NRCME NEUROLOGY questions for FMCSA DOT Exam Questions with Correct Solutions

1 year - Max certification for ALL NEURO conditions DQ driver for these issues/conditions - 1) Use of anticoagulants w/NEURO Condition 2) Parkinson's dx 3) Epilepsy 4) Severe TBI 5) Meniere's disease 6) AVM/aneurysm 7) Dementia 8) Cerebellar Ataxia 9) Peripheral Neuropathy (guideline, not regulation) How is Epilepsy defined? - 2+ UNPROVOKED Seizures After a SINGLE UNPROVOKED Sz, risk of another sz is greatest risk w/in.. - first 2 years DQ - Dx of Epilepsy DO NOT certify driver if --- - 1) Dx Epilepsy 2) Taking sz medications to control sz 2nd UNPROVOKED Sz - Dx: Epilepsy -- DQ driver Epilepsy waiting period - Dx Epilepsy - 10 years off anticonvulsant and SZ FREE Waiting period for single SZ - Must be Sz FREE and off anticonvulsants for @ least 5 years Childhood Febrile Sz - 1) Occurs 2-5% of kids 2) Occurs in kids 5 yrs of age 3) Likelihood of UNPROVOKED sz occurs w/in the first 10 yrs of life Waiting period for Childhood Febrile Sz - 1) No recommended time 2) Need to know etiology and treatment What is the max certification for a driver w/hx of childhood febrile sz? - Max Cert - 2years Single Unprovoked sz--Waiting period - 5 years, Sz Free and off Anticonvulsants Max Certification for Single Unprovoked sz - Max Cert -- 1 year Acute Seizure --- Structural Insult to brain - 1) mild 2) moderate 3) severe Acute Sz - waiting period - Must be Sz Free/off Anticonvulsants Acute Sz - Minimum one (1) year waiting period following - 1) stroke w/o risk for sz 2) mild insult w/o early sz 3) intracerebral / subarch hemorrhage w/o risk for sz Stroke w/o risk for sz - minimum waiting period - 1 year Mild insult w/o early sz - min wtg period - 1 year Minimum two (2) years waiting period - 1) moderate insult w/o early sz 2) mild insult w/ early sz Early sz w/mild insult - Min 2 years Moderate insult w/o early sz - Min 2 years Moderate insult WITH early sz - 5 years Stroke WITH risk for sz - 5 years