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,A driver notes a history of tobacco use on his Medical b. take a history regarding the driver's tobacco use
Evaluation Report Form. The next step for the ME would
be:
a. arrange for a CXR
b. take a history regarding the driver's tobacco use
c. arrange for spirometry
d. referral to a pulmonologist
The driver reports a suicide attempt 6 months earlier, a. disqualify the driver
following the break-up of his marriage. He noted seeing
a therapist and he takes Citalopram daily and he reports
he feels fine now and is moving on with his life. He
provides a release from a doctor that he may return to
work without restrictions. The ME should:
a. disqualify the driver
b. require a CAGE questionnaire
c. Certify the driver for 1 year
d. certify the driver for 2 years
Which of the following is required part of the DOT cert d. ALL the above
exam?
a. evaluation of the tympanic membranes
b. evaluation for inguinal hernia
c. pulse check
d. ALL the above
Which of the following is false concerning additional d. must list only prescription medications, not vitamins or supplements
information the driver is to provide for any "yes" response
on the history section of the examination form?
a. any limitations resulting from current or previous
conditions
b. must list diagnosis and date of onset of the condition
c. must list treating provider contact info
d. must list only prescription medications, not vitamins or
supplements
, Upon exam of a 46 y/o male smoker, you detect an b. order an ECG, cardiac echo, pulse ox + give a 3 month card pending results
irregularly irregular heart rhythm. The rate is 140 bpm. This
is unknown to the driver and he denies any symptoms of
lightheadedness, SOB, dizziness, palpitations, not any
cardiac history. You would:
a. disqualify and refer to his PMD or cardiologist for
further eval
b. order an ECG, cardiac echo, pulse ox + give a 3 month
card pending results
c. give a 3 month cert pending evaluation by his PMD
d. Give a 1 year cert + require cardiology eval upon recert
Which cardiac condition is typically considered b. hypertrophic cardiomyopathy
disqualifying?
a. ebstein anomaly
b. hypertrophic cardiomyopathy
c. MVR
d. aortic valve repair for aortic stenosis 4 months prior to
exam
A driver cannot be considered for an SPE if: c. The deficit is progressive.
a. The deficit involves less than an entire hand.
b. The deficit involves less than an entire foot.
c. The deficit is progressive.
d. The deficit resulted from illicit drug or alcohol use.
Central vision loss is a finding suggestive of: a. Macular degeneration
a. Macular degeneration.
b. Cataracts.
c. Glaucoma.
d. All of the above.
A driver was discharged from the hospital 10 weeks ago, c. Qualified for one year.
after an MI. He is asymptomatic and has a note from the
cardiologist that he had a satisfactory in office ETT the
week prior to your examination and that he may drive. His
pre-discharge ECHO shows an EF of 45%. His
examination is normal. Your determination:
a. Disqualified until satisfies 3 month waiting period,
follow up in 3-4 weeks, certify for 1 year if remains stable.
b. Disqualified due to ejection fraction < 60%.
c. Qualified for one year.
d. Qualified for two years after follow up in one month to
satisfy the 3-month waiting period.
Concerning the medical certificate, which is true? d. ALL of the above are true
a. You may provide a copy to the driver's employer.
b. You must retain a copy for at least 3 years.
c. The expiration date of the Medical Examiner's NRCME
certification is not included on the MEC.
d. ALL of the above are true