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62 Cards in this Set
- Front
- Back
Loading and unloading of a truck is an example of "vigorous physical activity" and requires a driver to exert
A. 4 METS B. 5 METS C. 6 METS |
C
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FMCSA Medical examiners duties under 49 CFR 391.43 DO NOT INCLUDE:
a. determine medical fitness for duty b. Make recommendations for specialist follow up c. issue Medical Examiners Certificates to qualifying drivers |
B
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The Medical Examiners Certification date is dertermned by the
a. date of the initial physical exam b. date of the follow up exam |
A
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If a driver reports symptoms of undiagnosed CVD (cardiovascular dz)
a. refer to a specialist for further testing prior to certifying b. 3 mos temporary qualifying until seen by a specialist. c. Give Rx for nitro to prevent any subsequent sx. |
A
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Dialysis?
Q qualify DQ disqualify |
DQ
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Diabetic on injectable Byetta?
Q or DQ? |
Q (providing they meet all other criteria)
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When filling out the health history the driver must report illness or injury for _________ years prior?
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5 years
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SPE (skilled performance exam) is used for evaluating Fixed or progressive deficits?
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FIXED
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Which color is NOT required for a driver to see?
amber green blue red |
blue
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Field of vision in both eyes would pass if:
a. 65 degrees b. 80 degrees |
b.
must be at least 70 degrees |
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Monocular vision?
Q DQ |
DQ unless they have a waiver from the federal gov't and a note from their ophthalmologist. Not issuing these anymore so probably will never see one.
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T or F
A driver must successfully perceive a forced whisper at 5ft in both ears |
F only one ear
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Audiometric testing is administered at what hz?
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500, 1000, 2000
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A driver has "white coat htn" and brings readings from his home machine. These can be used to qualify him.
T or F |
F
Only readings taken during the exam count |
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Stage 1 HTN =
a. 140/90 b. 160/90 c. 128/89 |
A
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160-179/ 100-109 =
Stage 1 HTN Stage 2 HTN Stage 3 HTN |
Stage 2
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Urine tests for all but
a. SG b. Glucose c. pH d. Blood |
C
(it also tests for protein) |
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A driver with injuries may be qualified with a restriction in certain duties.
T or F |
F
Must be able to perform all duties |
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The medical examiner is required to maintain a copy of the medical record for ________ years
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3 years
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________dB is an acceptable average hearing loss.
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40 dB
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An abdominal aortic aneurysm of less than ________ cm can be qualified for a year.
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4cm
(assuming asymptomatic) |
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AAA 4-5 cm can be qualified if
a. they are stable for 2 years b. they are asymptomatic c. they are asymptomatic and have a cardiovascular specialist clearance |
C
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If a AAA increases more than ______cm in a _______month period then DQ regardless of size.
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0.5 cm in a 6 mos period
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Minimum waiting period for most surgeries is -
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3 mos
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A driver needs to be on Coumadin and monitored for ____ months before being cleared to drive.
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1 mos
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The only acceptable monitoring for coumadin is
a. INR b. PT c. APTT |
a INR
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Minimum monitoring for a driver on coumadin
a. once every 6 weeks. b. once a month c. once every 2 weeks |
b. once a month
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A driver on coumadin due to cerebrovascular disease
Q or DQ? |
DQ
too high of a risk of bleed |
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Maximum certification for a driver being treated for acute dvt and no symptoms
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1 year
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Disqualify thoracic aneurysm > _______cm
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3.5 cm
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Pt has a combination ICD/pacemaker
Q or DQ |
DQ - this does not control the arrhythmia it only treats it when it happens.
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Pt has a pacemaker only and is 4 mos out from insertion. Rate is stable and other qualifying criteria are met. What else does driver need to qualify for one year certificate?
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Documentation of pacemaker checks and functioning pacemaker
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Hypertrophic cardiomyopathy
Q or DQ |
DQ
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LVEF <40% per echocardiogram
Q or DQ |
DQ
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A driver taking an exercise tolerance test (ETT) should be able to demonstrate all BUT:
a. exercise to a workload of 6 METS using Bruce protocol b. obtain a heart rate < or equal to 85% of maximum predicted even if ON beta blockers c. have a rise in systolic BP of >20mm Hg without any angina d. Have no significant ST depression |
B. if on beta blockers heart rate doesnt need to go >85%
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Waiting period after acute MI?
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2 mos
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After waiting period, certify post MI driver for one year if what criteria are met?
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The driver:
Is asymptomatic. Tolerates medications. Has a satisfactory exercise tolerance test (ETT). Has a resting left ventricular ejection fraction (LVEF) greater than or equal to 40%. Has no electrocardiogram ischemic changes. Obtains clearance for cardiologist Has biennial ETT |
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Because of the risk of reocclusion over time, 5 years post-CABG surgery, the driver should obtain:
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Annual exercise tolerance test.
Imaging stress test, if indicated. |
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Annual Holter Monitoring is recommended for which?
a. angina pectoris b. hypertrophic cardiomyopathy c. Congestive heart failure |
Heart failure along with echo, holter done yearly
(remember hypertrophic heart is an automatic DQ) |
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Waiting period post PTCA -
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1 week... doesnt seem like a lot, but that's the regulation...
Would be more if there was an MI to go along with it, then it would be 2 month |
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After PTCA there initial certification is for 6 mos pending results of a _________
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ETT
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Maximum certification for heart transplant following one year waiting period?
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every 6 mos w/ letter from transplant doctor
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Following a syncopal episode, the driver should not be qualified until:
a. symptom free for six months b. they have a pacemaker c. they have been referred and clear etiology to the cause of the syncope is determined |
C
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Which of the comments about spirometry are FALSE?
a. Spirometry should be performed on all smokers over 35 years old b. If FEV1 is less than 65% of predicted, arterial blood gasses should be obtained c. Spirometry should be performed on all asthmatics |
C this is a false statement
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Waiting period after starting CPAP machine?
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1 mos
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Waiting period after surgery for sleep apnea?
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3 mos - that's about standard for ALL surgeries
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Maximum certification for chronic sleep disorders even if treated?
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1 year
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When to DQ a driver with spontaneous pneumothorax?
A history of ______ or more spontaneous pneumothoraces on one side if no successful surgical procedure has been done to prevent recurrence. |
TWO
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If pulse oximetry is less than ______ % on room air, then ABG's must be obtained
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92
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For ABG's obtained at an altitude of less than 5,000 feet, disqualifying would be a
Pa(O2) of < _______ Pa( C02) of > _______ |
65 O2
45 CO2 |
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Dyspnea at rest:
a. obtain PFT's b. obtain pulse oximetry c. DQ |
C. DQ
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history of 2 unprovoked seizures (not including febrile) at ANY point in a driver's life
DQ or Q |
DQ like a Blizzard
This is epilepsy |
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A driver with seizure maintained successfully on anticonvolescent medications for 5 years may qualify.
T or F |
NOOOOOOOOO
they have to be OFF all meds to qualify AND seizure free |
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Waiting period after a history of single unprovoked seizure and off all meds
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5 years
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Childhood febrile seizures maximum recertify
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2 years
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Recommend to certify?
A. Acute and chronic peripheral vestibulopathy and has been symptomatic within the past 2 months. B. Meniere's disease. C. Labyrinthine fistula. D. Nonfunctioning labyrinths. E. Benign positional vertigo, asymptomatic for 2 mos |
E
rest of them are DQ |
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Minimum waiting period for bacterial meningitis with early seizure?
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5 years
10 years for viral with early seizure 1 year for BOTH without early seizure |
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Neurological waiting periods go to this link
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http://nrcme.fmcsa.dot.gov/mehandbook/neuro_waiting_sums_ep.aspx
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One or two year wait following surgery for these cerebral tumors?
Infratentorial meningiomas. Acoustic neuromas. Pituitary adenomas. Spinal benign tumors. Benign extra-axial tumors. |
1 year
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One year or two year wait following surgery for these cerebral tumors?
Benign supratentorial tumors. Spinal tumors. |
two years
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Dementia of any severity
Q or DQ |
I can't remember.....
DQ of course |
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Which of the following stroke areas are at an increased risk of seizure and require a 5 year waiting period?
a. Cerebellum and brainstem vascular lesions b. Cortical and subcortical defecits |
B
(one year A) |