Sleep Apnea Algorithm Sleep Apnea Algorithm Select any of the following that apply: Excessive sleepiness while driving History of accident associated with falling asleep Observed sleeping behind the wheel while operating the vehicle None of these apply Consider disqualification until they have been tested and/or effectively treated with 30 days of compliance (70% of nights, 4 or more hours per night).Select all of the risk factors that apply: Obesity (BMI >33) History of small airway (Class 3-4 Mallampati, Retrognoathism) Loud Snoring Witnessed Apneas Daytime Sleepiness Large Neck Circumference (M17", F15.5") Hypertension Cardiovascular disease History of stroke, diabetes, or other co-morbid conditions Does this individual have multiple risk factors? Yes No This individual can be certified for up to 2 years.This individual should have a sleep study. Consider a 3-month certificate to allow time for a sleep study and treatment if necessary. Δ Resources Body Systems Medication Search Library Medical Clearance Letters Additional Resources Company User Registration Terms of Use & Privacy Policy DOT Exam Expert 509 SW Frazer Ave. Pendleton, OR 97801 Contact Us