Good questions Part I
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| show | When taking medication for treatment post cerebrovascular accident (CVA)
🗑
|
||||
| How long should a driver status-post permanent pacemaker (PPM) insertion secondary to sinus node dysfunction wait before certification/recertification for duty can be considered? | show 🗑
|
||||
| A CMV driver who has an implantable cardioverter-defibrillator (ICD) can be certified for how long when he or she has clearance from a cardiologist indicating that the driver is fit for duty? | show 🗑
|
||||
| The medical examiner should refer a driver for pulmonary function testing (PFT) when they present with..... | show 🗑
|
||||
| show | Very true!
🗑
|
||||
| show | Substance abuse
Anxiety
Binge eating
🗑
|
||||
| A 30 y/o driver presents to the ME's office for recert. The driver notes he had 3 episodes of benign positional vertigo 6 months ago but has been asx since this time. with clearance from neurologist. All other hx and exam is benign. Should you cert? | show 🗑
|
||||
| The driver candidate with a history of transient ischemic attack (TIA) is subject to a ___ symptom free waiting period prior to certification. | show 🗑
|
||||
| show | If they are on anti-coagulant medications.
🗑
|
||||
| True or false....Use of muscle relaxants such as Skelaxin, Soma, or Flexeril in the CMV driver is disqualifying. | show 🗑
|
||||
| show | Sudden acute coronary event
🗑
|
||||
| A driver presents for medical examination with two blood pressure readings >140/80. The driver claims no previous history of HTN. How long should the driver be certified for? | show 🗑
|
||||
| A driver comes in for his initial DOT examination. His blood pressure readings are 166/92 and 159/104 mmHg (stage 2 HTN which indicate medications are needed!). How long should this driver be certified for? | show 🗑
|
||||
| show | Must have a negative result on a return to duty drug test and evaluation by substance abuse professional.
🗑
|
||||
| show | 35%
🗑
|
||||
| A driver with DM has had two hypoglycemic episodes within the past 12 months. Should this driver be qualified to drive? | show 🗑
|
||||
| show | True
🗑
|
||||
| According to FMCSA regulation 49 CFR 391.45 (e), what is the maximum certification period for the driver who requires insulin for glucose control? | show 🗑
|
||||
| Discuss the AAA guidelines for driver qualification. | show 🗑
|
||||
| Discuss the AAA guidelines for driver DISQUALIFICATION | show 🗑
|
||||
| When a CMV driver completes an exercise tolerance test (ETT), successful results are: | show 🗑
|
||||
| show | The driver can be certified every 6 months, if he or she is asymptomatic, tolerates medications, and has completed a minimum waiting period of one year
🗑
|
||||
| show | Driver with a LVEF of 45%, is asymptomatic, sternum incision is completely healed, and has clearance from a cardiologist
🗑
|
||||
| The CMV driver post MI must meet which of the following criteria before he or she can be certified for duty? | show 🗑
|
||||
| A CMV driver has been diagnosed with severe Aortic Stenosis (AS) but he denies symptoms of dyspnea, chest pain, dizziness, or syncope. The FMCSA medical examiner should certify the driver for how long? | show 🗑
|
||||
| A driver presents to the ME's office for a new certification. The driver's hx indicates a diagnosis of bipolar mood disorder. The minimum symptom free waiting period following a nonpsychotic major depression unaccompanied by suicidal behavior is: | show 🗑
|
||||
| A letter of application for a skill performance evaluation (SPE) must be accompanied by... | show 🗑
|
||||
| show | False
🗑
|
||||
| For a driver candidate with a history of syncope the maximum certification period is: | show 🗑
|
||||
| What is the minimum certification waiting period for a CMV driver status post permanent pacemaker insertion secondary to Neurocardiogenic Syncope? | show 🗑
|
||||
| show | Pupil reactivity.
🗑
|
||||
| show | Distant visual acuity of 20/40 in each eye (with/without corrective lens) and distant binocular acuity of at least 20/40.
Must also have a field of vision of at least 70 degrees in the horizontal meridian in each eye.
🗑
|
||||
| Discuss the hearing test requirements for passing certification. | show 🗑
|
||||
| show | No! Recommended not to certify the driver.
🗑
|
||||
| Discuss the ETT and what a driver should be able to achieve during the testing. | show 🗑
|
||||
| True or False: A driver presents to the medical examiner for initial evaluation. On the health history form the driver indicates he takes methadone for treatment of chronic back pain. The medical examiner may qualify this patient. | show 🗑
|
||||
| A driver presents to the medical examiner for recertification. The driver reports deteriorating peripheral vision and decreased night vision over the past 2 years. The medical examiner suspects these may be symptoms of: | show 🗑
|
||||
| A 35 year old female presents for a recertification evaluation. During the exam the patient notes a recent history of increased heart rate, diarrhea, intolerance to heat, tremor, and insomnia. The medical examiner should refer the patient out for: | show 🗑
|
||||
| A commercial motor vehicle driver is taking coumadin. What is the minimum interval at which their International Normalized Ratio (INR) must be checked? | show 🗑
|
||||
| A new patient presents to your office for an initial certification. Examination of the patient’s fundus reveals the presence of cotton wool spots and microaneurysms. The most likely cause of this abnormality is? | show 🗑
|
||||
| According to FMCSA regulations, which of the following must a medical examiner evaluate when examining a driver’s ear? | show 🗑
|
||||
| A driver's urine must be tested for.... | show 🗑
|
||||
| In a patient with glaucoma the greatest clinical concern would be? | show 🗑
|
||||
| A common visual complaint in patients with cataracts is that of? | show 🗑
|
||||
| show | The driver has:
•Hypoxemia at rest.
•Chronic respiratory failure.
•History of continuing cough with cough syncope.
🗑
|
||||
| Discuss the federal exemption program and provisions. | show 🗑
|
||||
| show | Systolic heart murmur.
🗑
|
||||
| show | Consult with a pulmonologist.
🗑
|
||||
| show | •Seizure.
•Loss of consciousness.
•Need of assistance from another person.
•Period of impaired cognitive function that occurred without warning.
🗑
|
||||
| show | The medical examiner's license number and expiration date.
🗑
|
||||
| The CMV driver post-myocardial infarction (MI) must have a left ventricular ejection fraction (LVEF) of: | show 🗑
|
||||
| show | An ETT every year.
🗑
|
||||
| show | One week
🗑
|
||||
| A driver with a history of hypertension can be certified for a maximum period of one year as long as the driver’s blood pressure is equal to or less than: | show 🗑
|
||||
| show | One year. Starting the date of the initial examination.
🗑
|
||||
| According to the FMCSA regulations, the driver utilizing insulin for glucose control with a diagnosis of severe proliferative retinopathy can be qualified for a period of: | show 🗑
|
||||
| What should you obtain from the driver who uses Insulin for glucose control? | show 🗑
|
||||
| A driver states that he takes Methadone for chronic pain and provides you with a note indicating that he is cleared to drive. According to FMCSA regulations, this driver may be certified for: | show 🗑
|
||||
| show | A urine specimen!
🗑
|
||||
| show | The driver's employer.
🗑
|
||||
| show | Three months.
🗑
|
||||
| show | To closely monitor the driver for signs and/or symptoms of a medical condition that can affect safe driving
🗑
|
||||
| show | 6 months.
🗑
|
||||
| show | Cognitive demands:
o Sustained vigilance and attention.
o Quick reactions.
o Communication skills.
o Appropriate behavior.
Physical demands:
o Coordination.
🗑
|
||||
| Recommend not to certify the driver when ABG measurement reveals: | show 🗑
|
||||
| Exercise Tolerance Test (ETT) is the most common test used to evaluate workload capacity and detect cardiac abnormalities. Discuss what the driver should be able to do. | show 🗑
|
||||
| show | •Driver must wait 3 months without any symptoms of rest angina or change in anginal patterns.
•Must have clearance from CV specialist
•Satisfactory ETT
•Patient is able to tolerate medications without any side effects
🗑
|
||||
| What does the insulin treated CMV driver need to have done before being examined by the DOT ME? | show 🗑
|
||||
| How often does the driver with a major mood disorder need to be evaluated by a mental health specialist? | show 🗑
|
||||
| What would be reasons why a driver with MVP should NOT be certified? | show 🗑
|
||||
| show | NEVER! They are disqualified. This is stage 3 HTN and needs prompt treatment.
🗑
|
||||
| A 57 year old male driver presents for certification. He has a BP of 170/100. He is given a one time three month certification for BP management. On follow-up, His blood pressure is now 145/95. What should the ME do next? | show 🗑
|
||||
| show | Obtain pulmonary function tests and an arterial blood gas
🗑
|
||||
| show | Recurrent angina symptoms, post-MI ejection fraction of <40%, abnormal ETT, ischemic changes on ECG, poor tolerance to medications.
Note, driver must also wait 2 months after MI before evaluation.
🗑
|
||||
| In a driver with angina pectoris, what are the recommendations for what a driver should obtain for evaluation? | show 🗑
|
||||
| A driver presents with pectus excavatum of long standing duration. She takes no medications and states that she does not suffer from SOB or dyspnea on exertion. Her physical examination is otherwise unremarkable. What would be reasons to NOT certify them? | show 🗑
|
||||
| A CMV driver who has suffered a deep venous thrombosis (DVT) is not eligible for certification if: | show 🗑
|
||||
| A 67 yo male driver presents for certification. He states that he has a pacemaker implanted in his chest 2 months ago. Patient is unsure why it was inserted.He is asymptomatic and his physical examination is normal. What should the ME do next? | show 🗑
|
||||
| show | These medications (incretin mimetic) can be used without exemption.
The driver should also have a note from their HCP describing their tolerance to the medication, efficacy, and how frequent their blood glucose is checked.
🗑
|
||||
| show | The driver has:
•Disqualifying underlying condition.
•Disqualifying symptoms.
•Lithium levels that are not in the therapeutic range.
🗑
|
||||
| show | He has successfully completed counseling and/or treatment with a substance abuse professional
🗑
|
||||
| The minimum waiting period for the driver with a history of bacterial meningitis with early seizures is? | show 🗑
|
||||
| What is the waiting period for a driver with the diagnosis of vertigo 2/2 BPPV? | show 🗑
|
||||
| show | Biennial ETT (every 2 years)
🗑
|
||||
| The minimum waiting period for the CMV driver with a past medical history of stable angina is: | show 🗑
|
||||
| Mr. Charleston has a history of heart disease and gives you the results of his ETT performed 4 months ago. The test results were inconclusive and the driver denies having any sxs. His PE findings are normal. What should the medical examiner do next? | show 🗑
|
||||
| The driver with a history of Coronary Artery Bypass Graft (CABG) surgery should have an annual exercise tolerance test 5 years post-CABG surgery. Why? | show 🗑
|
||||
| Mr. Webster’s forced whispered voice test results are as follows: 3 feet in the right ear and 5 feet in the left ear. Based on these findings, the certified medical examiner should certify the driver for: | show 🗑
|
||||
| The CMV driver with a medical history of Labyrinthine Fistula can be certified for a period of: | show 🗑
|
||||
| show | Minimum — 1 month anticoagulated adequately
Patient needs to have INR monitored monthly!
🗑
|
||||
| show | One year initially
🗑
|
||||
| show | Must wait 3 months post-surgical repair!
🗑
|
||||
| show | There is no minimum waiting period for the CMV driver who requires insulin for glycemic control. The insulin dependent CMV driver can obtain a medical certificate if the driver meets all the requirements outlined in CFR 391.46.
🗑
|
||||
| show | PaCO2 greater than 45 mm Hg at any altitude
🗑
|
||||
| show | The medical examiner should first perform a thorough physical examination and pulse-ox screening in his or her office before sending the driver for ABG’s, chest x-ray, or to a pulmonologist for further work-up.
🗑
|
||||
| True or False: when evaluating a driver for vision qualifications, the FMSCA certified medical examiner is required to test the driver for VA, peripheral horizontal visual fields, and color. | show 🗑
|
||||
| The CMV driver with monocular vision should be disqualified unless the driver has a current federal vision exemption. | show 🗑
|
||||
| The driver who meets hearing and vision requirements can be certified for the same interval. What is this interval? | show 🗑
|
||||
| What is the recommended maximum certification period for the driver with a diagnosis of Syncope? | show 🗑
|
||||
| The ME can certify a driver for 1 year post-MI after they have waited the appropriate 2 months and the driver is (list five things!) | show 🗑
|
||||
| show | Bienniel
🗑
|
||||
| The driver post-CABG surgery must complete a minimum waiting period of at least __________ before certification can be considered. | show 🗑
|
||||
| show | 1. Asx
2. Tolerates medications without side effects
3. LVEF greater than or = to 40%
4. Healed sternum
5. Cleared by cardiologist
🗑
|
||||
| The CMV driver post heart transplant must wait a period of ______ and can be certified for a period of ________. | show 🗑
|
||||
| show | HCM and Restrictive
🗑
|
||||
| show | 3 months
🗑
|
||||
| show | 1 month
🗑
|
||||
| The CMV driver status-post AAA repair must complete a waiting period of _____________. | show 🗑
|
||||
| show | 1. Is stabilized on medications for at least one month
2. Provides a copy of his/her INR results at examination
3. Has INR checked and monitored at least on a monthly basis.
🗑
|
||||
| show | •Is greater than 4 cm but less than 5 cm and driver does not have medical clearance for driving from a Cardiologist.
•Is greater than or equal to 5 cm.
•Has increased more than 0.5 cm during a 6 month period, regardless of size.
🗑
|
||||
| show | 3.5 cm
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
kbaranowski27
Popular Standardized Tests sets