And Answers Verified 100% Correct
neuro conditions not to certify - ANSWER -meniere's
labyrintheine fistula
nonfuncitoning labyrinths
bvp with s/s in past two months
acute and chornic peripheral vestibulopathy with symptoms in last two months
rsk of seizure does not decrease for who - ANSWER -severe head injuries or
surgical procedues involving dural penetration so must disqualify
reasons for a waiting period of one year seizure and anticonvulsant free after
structural insult - ANSWER -mild inssult without early seizures. stroke w/o risk for
seizures, intracerebral or subarachnoid hemorrhege with seizure risk
reason for 2 year seizure free and ac free - ANSWER -modertate insult wihtout
early seizures, mild insult with early seizures
minimum 5 years seizure free and ac free with the following situations -
ANSWER -moderate insult with early seizures, stroke with risks for seizures,
intracerebal or subarachoid hemorrhage with risk for seizures
childhood febrile seizures - ANSWER -none,
unprovoked seizure with no insult to brain or real rasons - ANSWER -minimum
five year seizure free without medicine, then only one year certification with wait
and clearance from neurologist
seizures never to certified - ANSWER -if medical history of epilepsy, taking
antiseizure meidine or diagnosed with epilepsy
what is epilepsy - ANSWER -2 or more unprovoked seizures regradless of time
elapses
wait time for epilepsy - ANSWER -10 years no medicine or seizures
, location of stroke - ANSWER -cerebellum and brainstem lesions no increased risk
cortical and subcorticlal lesions increased risks
embolic or thromboilic stroke waiting period - ANSWER -1 year if no risk
seizures (cerebellum or brainstem vascular lesions), 5 years if risk for seizures
(cortical or subcoritcal defects) then only 1
do not certify if on anticoagulant therapy after, (anticoagulant therapy is not
disqualifying but the reasons for the thearpy is what detemines it)
all neurological conditions require - ANSWER -neurologist evaluation to medical
examiner
tia: - ANSWER -automatic one year out, after one year can certify if not on
anticoagulant medicsiyona
what ia severe traumatic brain injury - ANSWER -penetration of dura and loc over
24 hours. risk of seizure high and does not decrease over time so disqualify
chart on slide 163 - ANSWER -k
warning signs for autonomic neuropathy that recommend no certification -
ANSWER -resting tachycardia, resting orthostatic blood pressure
congential myoptthis like __ - ANSWER -1. central core disease,
2. centronuclear myopathy
3. conginital muscular dystrophy
4 rod myopathy
aquireed myopathis ex - ANSWER -1. aquired like dermatomyositis, inclusion
body myositis, polymyositis, disqualifying
metabolic muscle disaese - ANSWER -disqualifiying,
peripheral neuropathies - ANSWER -disqualfiy but appeal is possible
causes of peripheral neuropathis - ANSWER -diabetes, traumatic injury, infeciton,
medicine isoniazid , alcoholism,
motor neuron diseases - ANSWER -als and spinal muscualr atrophy disqualify
, ms appela criteria - ANSWER -1. non further dysfunction 5 years after attack, or
diagnosis possible, no signs of relapse or progrssion, neuro deficits insignficant
enough not to interfere, no history of fatigue, normal mri, and triple evoked
potential studies or no new lesiosn on two studies done at least one year apart
parkinsons - ANSWER -disqualify
huntington's disease - ANSWER -disqualify
wilson's disease - ANSWER -immediately disqualify
cns tumors - ANSWER -disqualifying
cerebellar degeration or ataxias - ANSWER -disqualify but can apeal if cerebellar
is reversible, deficits are stable and do not interfere with safe driving
appeal proccess for neuro - ANSWER -evaluation by neurologist or psychiatrist,
durin eval may recommend skins test
annual recert that repeats specialist evaluation
certification is ultimately determine on case by case eval
cns tumor - ANSWER -waiting period : one year if removal of. lot of them
2 year is : benign supratentorial tumors, spinal tumors
dementia - ANSWER -disqualify: alzheimers , and picks disease
disorders that immediately disqualify and cannot be appealsed - ANSWER -
dementia
huntingonts
wilsons
current cns tumor
motor neuron disease
warfarin: - ANSWER -1 month waiting period, 1 year till stabalized. to given 1
year cert needs stable for one month, copy of inr results, and monthly inr
monitoring. disqualify if not having inr monitoried or inr is not therapeutic
presence of what with aoritc aneurysm - ANSWER -abdominal bruit- a 6cm one is
found 3` percent and a greater than 6cm at 91 percent