
                      1. Full, Unattended
                        Polysomnography
                        or = to 7 channels<\/li>\n\n\n\n
                      2. Home sleep tests use what type of tests? Limited Type 3 or 4
                        channel devices and usually uses oximetry as a parameter
                        142.
                        15 \/ 24
                        DOT Exam Study Guide<\/li>\n<\/ol>\n<\/blockquote>\n\n\n\n

                        Maintenance of
                        Wakefullness Test
                        A test based on staying awake as an indicator of a
                        sleep disorder or of treatment effectiveness<\/p>\n\n\n\n

                          \n
                        1. Multiple Sleep Latency Tests
                          A test based on going to sleep as an indicator of a
                          sleep disorder or of treatment effectiveness<\/li>\n\n\n\n
                        2. Airflow ceases for 10 or more seconds Apnea<\/li>\n\n\n\n
                        3. Airflow decreases for 10 or more seconds Hypopnea<\/li>\n\n\n\n
                        4. Apnea\/Hypopnea
                          Index
                          Mild: 5+ Episodes\/Hour
                          Moderate: 15+ Episodes\/Hour
                          Severe: 30+ Episodes\/Hour<\/li>\n\n\n\n
                        5. Airflow ceases
                          while effort to
                          breathe continues followed by
                          arousal after airflow resumes
                          Polysomonogram shows what happens when<\/li>\n\n\n\n
                        6. An AHI >_<\/em>\/hour needs treatment 20<\/li>\n\n\n\n
                        7. A sleep study diagnostic for OSA that requires treat- Disqualifying
                          ment is __<\/em> until treatment is documented<\/li>\n\n\n\n
                        8. At least 4
                          hours\/night for
                          70% of nights
                          PAP compliance is<\/li>\n\n\n\n
                        9. According to the FMCSA how long should you wait to 1 month
                          certify after patient starts PAP?<\/li>\n\n\n\n
                        10. The use of _ _<\/strong> cannot be considered an accept- Dental Appliances
                          able alternative in treating OSA<\/li>\n\n\n\n
                        11. 3 month certification
                          If a driver is PAP compliant at one month, how long
                          of a certification can they be issued?<\/li>\n\n\n\n
                        12. 1 year certification
                          16 \/ 24
                          DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

                          If a driver is PAP compliant at 3 months, how long of
                          a certification can they be issued?<\/p>\n\n\n\n

                            \n
                          1. A BMI of __<\/em> requires a sleep study according to the 35
                            FMCSA<\/li>\n\n\n\n
                          2. Usually requires 6 months or more to lose weight, Bariatric Surgery
                            may use CPAP until there is adequate weight loss to
                            treat OSA, requires annual certification, reevaluate if
                            there is a 5% weight gain or symptoms recur<\/li>\n\n\n\n
                          3. Oropharyngeal
                            UPPP
                            This surgery removes tissue in the throat, 1 month
                            waiting period, annual recertification is required, 50%
                            failure rate<\/li>\n\n\n\n
                          4. Driver sees examiner 1-month post-op, no excessive Tracheostomy
                            sleepiness, annual recertification is required<\/li>\n\n\n\n
                          5. Limited Certification
                            A _ _<\/strong> can be granted to someone who had an
                            OSA dx, claims compliance, but does not have a co
                            p,iance report<\/li>\n\n\n\n
                          6. Cognitive Abilities
                            and Behavorial Inhibitors
                            Is the presence of a mental disorder or its residual
                            symptoms disqualifying because it interferes with
                            _ and _<\/strong>?<\/li>\n\n\n\n
                          7. The ability to process environment cues rapidly and Cognitive Abilities
                            make appropriate responses<\/li>\n\n\n\n
                          8. Behavioral Inhibitors
                            The ability to suppress inappropriate, irresponsible,
                            or violent actions<\/li>\n\n\n\n
                          9. People with chronic schizophrenia should be disqual- Disqualified
                            ified<\/li>\n\n\n\n
                          10. At least every two
                            years
                            How often should a driver with a psychotic disorder
                            be evaluated and cleared by a medical specialist?<\/li>\n\n\n\n
                          11. 6 months
                            17 \/ 24
                            DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

                            Minimum _<\/em> symptom free waiting period if the driver suffered a brief reactive psychosis or schizophreniform disorder<\/p>\n\n\n\n

                              \n
                            1. Waiting period for every other psychotic disorder be- 1 year
                              sides brief psychosis or schizophreniform disorder<\/li>\n\n\n\n
                            2. Those on antipsychotic drugs like Rispersdal, 1 year
                              Zyprexa, Seroquel, and Abilify can only be certified
                              for how long?<\/li>\n\n\n\n
                            3. Loss of interest or motivation, poor sleep, appetite Major Depression
                              disturbance, fatigue, poor concentration, and indecisiveness<\/li>\n\n\n\n
                            4. Severe Depression
                              Characterized by psychosis, significant percentage
                              commit suicide, there is a risk of relapse, severe psychomotor retardation or agitation, cognitive impairment, and poor judgement<\/li>\n\n\n\n
                            5. Not in therapeutic
                              range
                              Lithium is used to treat acute mania and bipolar disorders. A driver should be disqualified if they have a
                              disqualifying psychological condition or if their lithium levels are\u2026<\/li>\n\n\n\n
                            6. Interfere with safe
                              driving
                              1st generation anti-depressants<\/li>\n\n\n\n
                            7. Case by Case
                              Evaluation
                              2nd Generation Anti-Depressants have fewer side effects and are generally safe but can interfere with driving and require\u2026 (Examples include Prozac, Zoloft,
                              Effexor, Wellbutrin)<\/li>\n\n\n\n
                            8. Complies with the
                              treatment program, tolerates
                              treatment, and
                              has a comprehensive eval from an
                              Recommend certifying someone with a Personality
                              disorder if they
                              18 \/ 24
                              DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

                              appropriate medical professional<\/p>\n\n\n\n

                                \n
                              1. How long max can you certify someone with Adult 1 year
                                ADHD? Symptoms include age-inappropriate inattention, impulsiveness, hyperactivity, mood liability, low
                                frustration, and explosiveness<\/li>\n\n\n\n
                              2. How long can you certify someone using CNS stimu- 1 year
                                lants like Adderral, Ritalin, and Pemoline?<\/li>\n\n\n\n
                              3. Complex intellectual functions
                                CNS stimulants improve performance on simple
                                tasks but not on tasks requiring<\/li>\n\n\n\n
                              4. The FMCSA recommends that you _<\/em> someone on Do not certify
                                benzodiazepines ex. Ambien<\/li>\n\n\n\n
                              5. Comprehensive
                                eval from a
                                medical
                                professional and
                                no disqualifying
                                side effects
                                Electro convulsive therapy is used to treat major
                                depression, schizophrenia, and related psychotic
                                episodes. Causes confusion, disorientation, and a
                                loss of short-term memory that usually resolve. The
                                examiner should not certify a driver who has maintenance ECT but can certify a driver if\u2026<\/li>\n\n\n\n
                              6. The use of _<\/em> oxygen is disqualifying Supplemental<\/li>\n\n\n\n
                              7. Inflammation of the nasal portion of the respiratory Allergic Rhinitis
                                tract that causes sneezing, coughing, watery eyes,
                                and rhinorrhea; Max certification is two years<\/li>\n\n\n\n
                              8. 1st generation antihistamines
                                Are avaliable without an RX and are sedating – You
                                should abstain from antihistatimes for 12 hours prior
                                to operating a CMV<\/li>\n\n\n\n
                              9. Chronic reduction of the maximal expiratory flow COPD
                                most often caused by a combination of chronic bronchitis and emphysema, need PFT to diagnose, smoking is the primary cause
                                183.
                                19 \/ 24
                                DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

                                Pulmonary Function Test
                                Obtain this test if there is any history of specific lung
                                disease, any symptoms of SOB, chest tightness, or
                                wheezing<\/p>\n\n\n\n

                                  \n
                                1. Airway Obstruction
                                  FEV1 <65% of predicted; FEV1\/FVC ratio <65%<\/li>\n\n\n\n
                                2. Restrictive Impairment
                                  FVC <60% of predicted, Obtain Oximetry<\/li>\n\n\n\n
                                3. If the oximetry is less that 92% then what is the next Obtain ABGs
                                  step that needs to be taken?<\/li>\n\n\n\n
                                4. Do not certify if _<\/em> <65mm HG at altitudes below PaO2
                                  5000 feet and <60 mm HG at altitudes above 5000 feet<\/li>\n\n\n\n
                                5. Do not certify if _<\/em> >45 mm HG at any altitude PaCO2<\/li>\n\n\n\n
                                6. Compliant with antitubercular therapy and has no side
                                  effects interfering
                                  with safe driving
                                  The risk of recurrence of pulmonary TB is low after
                                  adequate therapy – Advanced TB may cause respiratory insufficiency – You should not certify a driver if
                                  they are not _ and _<\/strong><\/li>\n\n\n\n
                                7. TB treatment can cause what eye issues that can be Color Blindness
                                  disqualifying?<\/li>\n\n\n\n
                                8. Max certification for someone with Cystic Fibrosis 1 year
                                  (They must have continuous antibiotic therapy and
                                  daily respiratory therapy to mobilize secretions)<\/li>\n\n\n\n
                                9. Can be traumatic or spontaneous, treated with a Pneumothorax
                                  chest tube, complete recovery confirmed by CXR,
                                  max certification is two years<\/li>\n\n\n\n
                                10. Two or more spontaneous pneumothorax on one
                                  side if no procedure has been
                                  Who should not certify someone with Pneumothorax
                                  whos has hypoxemia with rest, Chronic respiratory
                                  failure, cough with syncope, and\u2026
                                  20 \/ 24
                                  DOT Exam Study Guide<\/li>\n<\/ol>\n\n\n\n

                                  done to prevent recurrence<\/p>\n\n\n\n

                                    \n
                                  1. Hypertrophy and\/or dilation of the right ventricle sec- Cor Pulmonale
                                    ondary to disorders that affect lung structure or function – Secondary to left heart disease<\/li>\n\n\n\n
                                  2. Major symptoms of Cor Pulmonale include dizziness, Vasodilators
                                    hypotension, and syncope. What medication does
                                    someone with Cor Pulmonale possibly take that can
                                    interfere with safe driving?<\/li>\n\n\n\n
                                  3. You may certify someone diagnosed with Cor Pul- Pulmonary HTN
                                    monale if their _ __<\/em> is treated and has resolved.
                                    They should be recertified every 3-6 months.<\/li>\n\n\n\n
                                  4. This driver should be disqualified because it means Disqualified
                                    that they have chronic fixed pulmonary hypertension<\/li>\n\n\n\n
                                  5. A pulmonary emboli is a clot. How long is the waiting 3 months
                                    period for this clot in which a DVT is a major source?<\/li>\n\n\n\n
                                  6. 1 month waiting
                                    period
                                    If a user is on Coumadin they must be properly monitored, shift needs to focus on the underlying condition, and user must wait _<\/em> prior to certification<\/li>\n\n\n\n
                                  7. There is a one month waiting period for Coumadin, Monthly
                                    driver needs to also bring a copy of INR results to the
                                    exam, and you must monitor the INR how often?<\/li>\n\n\n\n
                                  8. Exercise Tolerance Test
                                    Most commonly used to detect CAD, less expensive,
                                    love sensitivity<\/li>\n\n\n\n
                                  9. Left Ventricular
                                    Function
                                    Major prognostic indicator in CAD, Ejection Fraction<\/li>\n<\/ol>\n\n\n\n
                                    \n

                                    40%, LVEF does not correlate with exercise capacity,
                                    LVEF does correlate with risk for sudden death<\/p>\n\n\n\n

                                      \n
                                    1. The measurement of how much blood the left ventri- Ejection Fraction
                                      cle pumps out with each contraction
                                      21 \/ 24
                                      DOT Exam Study Guide<\/li>\n<\/ol>\n<\/blockquote>\n\n\n\n
                                        \n
                                      1. To be certified, a driver with heart disease should >6 METS
                                        exercise to a workload capacity of __<\/em><\/li>\n\n\n\n
                                      2. Waiting period after an MI 2 months<\/li>\n\n\n\n
                                      3. Stable Angina
                                        Pectoris
                                        Predictable causes, lower end of adverse CAD outcomes, at least one coronary artery has hemodynamically significant narrowinng<\/li>\n\n\n\n
                                      4. There is a maximum one year certification for Stable No waiting period
                                        Angina Pectoris. What is the waiting period?<\/li>\n\n\n\n
                                      5. Unpredictable, symptoms can include pain at rest, Unstable Angina
                                        change in angina (increased frequency and longer
                                        duration), precursor to CV event<\/li>\n\n\n\n
                                      6. 3 months before
                                        the exam
                                        DO NOT certify if: Unstable Angina in the _ _<\/em> _ _<\/em> __, there has been no waiting period, and needs
                                        evaluation<\/li>\n\n\n\n
                                      7. Coronary Artery
                                        Bypass Graft
                                        (CABG)
                                        For multi-vessel CAD, left coronary artery, extensive
                                        atherosclerosis with debilitating angina, re-occlusion
                                        risk increases after 5 year<\/li>\n\n\n\n
                                      8. Angina should prompt what? Imaging Study<\/li>\n\n\n\n
                                      9. >6 METS, LVEF >
                                        40%, NYHA Class
                                        1
                                        With heart failure 10-30% of all deaths are sudden. Do
                                        not certify a driver until you confirm that treatment is
                                        adequate, effective, and safe. What are the minimum
                                        METS, LVEF, and NYHA classifications?<\/li>\n\n\n\n
                                      10. New York Heart
                                        Association Classicications
                                        NYHA<\/li>\n\n\n\n
                                      11. No limitations; No symptoms from ordinary activities NYHA Class 1<\/li>\n\n\n\n
                                      12. Supraventricular
                                        Tachycardia
                                        Can compromise cerebral function and cause loss of
                                        consciousness, Catheter ablation is usually curative
                                        22 \/ 24
                                        DOT Exam Study Guide<\/li>\n\n\n\n
                                      13. Major risk is cardiac embolism causing stroke Atrial Fib<\/li>\n\n\n\n
                                      14. 1 month waiting
                                        period, 1 year certification
                                        _ <\/strong>waiting period post-ablation or other treatment for Atrial Fib, certify for _<\/em> __ if asymptomatic,
                                        anti-coagulated adequately, heart rate controlled, no
                                        disqualifying underlying disease<\/li>\n\n\n\n
                                      15. A person presents with WPW with A-Fib, loss of con- Do not cerify
                                        sciousness, sudden death resuscitated. Should they
                                        be certified?<\/li>\n\n\n\n
                                      16. Durable and reliable, waiting period is 1 month post Pacemaker
                                        implantation, annual certification if the driver complies with scheduled function checks<\/li>\n\n\n\n
                                      17. A symptom that occurs irregularly, hard to know if Syncope
                                        treatment was successful, causes can be cardiac,
                                        non-cardiac, or unknown<\/li>\n\n\n\n
                                      18. Most common cause of non-cardiac syncope Vasovagal<\/li>\n\n\n\n
                                      19. If a person is syncope free for 3 months and it is not 1 year
                                        recurrent, how long can they be certified for?<\/li>\n\n\n\n
                                      20. A person presents with neurocardiogenic syncope. Do not certify
                                        Can they be certified?<\/li>\n\n\n\n
                                      21. 13 Regualatory Standards that are enforced by the 49 CFR 391.41
                                        FMCSA and must be followed. 9 are discretionary and
                                        4 are non-discretionary.<\/li>\n\n\n\n
                                      22. 49 CFR
                                        391.41 Non-Discretionary Standards (No examiner discretion)
                                        4 Standards: Hearing, Vision, Epilepsy, Insulin Treated Diabetes<\/li>\n\n\n\n
                                      23. Ear disorders, loss
                                        of hearing or
                                        Health History Hearing\/Ear Form
                                        23 \/ 24
                                        DOT Exam Study Guide
                                        balance, fainting,
                                        dizziness<\/li>\n\n\n\n
                                      24. Stage 1 HTN and on BP med. How long can you certify 1 year
                                        for if the patient’s BP is <140\/90?<\/li>\n\n\n\n
                                      25. Stage 2 HTN 160-179\/100-109<\/li>\n\n\n\n
                                      26. Stage 3 HTN >180\/110<\/li>\n\n\n\n
                                      27. For someone with Stage 3 HTN, if BP falls <140\/90 – Every 6 months
                                        Certify for 6 months with recertification how often?<\/li>\n\n\n\n
                                      28. Complete recovery from a pneumothorax should be Chest X-Ray
                                        confirmed by?<\/li>\n\n\n\n
                                      29. Someone with
                                        a pneumothorax
                                        who you should
                                        not certify
                                        A history with two spontaneous pneumothoraces on
                                        one side if no surgical procedure has been done
                                        to prevent recurrences, hypoxemia at rest, chronic
                                        respiratory failure, a history of continuing cough with
                                        cough syncope<\/li>\n\n\n\n
                                      30. Recommend certifying a driver with
                                        a pneumothorax
                                        who\u2026
                                        Has confirmed resolution of a single spontaneous
                                        pneumothorax, has succesful pleurodesis, and meet
                                        acceptable pulmonary parameters<\/li>\n\n\n\n
                                      31. A group of medical conditions characterized y chron- COPD
                                        ic reduction of maximal expiratory flow, most often
                                        caused by a combination of chronic bronchitis and
                                        emphysema
                                        24 \/ 24<\/li>\n<\/ol>\n\n\n\n

                                        <\/p>\n","protected":false},"excerpt":{"rendered":"

                                        DOT Exam Study Guide With Complete Solutions DOT Exam StudyGuide WithComplete Solutions DOT Exam Study Guide With CompleteSolutions5 Feet – Answer A CMV driver must perceive a forced whispered voice in the bettereat at not less than _ with or w\/o a hearing aid Audiogram – Answer This test is performed only when the Forced […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-131781","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131781","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=131781"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131781\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=131781"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=131781"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=131781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}