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, The FMCSA medical examiner should disqualify a driver if he MI, CHF with LVEF less than 40%, Pulmonary Hypertension, or Atrial fibrillation
or she has any of the following clinical diagnosis:
Pulmonary Hypertension, Hypertrophic Cardiomyopathy, Restrictive Cardiomyopathy or
CHF with LVEF of 50%
Atrial Flutter, Ventricular Tachycardia, or Pulmonary Embolism
**Hypertrophic Cardiomyopathy, Restrictive Cardiomyopathy or CHF with LVEF less than
40%
When should a driver who is prescribed anticoagulation When taking medication for treatment post cerebrovascular accident (CVA)
therapy be disqualified?
How long should a driver status-post permanent pacemaker 1 month
(PPM) insertion secondary to sinus node dysfunction wait
before certification/recertification for duty can be
considered?
A CMV driver who has an implantable cardioverter- Disqualified
defibrillator (ICD) can be certified for how long when he or
she has clearance from a cardiologist indicating that the driver
is fit for duty?
A driver candidate presents to your office for a new medical Carry an epinephrine injection device in the truck cab.
certification. In his medical history he notes he has an allergy
to bee stings. Following his most recent bee sting he
developed symptoms of anaphylaxis including angioedema,
throat tightness, and dyspnea. What is one effective
preventive measure the medical examiner should advise the
driver to undertake?
The medical examiner is determining fitness for duty for a Qualify the driver for a period of two years as the asthma is well controlled.
driver candidate with a history of asthma. The driver is using an
albuterol inhaler three times daily for treatment of intermittent **Disqualify the driver and have them return to their primary care provider for re
dyspnea and wheezing. The medical examiner should: evaluation of their asthma treatment regimen.
Qualify the driver for a period of one year as they will require more frequent monitoring.
Refer the driver for pulmonary function testing.