Deck 1: Certification Outcomes and Intervals

Question 1

In the event that a driver is examined and found to have an abdominal aortic aneurysm (AAA), the medical examiner must recommend not to certify in each of the following circumstances EXCEPT:

A)The driver has symptoms.
B)The AAA is greater than or equal to 5 cm.
C)The AAA is greater than or equal to 2 cm but less than 5 cm.
D)The AAA has increased more than 0.5 cm during a 6-month period, regardless of size.

Answer 1

The AAA is greater than or equal to 2 cm but less than 5 cm.

Question 2

A driver with a heart transplant must be reexamined and recertified by a cardiovascular specialist how often?

A)Every three months
B)Every two months
C)Every six months
D)Every two years

Answer 2

Every six months

Question 3

A driver with a history of an allergy-related life threatening condition, such as angioedema, is required by federal guidelines to have a certification of no more than:

A)Five months
B)Eight months
C)One year
D)Two years

Answer 3

Two years

Question 4

A driver with a history of migraines whose condition does not interfere with the health and safety of the driver and public may be certified for a maximum of how long?

A)Two years
B)Five years
C)One year
D)Ten years

Question 5

If a driver has had a single unprovoked seizure, what is the mandatory waiting period before the driver can be certified?

A)Two years
B)Five years
C)Six years
D)Ten years

Question 6

A driver who has experienced a moderate traumatic brain injury (TBI) with early seizures must observe a waiting period of how long before being certified?

A)Two years off anticonvulsant medications and seizure free
B)Five years off anticonvulsant medications and seizure free
C)One year off anticonvulsant medications and seizure free
D)A driver with a traumatic brain injury cannot be certified

Question 7

If a driver successfully meets the requirements of the hearing exam, a medical examiner may certify the driver for a maximum of:

A)Two years
B)One year
C)Six months
D)Eighteen months

Question 8

A driver has been diagnosed with vertigo which has gone untreated and is uncontrolled. How should this be handled by a medical examiner?

A)A one-year waiting period is required.
B)A two-year waiting period is required.
C)The driver may be certified with no waiting period.
D)This condition is disqualifying.

Question 9

A driver has been diagnosed with stage 2 hypertension, with a blood pressure of 170/105. According to federal guidelines, how should a medical examiner handle this driver's certification?

A)This driver should not be certified.
B)The driver should be certified for one year.
C)The driver should be certified for a three-month period.
D)There are no guidelines regarding stage 2 hypertension.

Question 10

A driver has been diagnosed with mitral stenosis and has undergone a surgical commissurotomy. A medical examiner can certify the driver, but with a minimum waiting period of how long?

A)Four weeks
B)Ten weeks
C)Six months
D)One year

Question 11

A driver presents with allergic rhinitis. How is this condition to be treated by a medical examiner?

A)The driver should not be certified.
B)The driver can be certified once etiology is confirmed and treatment is shown to be effective.
C)The driver can be certified following a one-year waiting period.
D)There are no federal guidelines regarding allergic rhinitis.

Question 12

A driver who takes Coumadin for cardiovascular disease should be certified following a waiting period of how long?

A)One month stabilized
B)Three months stabilized
C)Six months stabilized
D)One year stabilized

Question 13

A driver who takes Coumadin for cardiovascular disease should obtain INR (international normalized ratio) monitoring how often?

A)At least monthly
B)Every six months
C)Every four months
D)Once yearly

Question 14

A driver presents who takes Coumadin and has a cerebrovascular disorder. How should a medical examiner handle the certification of the driver?

A)The driver can be certified following a detailed exam by a cardiologist.
B)The driver cannot be certified.
C)The driver can be certified after a six-month waiting period.
D)The driver can be certified with no waiting period.

Question 15

If a driver presents with central core disease, the medical examiner must do which of the following?

A)Certify with a two-month waiting period.
B)Certify with a six-month waiting period.
C)Certify with no waiting period.
D)The driver cannot be certified.

Question 16

A medical examiner evaluates a driver with a muscular dystrophy disease. What should be the conclusion of this evaluation?

A)The driver can be certified with no waiting period.
B)The driver cannot be certified.
C)The driver can be certified with a two-month waiting period.
D)The driver can be certified with a one-year waiting period.

Question 17

A driver presents with a diagnosis of myasthenia gravis. According to federal guidelines, how should this driver's exam be handled?

A)The driver should not be certified.
B)The driver should be certified with a one-month waiting period.
C)The driver should be certified with a six-month waiting period.
D)None of the above

Question 18

Can a driver with a benign central nervous system tumor be certified by a medical examiner?

A)Under no circumstances
B)Yes, with a one-year waiting period
C)Possibly, following surgical treatment
D)Yes, with a two-year waiting period

Question 19

A driver who had a benign extra-axial tumor successfully removed may be certified under the following circumstances:

A)A one-year waiting period following surgical removal
B)A two-year waiting period following surgical removal
C)A six-month waiting period following surgical removal
D)The driver cannot be certified

Question 20

A driver who has suffered an embolic stroke but is not at risk for seizures can be certified under the following circumstances:

A)A minimum of a one-year waiting period
B)A minimum of a two-year waiting period
C)The driver cannot be certified
D)None of the above

Question 21

A driver presents who has suffered an embolic or thrombotic stroke and uses oral anticoagulant therapy. What are the guidelines for the driver's certification?

A)The driver can be certified following a six-month waiting period.
B)The driver can be certified following a one-year waiting period.
C)The driver can be certified when he/she is no longer taking anticoagulant therapy.
D)The driver cannot be certified.

Question 22

A driver with diabetes mellitus with no other disqualifying conditions may be certified for how long?

A)A six-month period
B)A one-year maximum
C)A two-year maximum
D)None of the above

Question 23

A driver who uses an incretin mimetic may be certified once the treatment has been shown to be safe and effective. Does the driver require a waiting period?

A)No, there is no waiting period.
B)Yes, a six-month waiting period.
C)Yes, a one-year waiting period.
D)Yes, a two-year waiting period.

Question 24

A driver presents who has myasthenia gravis and vision problems. How should the medical examiner handle this case?

A)Recommend certification after a six-month waiting period.
B)Recommend certification after a one-year waiting period.
C)Recommend certification after a follow-up exam with a specialist.
D)Do not certify.

Question 25

A driver with a history of subarachnoid hemorrhages who takes an oral anticoagulant:

A)Can be certified following a one-month waiting period.
B)Can be certified following a six-month waiting period.
C)Can be certified following a one-year waiting period.
D)Cannot be certified.

Question 26

A driver presents who has undergone a surgical procedure involving dural penetration. Should this driver be certified?

A)Yes, after a six-month waiting period
B)Yes, after a follow-up exam with the surgeon
C)No, the driver cannot be certified
D)None of the above

Question 27

A driver who has suffered a mild traumatic brain injury (TBI) and has not had early seizures may be certified for a maximum of:

A)Six months.
B)One year.
C)Two years.
D)Five years.

Question 28

A driver with a history of epilepsy must wait a minimum of how long before becoming certified?

A)One year seizure free and off anticonvulsant medication
B)Five years seizure free and off anticonvulsant medication
C)Ten years seizure free and off anticonvulsant medication
D)The driver cannot be certified

Question 29

A driver who has suffered a moderate traumatic brain injury (TBI) without early seizures must wait a minimum of how long before becoming certified?

A)One year seizure free and off anticonvulsant medication
B)Two years seizure free and off anticonvulsant medication
C)Five years seizure free and off anticonvulsant medication
D)The driver cannot be certified

Question 30

A driver who has been infected in viral encephalitis must wait a minimum of how long before becoming certified?

A)One year seizure free and off anticonvulsant medication
B)Two years seizure free and off anticonvulsant medication
C)Five years seizure free and off anticonvulsant medication
D)None of the above

Question 31

A driver with diabetes mellitus as well as resting tachycardia can be certified under the following guidelines:

A)A two-year waiting period
B)A one-year waiting period
C)A five-year waiting period
D)The driver cannot be certified

Question 32

A driver who currently takes an antipsychotic should be certified for a maximum of how long?

A)One year
B)Two years
C)Five years
D)The driver cannot be certified

Question 33

A driver who is being treated for ADHD with a central nervous system stimulant may be certified following:

A)A six-month waiting period.
B)There is no waiting period.
C)A one-year waiting period.
D)None of the above

Question 34

Can a driver who takes a central nervous system stimulant for treatment of ADHD but also has narcolepsy as an underlying condition be certified?

A)Yes, after a six-month waiting period.
B)Yes, after an evaluation by a neurologist.
C)Yes, if medication is used to treat narcolepsy.
D)No, the driver cannot be certified.

Question 35

A driver who has been diagnosed with depression and has been treated with electroconvulsive therapy (ECT) must wait a minimum of how long before becoming certified?

A)Six months symptom free following last treatment
B)One year symptom free following last treatment
C)Eighteen months symptom free following last treatment
D)The driver cannot be certified

Question 36

If a driver meets all standards established by the FMCSA, the maximum he/she can be certified is:

A)One year.
B)Two years.
C)Five years.
D)Ten years.

Question 37

A driver with a thoracic aneurysm must be recertified how often?

A)Once a year
B)Once every two years
C)Every six months
D)None of the above

Question 38

In the event that a driver presents who has a mild Ebstein anomaly, how should the medical examiner handle their case?

A)The driver can be certified, as most people with a mild Ebstein anomaly are asymptomatic.
B)The driver can be certified after a six-month waiting period.
C)The driver can be certified after a one-year waiting period.
D)The driver cannot be certified.

Question 39

A driver presents with mild mitral regurgitation and has atrial fibrillation. Can the driver be certified?

A)The driver cannot be certified.
B)The driver can be certified following a six-month waiting period.
C)The driver can be certified following an exam by a cardiologist.
D)The driver can be certified after a one-year waiting period.

Question 40

A driver with pulmonary valve stenosis who has undergone a post-balloon valvuloplasty must wait a minimum of how long before he/she can be certified?

A)Six months
B)Three months
C)One year
D)One month

Question 41

Can a driver who has undergone a surgical procedure which involved dural penetration be certified?

A)No, the driver cannot be certified.
B)Yes, after a six-month waiting period.
C)Yes, provided the driver is prescribed anticonvulsant medication.
D)Yes, after a two-year waiting period.

Question 42

A driver presents who has suffered a stroke. The driver has brainstem vascular lesions. Can the driver be certified?

A)The driver cannot be certified.
B)The driver can be certified after a one-year waiting period.
C)The driver can be certified after a one-month waiting period.
D)The driver can be certified with no restrictions.

Question 43

A driver presents with a hernia. Can the driver be certified?

A)No, the driver cannot be certified.
B)Yes, after a one-year waiting period.
C)Yes, if the hernia does not cause discomfort or interfere with driving.
D)Yes, after a thirty-day waiting period.

Question 44

A driver who has been diagnosed as bipolar and has attempted suicide must wait a minimum of how long before becoming certified?

A)Three months symptom free
B)Six months symptom free
C)One year symptom free
D)Two years symptom free

Question 45

A driver presents whose left hand has been amputated. Can this driver be certified?

A)Under no circumstances
B)Yes, if he/she uses a prosthetic
C)Yes, if the qualifications of a Skill Performance Evaluation are met
D)None of the above

Question 46

A driver who has an impairment that affects the torso can be certified under which of the following guidelines?

A)Evaluation by a specialist
B)A one-year waiting period
C)The driver cannot be certified
D)None of the above

Question 47

A driver has a diagnosis of schizophrenia. The driver cannot be certified if he/she also has which of the following?

A)Impaired vision
B)Active psychosis
C)Rheumatoid arthritis
D)None of the above

Question 48

A driver with diabetes mellitus cannot be certified if he/she has experienced which of the following in the last twelve months?

A)Loss of consciousness
B)Seizure
C)Period of impaired cognitive function
D)All of the above

Question 49

Can a driver who has a history of childhood febrile seizures be certified?

A)No, the driver cannot be certified.
B)Yes, if there were no seizures after the age of two.
C)Yes, provided the seizures were limited to childhood.
D)Yes, following a one-year waiting period.

Question 50

Allergic rhinitis is a condition which rarely renders a driver incapable of operating a vehicle. However, a driver cannot be certified if he/she presents with allergic rhinitis and which of the following conditions?

A)Sinusitis with severe headaches
B)Psoriatic arthritis
C)Plantar fasciitis
D)All of the above

Question 51

Which of the following is true regarding a driver with mitral valve prolapse?

A)The driver cannot be certified under any circumstances.
B)The driver can be certified provided treatment has been shown to be safe and effective.
C)The driver can be certified for a three-month maximum.
D)None of the above

Question 52

According to federal guidelines, a medical examiner must disqualify drivers under which of the following circumstances?

A)A driver who takes methadone
B)A driver with a history of epilepsy
C)A driver with a current diagnosis of alcoholism
D)All of the above

Question 53

A driver who has an anxiety disorder and who is prescribed a sedating anxiolytic should:

A)Not be certified.
B)Be certified if the medication has been shown to be safe and effective.
C)Be certified upon a follow-up exam with a specialist.
D)Be certified after a six-month waiting period.

Question 54

A driver with type 2 diabetes who takes Byetta can be certified under which of the following guidelines?

A)After a one-year waiting period
B)After a six-month waiting period
C)Can be certified without exemptions
D)None of the above

Question 55

A driver who has had bacterial meningitis and early seizures must complete a mandatory waiting period of how long?

A)One year seizure free and off anticonvulsant medication
B)Five years seizure free and off anticonvulsant medication
C)Eight years seizure free and off anticonvulsant medication
D)Ten years seizure free and off anticonvulsant medication

Question 56

In order to be certified, a driver who has suffered a traumatic brain injury (TBI) must do which of the following?

A)Never have suffered a seizure
B)Be seizure free and off anticonvulsant medication for the entire waiting period
C)Have a follow-up examination with a neurologist
D)None of the above

Question 57

Can a driver with diabetes mellitus who uses insulin become certified?

A)Under no circumstances.
B)Yes, provided the driver meets the federal insulin therapy guidelines.
C)Yes, following a six-month waiting period.
D)Yes, with the use of a co-driver.

Question 58

A driver with a fixed deficit of an extremity may be certified provided the loss is not due to which of the following?

A)Birth defect
B)Auto accident
C)Progressive disease
D)All of the above

Question 59

A driver who has been diagnosed with vertigo may not be certified if he/she also has a diagnosis of which of the following?

A)Plantar fasciitis
B)Labyrinthine fistula
C)Eczema
D)Crohn's disease

Question 60

A number of requirements must be met in order for a driver to pass a vision exam and be certified. Which of the following would prevent a driver from being certified by a medical examiner?

A)Binocular acuity of at least 20/40
B)Distant visual acuity of at least 20/40 in each eye
C)Horizontal field of vision of at least 70° measured in each eye
D)Inability to distinguish among traffic devices showing red, amber, and green colors