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.

Accepted Answer

The AAA is greater than or equal to 2 cm.
In the event that a driver is found to have an AAA, a medical examiner must recommend not to certify in each of several instances. 
These include: the driver has symptoms (no matter the size of the AAA); Recommendation for surgical repair, regardless of AAA size; Is greater than 4 cm but less than 5 cm and the driver does not have medical clearance for commercial driving from a cardiovascular specialist; Has increased more than 0.5 cm during a 6-month period, regardless of size; the AAA is greater than or equal to 2 cm but less than 5 cm. An AAA that is greater than or equal to 2 cm is not grounds for a recommendation not to certify.

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

Accepted Answer

Every six months
A driver who has had a heart transplant may be certified by a medical examiner if certain requirements are met. Upon certification, a driver with a heart transplant must be reexamined and recertified every six months by a cardiovascular specialist.

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

Accepted Answer

Two years
An individual with an allergy-related life threatening condition can be certified for a maximum of two years. Individuals with a history of an allergy-related life-threatening condition must have undertaken preventive measures in order to be considered medically qualified.

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

Accepted Answer

Two years
If there are no extenuating circumstances, such as impaired vision or cognitive function, a driver with a history of migraines may be certified for a maximum of two 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

Accepted Answer

Five years
Following a single, unprovoked seizure, a driver must be off anticonvulsant medication and seizure-free for five years. Two or more seizures indicates a history of seizures and requires a ten-year waiting period of being off anticonvulsant medications and seizure-free.

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

Accepted Answer

Five years off anticonvulsant medications and seizure free
A driver who has suffered a moderate traumatic brain injury with early seizures has an increased risk for future seizures. Because seizures can significantly impact the driver and those around him, great care is taken in recommending such a driver for certification. Therefore, a driver with a moderate traumatic brain injury with early seizures must observe a waiting period of a minimum of five years off anticonvulsant medications and seizure free.

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

Accepted Answer

Two years
If a driver meets all the requirements for the hearing exam, he/she may be certified for a maximum of two years.

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.

Accepted Answer

This condition is disqualifying.
Drivers with benign positional vertigo and acute and chronic peripheral vestibulopathy may be certified after completing at least two months with no symptoms. However, uncontrolled vertigo 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.

Accepted Answer

The driver should be certified for a three-month period.
Drivers are more likely to develop hypertension than other professions. Therefore, they should be evaluated more frequently. A driver with stage 2 hypertension (BP 160/100-179/109) should be treated and issued a certificate for a three-month certification.

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

Accepted Answer

Four weeks
A driver diagnosed with mitral stenosis who has undergone a surgical commissurotomy may be certified following a minimum four-week waiting period. If more than one waiting period applies (because of multiple cardiac conditions or other comorbid diseases), examine the driver for certification after the completion of the longest waiting period.

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.

Accepted Answer

The driver can be certified once etiology is confirmed and treatment is shown to be effective.
Allergic rhinitis should not render a driver medically unqualified for driving. The symptoms can easily be treated with non-sedating antihistamines or with local steroid sprays. The driver can be certified once etiology is confirmed and treatment is shown to be effective.

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

Accepted Answer

One month stabilized
A decision regarding the certification of drivers who are prescribed Coumadin should be based on the underlying disease or disorder, rather than the medication itself. That said, any driver who is currently taking Coumadin should be stabilized for at least one month before certification.

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

Accepted Answer

At least monthly
A driver's INR is an important consideration during the medical exam. It can determine whether or not a driver is certified. A driver who takes Coumadin should have INR monitoring at least monthly.

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.

Accepted Answer

The driver cannot be certified.
A driver who takes Coumadin and has a cerebrovascular disorder cannot be certified. The high rate of complications associated with bleeding-many of which can incapacitate a driver-necessitate this decision by a medical examiner.

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.

Accepted Answer

The driver cannot be certified.
Drivers who present with congenital myopathies, such as central core disease, cannot be certified. The decision not to certify can be reconsidered following subsequent evaluations by a neurologist or psychiatrist.

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.

Accepted Answer

The driver cannot be certified.
A driver with a muscular dystrophy disease cannot be certified. The decision not to certify can be reconsidered following subsequent evaluations by a neurologist or a psychiatrist.

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

Accepted Answer

The driver should not be certified.
A driver who has been diagnosed with neuromuscular junction disorders, such as myasthenia gravis, cannot be certified. These conditions often affect vision and can also cause easy fatigability.

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

Accepted Answer

Possibly, following surgical treatment
Tumors of the central nervous system can alter cognitive abilities and judgment, and can produce sensory and motor abnormalities. For this reason, such tumors are to be taken very seriously. However, drivers who have benign central nervous system tumors may be certified following successful surgical treatment.

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

Accepted Answer

A one-year waiting period following surgical removal
The removal of certain tumors requires a one-year waiting period following removal. These include: benign extra-axial tumors, infratentorialmeningiomas, acoustic neuromas, pituitary adenomas, and spinal benign tumors.

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

Accepted Answer

A minimum of a one-year waiting period
A driver who has had an embolic or thrombotic stroke and is not at risk for seizures can be certified following a minimum of a one-year waiting period.

Quiz 1: Certification Outcomes and Intervals

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

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 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?

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

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?

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

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

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

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

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

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

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

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

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

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

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

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