Deck 4: Driver Identification and History

Full screen (f)
exit full mode
Question
On August 27, 2013 a 43-year-old male CMV driver requests that you perform a recertification examination. He provides you with a Medical Examiner's Certificate that has expired on July 23, 2013. You complete the medical examination, but before you issue a renewed medical certificate, you need additional medical reports concerning a previous knee surgery that was done back in March 2010. You ask him to return to you on September 10, 2013 with the required reports in order to complete the examination. The driver returns on September 10, 2013 and provides all needed documents. You complete the examination, confirm that he is qualified and you issue the renewed certificate. The expiry date to be recorded on his renewed medical certificate should be:

A)March 2010.
B)July 23, 2013.
C)August 27, 2015.
D)September 10, 2013.
Use Space or
up arrow
down arrow
to flip the card.
Question
The purpose of the health history questions is to obtain information for any pre-existing physical, mental, or organic health conditions. While you perform the health history assessment for a 37-year-old male CMV driver, he answered Yeswhen asked if he has high blood pressure. For this answer you need to discuss with or ask the driver for additional information, except for:

A)The treating physician's contact information.
B)The prescribed medications used in relation to his high blood pressure condition.
C)The over-the-counter medications he takes.
D)None of the above
Question
A 20-year-old person approaches you and asks you to perform a medical examination for him as he is planning to apply for an interstate CMV driver job advertised by a local transportation company. According to the FMCSA standards, a person under 21 is not eligible to work as an interstate CMV driver; however, you can still perform the examination because:

A)The person is only applying for the job and not yet employed.
B)There's no indication that he intends to work as an interstate CMV driver.
C)It is not your responsibility to ensure that the person meets the age requirements.
D)From his physical appearance he seems quite healthy.
Question
The driver must fill out section 1 of the Medical Examination Report. For the purpose of confirming the driver's identification, the medical examiner is responsible to check the following information in section 1:

A)Driver's name (in the following order Last, First, Middle), birthdate (in the following order Month, Day, Year), social security number, and driver's license number and license class.
B)Driver's name (in the following order Last, Middle, First), age, social security number, and driver's license number and license class.
C)Driver's name (in the following order First, Middle, Last), birthdate (in the following order Year, Month, Day), and driver's license number.
D)None of the above
Question
What are the main factors that contribute to a driver's stress and fatigue?

A)Road, traffic, shape of cargo, night driving, and passengers
B)Road, traffic, weather, vehicle size, night driving, noise, vibration, and type of cargo
C)Road condition, tires' condition, noise, and disturbing passengers
D)All of the above
Question
A 44-year-old female interstate CMV driver was recently prescribed medical marijuana as a pain and nausea relief medication following chemotherapy for breast cancer. Should this driver continue to be medically qualified to drive?

A)No, because breast cancer by itself is a disqualifying medical condition.
B)Yes, because as per FMCSA guidelines, prescribed medical marijuana is legal.
C)Yes, because medical marijuana used for pain relief from chemotherapy has no effect on the brain.
D)No, because as per FMCSA guidelines, drivers taking any form of marijuana cannot drive.
Question
When performing a risk assessment of a driver's current medical treatment, the medical examiner must determine if the treatment taken is:

A)Qualifying, because it controls the physical and/or mental conditions.
B)Qualifying, because it controls the physical and/or mental conditions and allows the driver to operate the vehicle more safely than without treatment.
C)Qualifying, because the side effects, even if medically optimal, interfere with safe driving.
D)None of the above
Question
Which one of the following best completes the below statement regarding affirmative questions in the driver's health history? The medical examiner must identify, query and note:

A)Any illness, surgery, or injury during the past five (5) years, recent changes inhealth, vehicle size, and prescription medications and supplements' side effects.
B)Any illness, surgery, or injury during the past five (5) years and limitations noted from previous FMCSA examinations.
C)Any illness, surgery, or injury during the past three (3) years and prescription medications and supplements' side effects.
D)Any illness, surgery, or injury during the past five (5) years, recent changes inhealth, current medical conditions or complaints, limitations noted from previous FMCSA examinations, prescription medications and supplements' side effects.
Question
During the medical history questionnaire, the medical examiner must identify, query and note:

A)A medication interaction with other medications, food or supplements.
B)Any synergistic effects of combining medications (both prescribed and/or over-the-counter).
C)Possible side effects of a missed or late dose of a medication.
D)All of the above
Question
A 50-year-old male CMV driver has chronic kidney failure and is on hemodialysis (Mon, Wed, & Fri) for the past 2 years. His treating physician provided him with a medical report indicating that he can work normally except on the days he is undergoing dialysis. He is also suffering from hypertension. This CMV driver would be:

A)Qualified normally for 2 years.
B)Disqualified.
C)Qualified for 1 year.
D)Qualified for 6 months.
Question
During a health history questionnaire a 34-year-old male driver answers Yes when asked if he feels any lower back pain. Your subsequent discussion and queries concerning this affirmative answer must probe into:

A)The frequency of the lower back pain.
B)The duration and severity of the lower back pain.
C)The frequency and severity of the lower back pain.
D)The frequency, duration, and severity of the lower back pain.
Question
On September 25th, 2014, while you perform a health history questionnaire on a 25-year-old male driver, he informs you that he previously had two (2) incidents of unprovoked seizures, one in 2009 and a second one in 2012. He stopped taking anti-seizure medication since 2013. He has no other health issues. How would you define his medical history in relation to these seizure incidents and what would be your decision regarding his fitness to drive?

A)A medical history of epilepsy; thus disqualifying the driver
B)No medical history of epilepsy; thus qualifying the driver
C)No medical history of epilepsy, because he had only 2 seizures within 5 years; thus qualifying the driver
D)A medical history of epilepsy; thus conditionally qualifying the driver for 1 year
Question
While you perform a health history questionnaire with a 50-year-old male driver, he informs you that he had a coronary artery bypass grafting (CABG) surgery 6 months ago. What additional information do you need to determine his medical condition and what would be your final certification decision accordingly?

A)A clearance by the treating cardiologist, LVEF B)A clearance by the treating cardiologist, a recent resting echocardiogram, LVEF >?40% post CABG, confirmed tolerance to medication, and asymptomatic status with no angina; thus certified annually for 5 years
C)A clearance by the treating cardiologist, LVEF >?60% post CABG, confirmed tolerance to medication, and asymptomatic status with no angina; thus certified unconditionally
D)A clearance by the treating cardiologist, a recent resting echocardiogram, LVEF >?40% post CABG, confirmed tolerance to medication; thus certified unconditionally
Question
A48-year-old male driver has lost his right-hand thumb in an accident during his work as a carpenter 6 years ago. The driver is left-handed. He has no other health issues disqualifying him from driving a CMV. Is there any additional information needed before you certify this person?

A)No, no additional information is needed. This person is not qualified as he has an impairment of a finger that interferes with prehension and grasping.
B)Yes, a Skill Performance Evaluation (SPE) Certificate by FMCSA certifying that this person can perform his normal duties despite the impairment.
C)Yes, a clearance by the treating orthopedist confirming that the impairment has no effect on the person's prehension and grasping ability.
D)No, no additional information needed. This person is qualified as he is left-handed.
Question
A 47-year-old male driver has had surgery 2 years ago and has an Implantable Cardiac Defibrillator (ICD). What is the certification period for such a medical condition history?

A)Six months, subject to clearance from the treating cardiologist
B)One year, subject to LEVF of >?40%
C)Two years, since more than three months have passed since his surgery
D)Driver cannot be certified
Question
A 50-year-old female driver informs you that 2 years ago she had a mastectomy as a result of breast cancer. She has healed completely andis now following an annual screening program. She is taking Enjuvia (Conjugated Estrogen) as a hormone replacement therapy (HRT) as she is suffering from severe menopause symptoms. Other than possible side effects from HRT medications, what important issues in relation to her medical history must you discuss and query?

A)The date when she started suffering from menopause
B)Recent changes inher health condition and the side effects of HRT medications
C)Recent changes inher health condition, the symptoms of menopause, and her overall psychological well-being
D)No other issues
Question
According to FMCSA's guidelines, the medical examiner's comments on a driver's health history must include as a minimum:

A)Concerns about the driver's vision acuity, blood pressure readings, and BMI.
B)Recent changes inthe driver's health conditions and their effect on the ability to drive.
C)The side effects of medications and their effect on the ability to drive.
D)The nature of an affirmative history, the medication/treatment effect on the ability to drive, and to note any supplementary medical reports substantiating the health history.
Question
A 56-year-old male driver applying for a new certificate admitted that he suffered a myocardial infarction (MI) 3 months before. He provides you with a clearance certificate by a cardiologist. He also informs you that he is not feeling any chest pain post MI. Is this information sufficient to determine his health history?

A)No, need information on post-MI LVEF, ETT, ECG, and tolerance to medication.
B)No, need information on ECG and on tolerance to medication.
C)Yes, no other information is needed.
D)No, need information on post-MI ETT and tolerance to medication.
Question
A 47-year-old male had a percutaneous coronary intervention (PCI) 8 months before. What additional information do you need concerning his health history before you determine his fitness as a CMV driver?

A)No further information, persons who had a PCI cannot be qualified as CMV drivers
B)Cardiologist approval, LVEF >?40%, and tolerance to medications
C)Cardiologist approval, normal ETT for 3 to 6 months post-PCI, non-ischemic ECG changes, and tolerance to medication
D)Cardiologist approval, normal ETT for 6 to 9 months post-PCI, non-ischemic ECG changes
Question
A 60-year-old male applying for re-certification declares that he previously suffered congestive heart failure (CHF). He was certified as a CMV driver annually for the past 2 years. He provides you with a cardiologist clearance report indicating normal ECG, normal Holter evaluation, no symptoms, no ventricular arrhythmias, tolerance to medication, and LVEF of 39%. What additional information do you need concerning his health history before you determine his fitness as a CMV driver?

A)Normal post-cardiomyopathy ETT
B)No further information, this person cannot be re-certified
C)Documented correct function by the pacemaker center
D)Results of a monthly prothrombin time (PT) test
Question
A 46-year-old male driver presents for examination. He has a history of pneumothorax as a result of a car accident 4 years ago. He is a smoker. Since the last 2 weeks, he decided on his own to use Ventolin inhalers to ease his symptoms. He experiences frequent chest pain and shortness of breath.His only medical record provided is a pulmonary function evaluation showing a FVC of 60%. Can this driver be certified and why?

A)Yes, he is controlling his pneumothorax symptoms by using Ventolin inhalers.
B)No, he must be asymptomatic, provide x-ray examination report, and have a FVC >?65%.
C)Yes, his symptoms are not related to pneumothorax and his FVC level is acceptable.
D)No, he is a smoker.
Question
A 29-year-old female army veteran presents for examination to qualify as a CMV driver. She admits that she has had a head surgery after a bullet penetrated her head 3 years ago. She lost consciousness for 36 hours after the incident occurred. No history of seizures post injury. No current medication or any other health issues. She is a smoker. Is this person qualified to drive a CMV and why?

A)Yes, the brain injury occurred more than 2 years ago.
B)Yes, she is taking no medication and has had no post-trauma seizures.
C)No, she is a smoker.
D)No, she is at high risk of post-traumatic brain seizures.
Question
A 34-year-old male presents for examination. He has a cast on his left forearm as a result of falling down the stairs 2 weeks ago. On questioning of his past and current health condition, he states that he is currently feeling dizziness, fatigue, irritability and nausea. Also 1 month before he broke his hand he had a bacterial infection in his right inner ear, he was prescribed amoxicillin pills and 1 week later he had an allergic reaction. Which one of the below mentioned is most likely to be the cause of the symptoms and must be investigated further?

A)The allergy to amoxicillin
B)A psychological disorder
C)A vestibular disorder
D)The forearm fracture
Question
When performing a health history interview with the driver, what eye conditions require further investigation and a request for a specialist medical report?

A)Glaucoma, aphasia, and cataracts
B)Glaucoma, retinopathy, aphasia, macular degeneration, and cataracts
C)Glaucoma, retinopathy, aphasia, and cataracts
D)None of the above
Question
According to FMCSA guidelines, what is the hypertension stage of a chronic hypertension person with blood pressure 190/115?

A)Stage 2 hypertension
B)Stage 3 hypertension
C)Stage 1 hypertension
D)Stage 4 hypertension
Question
A 37-year-male CMV driver presents for examination. He has the fourth finger missing from his right hand. He provides a medical report confirming a strongright-hand grasp. Does this person require a Skill Performance Evaluation (SPE) Certificate by FMCSA to complete the qualifying procedure under CFR 391.41, and why?

A)No, as long as there is a medical report confirming no interference with hand grasp power a SPE certificate is not required for impairment / loss of a finger.
B)Yes, a medical report confirming strong right-hand grasp does not exempt from a SPE certificate.
C)Yes, an impaired or missing finger requires a SPE certificate regardless of whether it affects hand grasp power or not.
D)No, this person is medically not qualified to be a CMV driver.
Question
A 39-year-old female presents for examination. She's been suffering from carpal tunnel syndrome in her right hand for the last 6 months as a result of her previous job as office assistant. She has weak hand grasp and is not taking any treatment for the syndrome. What would you require from this person in order to complete the qualifying procedure under CFR 391.41?

A)To provide a Skill Performance Evaluation (SPE) Certificate
B)To provide a medical report confirming strong right-hand grasp
C)Nothing, she is not qualified under CFR 391.41
D)To treat her condition before proceeding with any further qualifying procedures
Question
A 41-year-old male presents for examination. He has a history of thoracic aortic aneurysm which is reported by his treating cardio-vascular specialistas being 2.9 cm. How would you handle this case and what is the medical certification period for this medical history?

A)Request a cardiologist report; biennial certification.
B)Query and evaluate digestive system disorders; annual certification.
C)Disqualify the person.
D)Query and evaluate other associated cardiovascular diseases; annual certification.
Question
A 44-year-old male presents for examination. He has undergone a surgery for repair of a 5.0 cm abdominal aortic aneurysm 1 year ago. He provides a clearance report by a cardiovascular specialist indicating he is asymptomatic. Is this person qualified? If yes, for how long?

A)Yes, for 6 months
B)No
C)Yes, for one year
D)Yes, for two years
Question
According to FMCSA guidelines, what is the medical certification period for a person with a history of epilepsy?

A)Six months
B)One year
C)Two years
D)None; the person is not qualified
Question
While reviewing a Skill Performance Evaluation (SPE) Certificate of a CMV driver the medical examiner must, as a minimum, evaluate the driver's ability to:

A)Bend, stoop, crouch, and climb.
B)Maneuver an oversized steering wheel.
C)Adequately use arms, feet and legs during driving and perform prehension and power grasping.
D)All of the above.
Question
According to FMCSA's guidelines, which of the following neurological health history conditions is immediately disqualifying?

A)Transient global amnesia
B)Transient sleep disorders causing excessive daytime somnolence (EDS)
C)A number of unprovoked seizures within a period of 6 years
D)All of the above
Question
According to FMCSA's guidelines, which of the following physical health history conditions is immediately disqualifying?

A)Stage2 hypertension controlled with medication
B)Coronary artery bypass grafting (CABG) surgery 1 year before with LVEF >?40%
C)Stage5 chronic kidney failure, on dialysis 3 days a week
D)All of the above
Question
Which of the following are considered the most prominent as risk factors for obstructive sleep apnea?

A)BMI ? 21 Kg/m2, small jaw, and large neck size of ? 17 inches in males & ?15.5 in females
B)BMI ? 28 Kg/m2, small jaw, and large neck size of ? 17 inches in males & ?15.5 in females
C)BMI ? 21 Kg/m2, small jaw, and large neck size of ? 15.5 inches in males & ?17 in females
D)BMI ? 28 Kg/m2, small jaw, and large neck size of ? 15.5 inches in males & ?17 in females
Question
A 43-year-old male presents for examination for the purpose of re-certification. He has a history of sleep apnea; however, he is cleared by his treating physician based on successful PAP (positive airway pressure) treatment. He indicated he had undergone a mitral valve repair surgery 6 weeks before. He provides a cardiologist report indicating that he is asymptomatic, tolerant to medication, can perform light duty work, and must return for post-operative evaluation after 12 weeks. Is this person qualified to continue the examination, and why?

A)No, individuals with history of sleep apnea and who are pending the findings of a 3-month post-operative evaluation are disqualified until they are cleared.
B)No, a known history of sleep apnea is a disqualifying condition.
C)Yes, the person is asymptomatic, tolerant to medication and is cleared to work on light duty.
D)Yes, the person has successfully treated his sleep apnea.
Question
A 52-year-old female CMV driver states that she is taking Coumadin since 5 months ago in relation to her acute deep vein thrombosis (DVT). She provides a medical report indicating that she is asymptomatic. What additional health history information is needed from this person?

A)Nothing, she is disqualified
B)INR test results of minimum 5.0
C)A copy of her vaccinations records
D)A monthly INR test result indicating regulation of the Prothrombin Time (PT) within range
Question
For the purpose of the Federal Diabetes Exemption Program, FMCSA defines a severe hypoglycemic reaction as something that results in:

A)Seizure.
B)Loss of consciousness.
C)Impaired cognitive function that occurred without warning.
D)All of the above.
Question
Which of the following is a medical condition possibly associated with diabetes?

A)Vestibular disorder
B)Carpal tunnel syndrome
C)Proteinuria
D)None of the above
Question
According to the Federal Diabetes Exemption Program requirements, a CMV driver with diabetes mellitus who is previously treated with oral medication and now requiring insulin must establish a stable control of hypoglycemia or hyperglycemia for a period of:

A)At least 6 weeks before being certified.
B)At least 1 month before being certified.
C)At least 9 weeks before being certified.
D)At least 2 months before being certified.
Question
According to FMCSA's guidelines for the Diabetes Exemption Program, what is the minimum period required to demonstrate insulin stability following the first episode of hypoglycemia before a CMV driver with diabetes mellitus can be certified?

A)One month
B)Two months
C)One year
D)Two years
Question
A 22-year-old male presents for examination to qualify as an interstate CMV driver. He admits undergoing a surgery 2 months before to repair a patent ductus arteriosus (PDA) since birth. He provides a cardiologist report indicating that he is asymptomatic, tolerant to medication, and has normal systolic functions. No symptoms of dyspnea or palpitation since he underwent the surgery. Is this person qualified to undergo a medical examination, and why?

A)No, at least 3 months must pass from the surgery date to qualify for examination.
B)Yes, he is asymptomatic with normal heart functions.
C)No, his symptoms of dyspnea and palpitation disappeared only after the surgery.
D)Yes, he provided a cardiologist's clearance.
Question
A 49-year-old male presents for examination to qualify as an interstate CMV driver. While you interview him he admits drinking alcohol whenever he has a headache and inability to sleep, and sometimes alcohol helps him overcome any feeling of nausea. He has no other significant health issues. He used to exercise 3 times a week but stopped 6 months ago as he doesn't find time for it. What is the most probable health history of this person and what would be your decision regarding his medical examination process?

A)Alcoholism; he must be referred to a specialist before being certified
B)Obstructive sleep apnea; he is disqualified
C)Anxiety, he must be evaluated further for any mental disorders
D)Depression, he must be evaluated further for any mental disorders
Question
According to FMCSA, what annual examinations are required for an interstate CMV driver who is certified under the Federal Diabetes Exemption Program for 2 years?

A)Vision, kidney function, and respiratory diseases
B)Hearing, neurological function, and respiratory diseases
C)Vision, neurological function, and cardiovascular diseases
D)Hearing, respiratory diseases, and cardiovascular diseases
Question
A certified CMV driver who meets the requirements of the Federal Diabetes Exemption Program presents for re-certification. During the driver's identification process, what medical information and reports must the medical examiner ask for in this case?

A)Endocrinologist and Cardiovascular Specialist Evaluation Checklists
B)Cardiovascular Specialist and Ophthalmologist/Optometrist Evaluation Checklists
C)Endocrinologist and Ophthalmologist/Optometrist Evaluation Checklists
D)Oncologist and Cardiovascular Specialist Evaluation Checklists
Question
What is the maximum certification period of a 44-year-old male CMV driver with a history of angina pectoris and who provides a cardiologist report dated 4 months before indicating that he is asymptomatic, tolerant to medication, and achieved 110 bpm as a maximum heart rate (HRmax) on ETT?

A)One year
B)Two years
C)Six months
D)Not to be certified
Question
When discussing medication with a positive health history person, the medical examiner must assess and evaluatethe side effects that may impair driving ability such as:

A)Visual disturbances.
B)Mood changes.
C)Sleep disturbances.
D)All of the above.
Question
When discussing a positive health history of seizure or epilepsy, the medical examiner must ask questions and gather information regarding:

A)Type of epilepsy, duration, and medication.
B)Type and frequency of seizure, duration, medication, and date of last seizure.
C)Frequency of seizure and type of last epilepsy.
D)All of the above.
Question
When discussing a positive health history of fainting and dizziness, the medical examiner must ask questions and gather information regardingthe episode characteristics, frequency, factors leading to and surrounding an episode, and:

A)Any missing or impaired body part (e.g., hand, finger, foot).
B)Any other neurologic symptoms (e.g., headache, nausea, loss of consciousness, paresthesia).
C)Any regular or frequent alcohol consumption.
D)All of the above.
Question
According to CFR 391 regulations, an ophthalmologist/optometrist evaluation is required in the case of which of the following health history condition(s)?

A)Type 1 and type 2 diabetes
B)Distant visual acuity of at least 30/40 (Snellen) in each eye
C)Impaired vision (not meeting 391.41(b)(10) requirements) and insulin-controlled diabetes
D)Field of vision of at least 90 degrees in the horizontal meridian in each eye
Question
According to CFR 391.41(b)(10) regulations, can an individual who has a known history of Daltonism be certified?

A)No, this person has a color vision deficiency which is a disqualifying condition.
B)Yes, if this person can recognize traffic signal colors as a minimum.
C)Yes, Daltonism is a genetic disorder that has no effect on driving ability.
D)No, this person has a total color blindness which is disqualifying.
Question
When answering their health history (section 2 of the medical examiner's report), which of the following medical proceduresmay a person probably overlookas being a surgery?

A)Colonoscopy
B)Adrenalectomy
C)Lymph node open biopsy
D)Open heart surgery
Question
While reviewing and discussing a person's health history, which of the following condition(s) indicate(s) a weight disorder that requires further assessment and querying?

A)Excessive exercise
B)Irregular heartbeats
C)Frequent gastrointestinal disturbances
D)All of the above
Question
Why is it important to ask a person who has given negative responses to health history questions about any supplements taken?

A)Supplements may affect the mental well-being of a person.
B)Supplements give insight on any possible cardiovascular diseases.
C)Persons may not consider supplements as medications and are unaware of their implications.
D)All of the above.
Question
A 43-year-old male who was previously certified as a CMV driver presents for re-certification. He wears a hearing aid device in his left ear since 5 years ago. He provides a recent audiometer test report indicating that his left ear has a hearing loss of 50 Db at 500Hz with the use of a hearing aid. His right ear is normal. Is this person eligible for re-certification? If yes, under what conditions?

A)No, cannot be re-certified as he must not have hearing loss of more than 40Db at 500Hz in the impaired ear.
B)Yes, if he perceives a forced whispered voice in the right ear at not less than 5 feet with or without the use of the hearing aid.
C)Yes, if he perceives a forced whispered voice in the left ear at not less than 4 feet with the use of the hearing aid.
D)Yes, as he has a hearing impairment of not less than 5 years.
Question
A 35-year-old male presents for examination. He indicates during his health history discussion that he frequently experiences shortness of breath (SOB) while sitting at home. He doesn't experience SOB while driving. Is this person eligible for certification?

A)Yes, SOB during rest times doesn't affect the person's ability to drive safely.
B)No, SOB at either rest or during activity triggers the need for further evaluation and referral to a specialist for consultation and assessment.
C)No, at his age SOB is not acceptable during rest times.
D)Yes, as he doesn't experience SOB while driving.
Question
Which of the following health history condition(s) require(s) referral to a specialist for consultation and evaluation before conducting medical examination for the purpose of CMV driving?

A)Symptoms of cold and flu
B)Cataracts
C)Springtime allergy
D)All of the above
Question
A 25-year-old male presents for examination. In the health history section he answers "yes" to the question "Regular, frequent alcohol use." What should the medical examiner query and discuss with this person in relation to his answer?

A)The route of alcohol ingestion
B)The type of alcohol consumed
C)The type and quantity of alcohol consumed
D)The frequency/time pattern and quantity of alcohol consumption
Question
A 47-year-old female admits to being diagnosed with asthma 7 years ago and that she's using a Ventolininhaler for at least 5 timesaday. She was hospitalized 3 times in the past year as a result of her condition. Is this person qualified to be a CMV driver, and why?

A)Yes, her asthma condition is well controlled by Ventolin inhalers, thus not affecting her ability to drive safely.
B)Yes, regardless of its severity, asthma is not a disqualifying condition.
C)No, this person's health history indicates a chronic respiratory dysfunction, which may interfere in her ability to drive safely.
D)No, Ventolin inhalers are classified as a habit-forming narcotic medication.
Question
A 60-year-old male presents for examination. He admits to taking Sinemet® tablets 3 times per day. What is the health condition of this person and what is the decision regarding his certification?

A)Myocardial infarction; Qualified annually
B)Blepharospasm (involuntary closing of the eyelids); Qualified normally
C)Parkinson's disease/syndrome; Disqualified
D)Meningitis; Disqualified
Question
A 40-year-old female presents for examination. She admits to being diagnosed with irritable bowel syndrome (IBS) a year ago. She is prescribed dicyclomine 10mg capsules four times daily. She is maintaining the treatment, is tolerant to medication and her symptoms are well-controlled. Can this person be qualified as CMV driver, and why?

A)Yes, she is tolerant to medication and the symptoms are adequately controlled.
B)No, dicyclomine is a habit-forming medication and thus disqualifying.
C)No, IBS is a disqualifying health condition on its own.
D)Yes, IBS has no driving impairing symptoms and dicyclomine side effects are insignificant.
Unlock Deck
Sign up to unlock the cards in this deck!
Unlock Deck
Unlock Deck
1/60
auto play flashcards
Play
simple tutorial
Full screen (f)
exit full mode
Deck 4: Driver Identification and History
1
On August 27, 2013 a 43-year-old male CMV driver requests that you perform a recertification examination. He provides you with a Medical Examiner's Certificate that has expired on July 23, 2013. You complete the medical examination, but before you issue a renewed medical certificate, you need additional medical reports concerning a previous knee surgery that was done back in March 2010. You ask him to return to you on September 10, 2013 with the required reports in order to complete the examination. The driver returns on September 10, 2013 and provides all needed documents. You complete the examination, confirm that he is qualified and you issue the renewed certificate. The expiry date to be recorded on his renewed medical certificate should be:

A)March 2010.
B)July 23, 2013.
C)August 27, 2015.
D)September 10, 2013.
August 27, 2015.
2
The purpose of the health history questions is to obtain information for any pre-existing physical, mental, or organic health conditions. While you perform the health history assessment for a 37-year-old male CMV driver, he answered Yeswhen asked if he has high blood pressure. For this answer you need to discuss with or ask the driver for additional information, except for:

A)The treating physician's contact information.
B)The prescribed medications used in relation to his high blood pressure condition.
C)The over-the-counter medications he takes.
D)None of the above
None of the above
3
A 20-year-old person approaches you and asks you to perform a medical examination for him as he is planning to apply for an interstate CMV driver job advertised by a local transportation company. According to the FMCSA standards, a person under 21 is not eligible to work as an interstate CMV driver; however, you can still perform the examination because:

A)The person is only applying for the job and not yet employed.
B)There's no indication that he intends to work as an interstate CMV driver.
C)It is not your responsibility to ensure that the person meets the age requirements.
D)From his physical appearance he seems quite healthy.
It is not your responsibility to ensure that the person meets the age requirements.
4
The driver must fill out section 1 of the Medical Examination Report. For the purpose of confirming the driver's identification, the medical examiner is responsible to check the following information in section 1:

A)Driver's name (in the following order Last, First, Middle), birthdate (in the following order Month, Day, Year), social security number, and driver's license number and license class.
B)Driver's name (in the following order Last, Middle, First), age, social security number, and driver's license number and license class.
C)Driver's name (in the following order First, Middle, Last), birthdate (in the following order Year, Month, Day), and driver's license number.
D)None of the above
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
5
What are the main factors that contribute to a driver's stress and fatigue?

A)Road, traffic, shape of cargo, night driving, and passengers
B)Road, traffic, weather, vehicle size, night driving, noise, vibration, and type of cargo
C)Road condition, tires' condition, noise, and disturbing passengers
D)All of the above
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
6
A 44-year-old female interstate CMV driver was recently prescribed medical marijuana as a pain and nausea relief medication following chemotherapy for breast cancer. Should this driver continue to be medically qualified to drive?

A)No, because breast cancer by itself is a disqualifying medical condition.
B)Yes, because as per FMCSA guidelines, prescribed medical marijuana is legal.
C)Yes, because medical marijuana used for pain relief from chemotherapy has no effect on the brain.
D)No, because as per FMCSA guidelines, drivers taking any form of marijuana cannot drive.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
7
When performing a risk assessment of a driver's current medical treatment, the medical examiner must determine if the treatment taken is:

A)Qualifying, because it controls the physical and/or mental conditions.
B)Qualifying, because it controls the physical and/or mental conditions and allows the driver to operate the vehicle more safely than without treatment.
C)Qualifying, because the side effects, even if medically optimal, interfere with safe driving.
D)None of the above
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
8
Which one of the following best completes the below statement regarding affirmative questions in the driver's health history? The medical examiner must identify, query and note:

A)Any illness, surgery, or injury during the past five (5) years, recent changes inhealth, vehicle size, and prescription medications and supplements' side effects.
B)Any illness, surgery, or injury during the past five (5) years and limitations noted from previous FMCSA examinations.
C)Any illness, surgery, or injury during the past three (3) years and prescription medications and supplements' side effects.
D)Any illness, surgery, or injury during the past five (5) years, recent changes inhealth, current medical conditions or complaints, limitations noted from previous FMCSA examinations, prescription medications and supplements' side effects.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
9
During the medical history questionnaire, the medical examiner must identify, query and note:

A)A medication interaction with other medications, food or supplements.
B)Any synergistic effects of combining medications (both prescribed and/or over-the-counter).
C)Possible side effects of a missed or late dose of a medication.
D)All of the above
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
10
A 50-year-old male CMV driver has chronic kidney failure and is on hemodialysis (Mon, Wed, & Fri) for the past 2 years. His treating physician provided him with a medical report indicating that he can work normally except on the days he is undergoing dialysis. He is also suffering from hypertension. This CMV driver would be:

A)Qualified normally for 2 years.
B)Disqualified.
C)Qualified for 1 year.
D)Qualified for 6 months.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
11
During a health history questionnaire a 34-year-old male driver answers Yes when asked if he feels any lower back pain. Your subsequent discussion and queries concerning this affirmative answer must probe into:

A)The frequency of the lower back pain.
B)The duration and severity of the lower back pain.
C)The frequency and severity of the lower back pain.
D)The frequency, duration, and severity of the lower back pain.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
12
On September 25th, 2014, while you perform a health history questionnaire on a 25-year-old male driver, he informs you that he previously had two (2) incidents of unprovoked seizures, one in 2009 and a second one in 2012. He stopped taking anti-seizure medication since 2013. He has no other health issues. How would you define his medical history in relation to these seizure incidents and what would be your decision regarding his fitness to drive?

A)A medical history of epilepsy; thus disqualifying the driver
B)No medical history of epilepsy; thus qualifying the driver
C)No medical history of epilepsy, because he had only 2 seizures within 5 years; thus qualifying the driver
D)A medical history of epilepsy; thus conditionally qualifying the driver for 1 year
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
13
While you perform a health history questionnaire with a 50-year-old male driver, he informs you that he had a coronary artery bypass grafting (CABG) surgery 6 months ago. What additional information do you need to determine his medical condition and what would be your final certification decision accordingly?

A)A clearance by the treating cardiologist, LVEF B)A clearance by the treating cardiologist, a recent resting echocardiogram, LVEF >?40% post CABG, confirmed tolerance to medication, and asymptomatic status with no angina; thus certified annually for 5 years
C)A clearance by the treating cardiologist, LVEF >?60% post CABG, confirmed tolerance to medication, and asymptomatic status with no angina; thus certified unconditionally
D)A clearance by the treating cardiologist, a recent resting echocardiogram, LVEF >?40% post CABG, confirmed tolerance to medication; thus certified unconditionally
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
14
A48-year-old male driver has lost his right-hand thumb in an accident during his work as a carpenter 6 years ago. The driver is left-handed. He has no other health issues disqualifying him from driving a CMV. Is there any additional information needed before you certify this person?

A)No, no additional information is needed. This person is not qualified as he has an impairment of a finger that interferes with prehension and grasping.
B)Yes, a Skill Performance Evaluation (SPE) Certificate by FMCSA certifying that this person can perform his normal duties despite the impairment.
C)Yes, a clearance by the treating orthopedist confirming that the impairment has no effect on the person's prehension and grasping ability.
D)No, no additional information needed. This person is qualified as he is left-handed.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
15
A 47-year-old male driver has had surgery 2 years ago and has an Implantable Cardiac Defibrillator (ICD). What is the certification period for such a medical condition history?

A)Six months, subject to clearance from the treating cardiologist
B)One year, subject to LEVF of >?40%
C)Two years, since more than three months have passed since his surgery
D)Driver cannot be certified
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
16
A 50-year-old female driver informs you that 2 years ago she had a mastectomy as a result of breast cancer. She has healed completely andis now following an annual screening program. She is taking Enjuvia (Conjugated Estrogen) as a hormone replacement therapy (HRT) as she is suffering from severe menopause symptoms. Other than possible side effects from HRT medications, what important issues in relation to her medical history must you discuss and query?

A)The date when she started suffering from menopause
B)Recent changes inher health condition and the side effects of HRT medications
C)Recent changes inher health condition, the symptoms of menopause, and her overall psychological well-being
D)No other issues
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
17
According to FMCSA's guidelines, the medical examiner's comments on a driver's health history must include as a minimum:

A)Concerns about the driver's vision acuity, blood pressure readings, and BMI.
B)Recent changes inthe driver's health conditions and their effect on the ability to drive.
C)The side effects of medications and their effect on the ability to drive.
D)The nature of an affirmative history, the medication/treatment effect on the ability to drive, and to note any supplementary medical reports substantiating the health history.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
18
A 56-year-old male driver applying for a new certificate admitted that he suffered a myocardial infarction (MI) 3 months before. He provides you with a clearance certificate by a cardiologist. He also informs you that he is not feeling any chest pain post MI. Is this information sufficient to determine his health history?

A)No, need information on post-MI LVEF, ETT, ECG, and tolerance to medication.
B)No, need information on ECG and on tolerance to medication.
C)Yes, no other information is needed.
D)No, need information on post-MI ETT and tolerance to medication.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
19
A 47-year-old male had a percutaneous coronary intervention (PCI) 8 months before. What additional information do you need concerning his health history before you determine his fitness as a CMV driver?

A)No further information, persons who had a PCI cannot be qualified as CMV drivers
B)Cardiologist approval, LVEF >?40%, and tolerance to medications
C)Cardiologist approval, normal ETT for 3 to 6 months post-PCI, non-ischemic ECG changes, and tolerance to medication
D)Cardiologist approval, normal ETT for 6 to 9 months post-PCI, non-ischemic ECG changes
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
20
A 60-year-old male applying for re-certification declares that he previously suffered congestive heart failure (CHF). He was certified as a CMV driver annually for the past 2 years. He provides you with a cardiologist clearance report indicating normal ECG, normal Holter evaluation, no symptoms, no ventricular arrhythmias, tolerance to medication, and LVEF of 39%. What additional information do you need concerning his health history before you determine his fitness as a CMV driver?

A)Normal post-cardiomyopathy ETT
B)No further information, this person cannot be re-certified
C)Documented correct function by the pacemaker center
D)Results of a monthly prothrombin time (PT) test
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
21
A 46-year-old male driver presents for examination. He has a history of pneumothorax as a result of a car accident 4 years ago. He is a smoker. Since the last 2 weeks, he decided on his own to use Ventolin inhalers to ease his symptoms. He experiences frequent chest pain and shortness of breath.His only medical record provided is a pulmonary function evaluation showing a FVC of 60%. Can this driver be certified and why?

A)Yes, he is controlling his pneumothorax symptoms by using Ventolin inhalers.
B)No, he must be asymptomatic, provide x-ray examination report, and have a FVC >?65%.
C)Yes, his symptoms are not related to pneumothorax and his FVC level is acceptable.
D)No, he is a smoker.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
22
A 29-year-old female army veteran presents for examination to qualify as a CMV driver. She admits that she has had a head surgery after a bullet penetrated her head 3 years ago. She lost consciousness for 36 hours after the incident occurred. No history of seizures post injury. No current medication or any other health issues. She is a smoker. Is this person qualified to drive a CMV and why?

A)Yes, the brain injury occurred more than 2 years ago.
B)Yes, she is taking no medication and has had no post-trauma seizures.
C)No, she is a smoker.
D)No, she is at high risk of post-traumatic brain seizures.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
23
A 34-year-old male presents for examination. He has a cast on his left forearm as a result of falling down the stairs 2 weeks ago. On questioning of his past and current health condition, he states that he is currently feeling dizziness, fatigue, irritability and nausea. Also 1 month before he broke his hand he had a bacterial infection in his right inner ear, he was prescribed amoxicillin pills and 1 week later he had an allergic reaction. Which one of the below mentioned is most likely to be the cause of the symptoms and must be investigated further?

A)The allergy to amoxicillin
B)A psychological disorder
C)A vestibular disorder
D)The forearm fracture
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
24
When performing a health history interview with the driver, what eye conditions require further investigation and a request for a specialist medical report?

A)Glaucoma, aphasia, and cataracts
B)Glaucoma, retinopathy, aphasia, macular degeneration, and cataracts
C)Glaucoma, retinopathy, aphasia, and cataracts
D)None of the above
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
25
According to FMCSA guidelines, what is the hypertension stage of a chronic hypertension person with blood pressure 190/115?

A)Stage 2 hypertension
B)Stage 3 hypertension
C)Stage 1 hypertension
D)Stage 4 hypertension
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
26
A 37-year-male CMV driver presents for examination. He has the fourth finger missing from his right hand. He provides a medical report confirming a strongright-hand grasp. Does this person require a Skill Performance Evaluation (SPE) Certificate by FMCSA to complete the qualifying procedure under CFR 391.41, and why?

A)No, as long as there is a medical report confirming no interference with hand grasp power a SPE certificate is not required for impairment / loss of a finger.
B)Yes, a medical report confirming strong right-hand grasp does not exempt from a SPE certificate.
C)Yes, an impaired or missing finger requires a SPE certificate regardless of whether it affects hand grasp power or not.
D)No, this person is medically not qualified to be a CMV driver.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
27
A 39-year-old female presents for examination. She's been suffering from carpal tunnel syndrome in her right hand for the last 6 months as a result of her previous job as office assistant. She has weak hand grasp and is not taking any treatment for the syndrome. What would you require from this person in order to complete the qualifying procedure under CFR 391.41?

A)To provide a Skill Performance Evaluation (SPE) Certificate
B)To provide a medical report confirming strong right-hand grasp
C)Nothing, she is not qualified under CFR 391.41
D)To treat her condition before proceeding with any further qualifying procedures
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
28
A 41-year-old male presents for examination. He has a history of thoracic aortic aneurysm which is reported by his treating cardio-vascular specialistas being 2.9 cm. How would you handle this case and what is the medical certification period for this medical history?

A)Request a cardiologist report; biennial certification.
B)Query and evaluate digestive system disorders; annual certification.
C)Disqualify the person.
D)Query and evaluate other associated cardiovascular diseases; annual certification.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
29
A 44-year-old male presents for examination. He has undergone a surgery for repair of a 5.0 cm abdominal aortic aneurysm 1 year ago. He provides a clearance report by a cardiovascular specialist indicating he is asymptomatic. Is this person qualified? If yes, for how long?

A)Yes, for 6 months
B)No
C)Yes, for one year
D)Yes, for two years
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
30
According to FMCSA guidelines, what is the medical certification period for a person with a history of epilepsy?

A)Six months
B)One year
C)Two years
D)None; the person is not qualified
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
31
While reviewing a Skill Performance Evaluation (SPE) Certificate of a CMV driver the medical examiner must, as a minimum, evaluate the driver's ability to:

A)Bend, stoop, crouch, and climb.
B)Maneuver an oversized steering wheel.
C)Adequately use arms, feet and legs during driving and perform prehension and power grasping.
D)All of the above.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
32
According to FMCSA's guidelines, which of the following neurological health history conditions is immediately disqualifying?

A)Transient global amnesia
B)Transient sleep disorders causing excessive daytime somnolence (EDS)
C)A number of unprovoked seizures within a period of 6 years
D)All of the above
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
33
According to FMCSA's guidelines, which of the following physical health history conditions is immediately disqualifying?

A)Stage2 hypertension controlled with medication
B)Coronary artery bypass grafting (CABG) surgery 1 year before with LVEF >?40%
C)Stage5 chronic kidney failure, on dialysis 3 days a week
D)All of the above
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
34
Which of the following are considered the most prominent as risk factors for obstructive sleep apnea?

A)BMI ? 21 Kg/m2, small jaw, and large neck size of ? 17 inches in males & ?15.5 in females
B)BMI ? 28 Kg/m2, small jaw, and large neck size of ? 17 inches in males & ?15.5 in females
C)BMI ? 21 Kg/m2, small jaw, and large neck size of ? 15.5 inches in males & ?17 in females
D)BMI ? 28 Kg/m2, small jaw, and large neck size of ? 15.5 inches in males & ?17 in females
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
35
A 43-year-old male presents for examination for the purpose of re-certification. He has a history of sleep apnea; however, he is cleared by his treating physician based on successful PAP (positive airway pressure) treatment. He indicated he had undergone a mitral valve repair surgery 6 weeks before. He provides a cardiologist report indicating that he is asymptomatic, tolerant to medication, can perform light duty work, and must return for post-operative evaluation after 12 weeks. Is this person qualified to continue the examination, and why?

A)No, individuals with history of sleep apnea and who are pending the findings of a 3-month post-operative evaluation are disqualified until they are cleared.
B)No, a known history of sleep apnea is a disqualifying condition.
C)Yes, the person is asymptomatic, tolerant to medication and is cleared to work on light duty.
D)Yes, the person has successfully treated his sleep apnea.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
36
A 52-year-old female CMV driver states that she is taking Coumadin since 5 months ago in relation to her acute deep vein thrombosis (DVT). She provides a medical report indicating that she is asymptomatic. What additional health history information is needed from this person?

A)Nothing, she is disqualified
B)INR test results of minimum 5.0
C)A copy of her vaccinations records
D)A monthly INR test result indicating regulation of the Prothrombin Time (PT) within range
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
37
For the purpose of the Federal Diabetes Exemption Program, FMCSA defines a severe hypoglycemic reaction as something that results in:

A)Seizure.
B)Loss of consciousness.
C)Impaired cognitive function that occurred without warning.
D)All of the above.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
38
Which of the following is a medical condition possibly associated with diabetes?

A)Vestibular disorder
B)Carpal tunnel syndrome
C)Proteinuria
D)None of the above
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
39
According to the Federal Diabetes Exemption Program requirements, a CMV driver with diabetes mellitus who is previously treated with oral medication and now requiring insulin must establish a stable control of hypoglycemia or hyperglycemia for a period of:

A)At least 6 weeks before being certified.
B)At least 1 month before being certified.
C)At least 9 weeks before being certified.
D)At least 2 months before being certified.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
40
According to FMCSA's guidelines for the Diabetes Exemption Program, what is the minimum period required to demonstrate insulin stability following the first episode of hypoglycemia before a CMV driver with diabetes mellitus can be certified?

A)One month
B)Two months
C)One year
D)Two years
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
41
A 22-year-old male presents for examination to qualify as an interstate CMV driver. He admits undergoing a surgery 2 months before to repair a patent ductus arteriosus (PDA) since birth. He provides a cardiologist report indicating that he is asymptomatic, tolerant to medication, and has normal systolic functions. No symptoms of dyspnea or palpitation since he underwent the surgery. Is this person qualified to undergo a medical examination, and why?

A)No, at least 3 months must pass from the surgery date to qualify for examination.
B)Yes, he is asymptomatic with normal heart functions.
C)No, his symptoms of dyspnea and palpitation disappeared only after the surgery.
D)Yes, he provided a cardiologist's clearance.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
42
A 49-year-old male presents for examination to qualify as an interstate CMV driver. While you interview him he admits drinking alcohol whenever he has a headache and inability to sleep, and sometimes alcohol helps him overcome any feeling of nausea. He has no other significant health issues. He used to exercise 3 times a week but stopped 6 months ago as he doesn't find time for it. What is the most probable health history of this person and what would be your decision regarding his medical examination process?

A)Alcoholism; he must be referred to a specialist before being certified
B)Obstructive sleep apnea; he is disqualified
C)Anxiety, he must be evaluated further for any mental disorders
D)Depression, he must be evaluated further for any mental disorders
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
43
According to FMCSA, what annual examinations are required for an interstate CMV driver who is certified under the Federal Diabetes Exemption Program for 2 years?

A)Vision, kidney function, and respiratory diseases
B)Hearing, neurological function, and respiratory diseases
C)Vision, neurological function, and cardiovascular diseases
D)Hearing, respiratory diseases, and cardiovascular diseases
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
44
A certified CMV driver who meets the requirements of the Federal Diabetes Exemption Program presents for re-certification. During the driver's identification process, what medical information and reports must the medical examiner ask for in this case?

A)Endocrinologist and Cardiovascular Specialist Evaluation Checklists
B)Cardiovascular Specialist and Ophthalmologist/Optometrist Evaluation Checklists
C)Endocrinologist and Ophthalmologist/Optometrist Evaluation Checklists
D)Oncologist and Cardiovascular Specialist Evaluation Checklists
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
45
What is the maximum certification period of a 44-year-old male CMV driver with a history of angina pectoris and who provides a cardiologist report dated 4 months before indicating that he is asymptomatic, tolerant to medication, and achieved 110 bpm as a maximum heart rate (HRmax) on ETT?

A)One year
B)Two years
C)Six months
D)Not to be certified
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
46
When discussing medication with a positive health history person, the medical examiner must assess and evaluatethe side effects that may impair driving ability such as:

A)Visual disturbances.
B)Mood changes.
C)Sleep disturbances.
D)All of the above.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
47
When discussing a positive health history of seizure or epilepsy, the medical examiner must ask questions and gather information regarding:

A)Type of epilepsy, duration, and medication.
B)Type and frequency of seizure, duration, medication, and date of last seizure.
C)Frequency of seizure and type of last epilepsy.
D)All of the above.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
48
When discussing a positive health history of fainting and dizziness, the medical examiner must ask questions and gather information regardingthe episode characteristics, frequency, factors leading to and surrounding an episode, and:

A)Any missing or impaired body part (e.g., hand, finger, foot).
B)Any other neurologic symptoms (e.g., headache, nausea, loss of consciousness, paresthesia).
C)Any regular or frequent alcohol consumption.
D)All of the above.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
49
According to CFR 391 regulations, an ophthalmologist/optometrist evaluation is required in the case of which of the following health history condition(s)?

A)Type 1 and type 2 diabetes
B)Distant visual acuity of at least 30/40 (Snellen) in each eye
C)Impaired vision (not meeting 391.41(b)(10) requirements) and insulin-controlled diabetes
D)Field of vision of at least 90 degrees in the horizontal meridian in each eye
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
50
According to CFR 391.41(b)(10) regulations, can an individual who has a known history of Daltonism be certified?

A)No, this person has a color vision deficiency which is a disqualifying condition.
B)Yes, if this person can recognize traffic signal colors as a minimum.
C)Yes, Daltonism is a genetic disorder that has no effect on driving ability.
D)No, this person has a total color blindness which is disqualifying.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
51
When answering their health history (section 2 of the medical examiner's report), which of the following medical proceduresmay a person probably overlookas being a surgery?

A)Colonoscopy
B)Adrenalectomy
C)Lymph node open biopsy
D)Open heart surgery
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
52
While reviewing and discussing a person's health history, which of the following condition(s) indicate(s) a weight disorder that requires further assessment and querying?

A)Excessive exercise
B)Irregular heartbeats
C)Frequent gastrointestinal disturbances
D)All of the above
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
53
Why is it important to ask a person who has given negative responses to health history questions about any supplements taken?

A)Supplements may affect the mental well-being of a person.
B)Supplements give insight on any possible cardiovascular diseases.
C)Persons may not consider supplements as medications and are unaware of their implications.
D)All of the above.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
54
A 43-year-old male who was previously certified as a CMV driver presents for re-certification. He wears a hearing aid device in his left ear since 5 years ago. He provides a recent audiometer test report indicating that his left ear has a hearing loss of 50 Db at 500Hz with the use of a hearing aid. His right ear is normal. Is this person eligible for re-certification? If yes, under what conditions?

A)No, cannot be re-certified as he must not have hearing loss of more than 40Db at 500Hz in the impaired ear.
B)Yes, if he perceives a forced whispered voice in the right ear at not less than 5 feet with or without the use of the hearing aid.
C)Yes, if he perceives a forced whispered voice in the left ear at not less than 4 feet with the use of the hearing aid.
D)Yes, as he has a hearing impairment of not less than 5 years.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
55
A 35-year-old male presents for examination. He indicates during his health history discussion that he frequently experiences shortness of breath (SOB) while sitting at home. He doesn't experience SOB while driving. Is this person eligible for certification?

A)Yes, SOB during rest times doesn't affect the person's ability to drive safely.
B)No, SOB at either rest or during activity triggers the need for further evaluation and referral to a specialist for consultation and assessment.
C)No, at his age SOB is not acceptable during rest times.
D)Yes, as he doesn't experience SOB while driving.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
56
Which of the following health history condition(s) require(s) referral to a specialist for consultation and evaluation before conducting medical examination for the purpose of CMV driving?

A)Symptoms of cold and flu
B)Cataracts
C)Springtime allergy
D)All of the above
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
57
A 25-year-old male presents for examination. In the health history section he answers "yes" to the question "Regular, frequent alcohol use." What should the medical examiner query and discuss with this person in relation to his answer?

A)The route of alcohol ingestion
B)The type of alcohol consumed
C)The type and quantity of alcohol consumed
D)The frequency/time pattern and quantity of alcohol consumption
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
58
A 47-year-old female admits to being diagnosed with asthma 7 years ago and that she's using a Ventolininhaler for at least 5 timesaday. She was hospitalized 3 times in the past year as a result of her condition. Is this person qualified to be a CMV driver, and why?

A)Yes, her asthma condition is well controlled by Ventolin inhalers, thus not affecting her ability to drive safely.
B)Yes, regardless of its severity, asthma is not a disqualifying condition.
C)No, this person's health history indicates a chronic respiratory dysfunction, which may interfere in her ability to drive safely.
D)No, Ventolin inhalers are classified as a habit-forming narcotic medication.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
59
A 60-year-old male presents for examination. He admits to taking Sinemet® tablets 3 times per day. What is the health condition of this person and what is the decision regarding his certification?

A)Myocardial infarction; Qualified annually
B)Blepharospasm (involuntary closing of the eyelids); Qualified normally
C)Parkinson's disease/syndrome; Disqualified
D)Meningitis; Disqualified
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
60
A 40-year-old female presents for examination. She admits to being diagnosed with irritable bowel syndrome (IBS) a year ago. She is prescribed dicyclomine 10mg capsules four times daily. She is maintaining the treatment, is tolerant to medication and her symptoms are well-controlled. Can this person be qualified as CMV driver, and why?

A)Yes, she is tolerant to medication and the symptoms are adequately controlled.
B)No, dicyclomine is a habit-forming medication and thus disqualifying.
C)No, IBS is a disqualifying health condition on its own.
D)Yes, IBS has no driving impairing symptoms and dicyclomine side effects are insignificant.
Unlock Deck
Unlock for access to all 60 flashcards in this deck.
Unlock Deck
k this deck
locked card icon
Unlock Deck
Unlock for access to all 60 flashcards in this deck.