vision requirements
(Ans- Distant vision 20/40 each eye and 20/40 both eyes, Peripheral vision at least 70 degrees, Ability to recognize and distinguish
... [Show More] between the colors of traffic signals and devices.
If the driver presents a valid vision exemption, how long can he be certified?
(Ans- 1 year
The driver with a vision exemption must present what 2 things before receiving the medical examiner's certificate.
(Ans- Valid vision exemption and copy of the specialist eye examination report.
When applying for a vision exemption, the driver should include a copy of the Medical Examination Report form and the medical examiner's certification with what marked?
(Ans- The "accompanied by" exemption checkbox and write "vision" to identify the type of exemption.
If the driver is qualified by operation of 49 CFR 391.64 due to participation in the vision study program, what must the driver present to qualify for certification?
(Ans- Letter identifying the driver as a participant and copy of the specialist eye examination.
How long can a driver who is qualified by operation of 49 CFR 391.64 be certified.
(Ans- 1 year
hearing requirements
(Ans- Whisper at not less than 5 feet in 1 ear, or average hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
What is the waiting period for vertigo caused by benign positional vertigo or acute/chronic peripheral vestibulopathy?
(Ans- 3 months
Name 4 otic conditions that are automatic disqualification
(Ans- Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA
(Ans- 30
3 requirements for a passing ETT
(Ans-
1. increased SBP of at least 20 without angina
2. workload capacity >6 METs
3. no significant ST depression
Examiners must retain records for how many years?
(Ans- 3
Regulation that describes the physical qualifications of drivers.
(Ans- 49 CFR 391.41
Regulation that describes the responsibilities of the medical examiner. (Ans- 49 CFR 391.43
Regulation that describes the process for conflict resolution when there is a disagreement between the primary care provider for the driver and the medical examiner for the motor carrier concerning driving qualifications. (Ans- 49 CFR 391.47
Regulation that describes the Skill Performance Evaluation (SPE) Certification Program.
(Ans- 49 CFR 391.49
Regulation that describes limited exemptions for intra-city zone drivers. (Ans- 49 CFR 391.62
Regulation that describes grandfathering for certain drivers who participated in vision and diabetes waiver study programs.
(Ans- 49 CFR 391.64
Regulation that includes regulations for medical review officers and substance abuse professionals, including drug and alcohol testing procedures.
(Ans- 49 CFR 40
Define Stage I Hypertension
(Ans- BP greater than or equal to 140/90
What is the maximum certification period for stage I hypertension if this is the 1st examination at which the driver has BP equivalent to stage I hypertension and has no history of hypertension?
(Ans- 1 year
What is the maximum certification period for untreated known or inadequately controlled stage I hypertension?
(Ans- 3 months
What is the maximum certification period for blood pressure >140/90 and the following: follow-up 3 months certificate or history of stage III hypertension
(Ans- None, driver is disqualified
Define Stage II hypertension.
(Ans- BP is ≥ 160 to <180 SYSTOLIC, and is ≥100 to < 110 Diastolic
What is the maximum certification period for Stage II hypertension with blood pressure >140/90?
(Ans- 3 months
What is the maximum certification period for Stage II hypertension with blood pressure 140/90?
(Ans- 1 year
Define Stage III hypertension.
(Ans- BP >180 Systolic and > 110 Diastolic
What is the maximum certification period for Stage III hypertension with blood pressure >140/90?
(Ans- 1 time certificate for 3 months in accordance with stage 1 or 2 HTN guidelines, as determined by a case by case basis.
What is the maximum certification period for a driver with a history of Stage III hypertension but t exam his BP is at or less 140/90 and treatment is well tolerated?
(Ans- 6 months
What is the maximum certification period for Stage III hypertension with blood pressure >180/110?
(Ans- None, driver is disqualified.
What is the waiting period and maximum certification period for surgical correction of secondary hypertension?
(Ans- 3 months and 1 year post surgical correction
What is the waiting period and maximum certification period for driver on anticoagulants for cardiovascular cause?
(Ans- 1 month stabilized and 1 year with monthly INRs
What is the waiting period and maximum certification period for driver on anticoagulants for neurlogical condition?
(Ans- None, driver is disqualified.
5 reasons to disqualify a driver with AAA
(Ans-
1. Symptomatic
2. AAA >5cm
3. AAA 4-5 cm and does not have clearance from a cardiologist
4. AAA increased in size 0.5cm in 6 months
5. Surgical repair was recommended but not done
Maximum certification period for driver with AAA that is asymptomatic or <4cm, >4cm and <5cm but has clearance from cardiologist
(Ans- 1 year
Maximum certification period for Acute DVT
(Ans- 1 year
Maximum certification period for Chronic DVT
(Ans- 2 years
Waiting period and maximum certification period for intermittent claudication if driver has no resting pain.
(Ans- 3 months for post-surgical repair and 1 year
Waiting period and maximum certification for aneurysms of visceral, peripheral arteries or venous vessels
(Ans- 3 months post-surgical repair and 1 year with clearance from cardiologist
Waiting period and maximum certification for peripheral vascular disease (Ans- 3 months post-surgical repair and 1 year without resting pain
Waiting period and maximum certification for pulmonary emboli
(Ans- 3 months with no pulmonary embolism and 1 year if asymptomatic
Maximum certification period for superficial phlebitis
(Ans- 2 years
Waiting period and maximum certification for thoracic aneurysm <3.5cm (Ans- 3 months post surgical repair and 1 year
True or false: having an ICD is automatic disqualification
(Ans- true
Min waiting period for pacemaker implantation for sinus node dysfunction or AV block
(Ans- 1 month
Min waiting period for pacemaker implantation for neurocardiogenic syncope or hypersensitive carotid sinus with syncope
(Ans- 3 months
In order for a driver to receive maximum certification period of 1 year for pacemaker the driver must:
(Ans- Comply with pacemaker center scheduled function checks and provide documentation of pacemaker function checks at examination.
Minimum waiting period for atrial fibrillation
(Ans- 1 month with adequate anticoagulation
Minimum waiting period for atrial flutter
(Ans- 1 month post-isthmus ablation
Minimum waiting period for AV nodal reentrant tachycardia, AV reentrant tachycardia and Wolff-Parkinson-White syndrome, Atrial tachycardia, Junctional tachycardia
(Ans- 1 month without symptoms
Maximum certification period for SVT with adequate rate control, anticoagulation if indicated, and clearance from a cardiologist.
(Ans- 1 year
Minimum waiting period for VT caused by coronary heart disease, right ventricular outflow VT, Idiopathic LV VT.
(Ans- 1 month after drug or other therapy
Maximum certification for VT if patient is asymptomatic, NSVT with LVEF >40% and has clearance from a cardiologist
(Ans- 1 year
Driver is to be disqualified if VT and the following:
(Ans- symptomatic, sustained VT, NSVT with LVEF <40% or diagnosis of hypertrophic cardiomyopathy, long QT interval syndrome or Brugada syndrome
Waiting period and maximum certification for Acute MI is
(Ans- Waiting period 2 months post MI and maximum certification is 1 year
What is required for initial certification following MI?
(Ans- In-patient post-MI echocardiogram showing LVEF 40%
What are the requirements for certifying driver with history of MI?
(Ans- Asymptomatic, satisfactory ETT every 2 years, LVEF >/40%, no electrocardiogram ischemic changes and clearance by cardiologist
Waiting period and maximum certification for angina in a driver without resting angina or change in angina pattern and 1 year with satisfactory ETT every 2 years and clearance by cardiologist
(Ans- 3 months
CHD risk-equivalent conditions include:
(Ans- DM, PVD, Framingham risk score predicting 20% CHD event risk over the next 10 years or being over 45 years of age with multiple risk factors for CHF
Maximum certification of multiple CHD risk-equivalent is
(Ans- 1 year
Waiting period and maximum certification for CABG if the driver is asymptomatic, LVEF >/40%, healed sternum and cleared by cardiology (Ans- 3 months after CABG and 1 year
5 years post-CABG, what routine tests need to be completed
(Ans- Annual ETT and imaging stress test if indicated
What is the maximum certification period for driver with heart failure who is asymptomatic, has ETT >6 METS and LVEF >/40%
(Ans- 1 year
Heart failure disqualifications are:
(Ans- Symptomatic, asymptomatic with LVEF 50% and has ventricular arrhythmias or asymptomatic with LVEF <40%
Driver with heart failure should obtain
(Ans- ETT every 2 years, annual evaluation and clearance from cardiologist, echocardiogram and holter monitoring
What is the waiting period and maximum certification for PCI if patient is asymptomatic and vascular access site is healed?
(Ans- 1 week and initial certification of 6 months followed by 1 year if ETT is satisfactory
What follow up testing is required in driver undergoing PCI?
(Ans- ETT 3 to 6 months post-PCI and bring results to 6 month follow up appointment (if inconclusive, imaging stress test may be indicated) [Show Less]