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FMCSA > 2nd > Flashcards

2nd Flashcards

1
Q

When is someone with intermittent claudication DQ?

A

sx with rest pain or other disqualifications

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2
Q

Waiting period for intermittent claudication?

A

3 months post- surgery

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3
Q

When can you certify a patient with intermittent claudication ?

A

3 months post surgery with relief of sx and no disqualifying CV disease

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4
Q

What is the max cert of intermittent claudication?

A

1 year

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5
Q

How can you certify a pt post-CABG?

A
  1. 3 months post-CABG
  2. LVEF >40% post CABG
  3. cardiologist approval
  4. Asx
  5. medication tolerance
  6. Annual ETT after 5 years
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6
Q

How long do you certify post-CABG?

A

1 year

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7
Q

What are the initial pulmonary function tests?

A

FEV1, FVC, FEV1/FVC

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8
Q

What is the next test if the FEV1 is <65% prediction or the FEV1/FVC ratio is <65%

A

Screening pulse ox and/or ABG

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9
Q

If the screening O2 is less than 92%?

A

Get ABG - if the ABG PaO2 is <65 @ 5000ft or 60 @ >5000 ft - you do not certify the. Do not certify for a PaCO2 >45 mm HG either.

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10
Q

Can you certify a driver with pulmonary HTN?

A

Yes if she has pulmonologist clearance and none to he following

  1. rest dyspnea
  2. Dizziness
  3. Hypotension
  4. PaO2 <65 mmHG
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11
Q

Pulmonary HTN max certification

A

1 year

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12
Q

Severe TBI defines as

A

Penetrates the dura and cause LOC >24 hrs

  • Surgical procedures involving dural penetration are similar seizure risk as severe TBI and should not be certified
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13
Q

Moderate TB defined as

A

no penetration of dura and LOC >30 minutes <24 hrs

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14
Q

Mild TBI defined as

A

No penetration of dura and LOC of 30 minutes

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15
Q

Waiting periods for TBI

2 years can be the following

A

2 year waiting period

  1. Mod TBI w/out early seizures
  2. Mild TBI with early seizures
  3. Must be seizure free for 2 years
  4. And off anticonvulsants
  • Max cert is 1 year
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16
Q

TBI 5 year waiting period for;

A
  1. Moderate TBI with early seizures
  2. and off anticonvulsants
  3. Seizure free for the 5 years
17
Q

Waiting period for a mild TBI with no LOC or seizures

A

1 month

18
Q

Waiting period for a mild TBI with LOC but no seizures

A

3 month

19
Q

TBI must have the appropriate waiting times but also have what

A

Neurological clearances and evaluations

20
Q

Can you certify a severe TBI

A

NO or dura penetrating surgery

21
Q

Max Cert for Mild TBI with no LOC and no seizures

A

2 years

22
Q

What requires a CMV Exam

A
  1. Gross vehicle weigh >26,000 lb
  2. > 8 passengers including driver for compensation
  3. > 15 passenengers including forever but no compensation
23
Q

When can you certify a patient that has pulmonary TB

A
  1. Completed streptomycin (affects hearing and balance)
  2. Not contagious
  3. compliant with anti tubercular tx
  4. No side effects of meds
24
Q

When do you NOT certify a driver with pulmonary TB?

A
  1. Advanced TB with respiratory insufficient
  2. Chronic TB
  3. Non complicant with antitubercular
  4. Did not completed Steptomycin
  5. Residual 8th cranial nerve damage
25
Q

Can you clear a patient with a positive PPD?

A

Yes, with a clear CXR

26
Q

How long do you certify pulmonary TB

A

1 year at most until resolved.

27
Q

1st steps in certifying a patient with a Pneumothorax

A
  • ensure recovery by CXR - if air in the pleural space or mediastinum- additional time away from work indicated
28
Q

Can you certify someone with a pneumothorax

A

Yes, if asx, no disqualifying underlying lung disease, confirmed resolution

29
Q

What disqualifies a pneumothorax in a driver?

A
  1. still symptomatic of not confirmed recovery
  2. Hx of 2 spontaneous pneumothorax
  3. No successful surgical procedure to prevent recurrence
  4. Rest hypothermia
  5. Chronic resp failure
  6. cough with cough syncope
30
Q

1 pneumothorax requires what before certification

A

surgical correction

FMCSA (6 decks)

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