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FMCSA > 3rd > Flashcards

3rd Flashcards

1
Q

What type of impairment requires an SPE?

A

The loss of a hand, foot, leg, or arm or a fixed impairment to an extremity

  • only fixed not progressive diseases
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2
Q

How long can you certify a driver with an SPE?

A

If otherwise qualified, certify up to 2 years with an SPE.

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3
Q

When does SPE not apply

A

impairment affect the torso or progressive disease.

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4
Q

Driver with an SPE must always what?

A

Have their SPE on them at all times.

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5
Q

How long can you certify a patient with nephropathy?

A

Up to two years.

- may need further monitoring or additional testing or more freq eval than every 2 years. case by case basis.

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6
Q

When is a creatinine with a GFR required?

A
  1. Risks for CKD
  2. Known medical or family hx of kidney disease
  3. > 65 years
  4. DM, HTN, Proteinuria.
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7
Q

Do not certify what patients with real disease?

A
  1. Driver on dialysis/renal replacement therapy
  2. Stage 5 with no renal replacement
  3. Renal transplant can get certified with certain waiting periods
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8
Q

How long can you certify Stage 1 and Stage 2 CKD drivers

A

2 years

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9
Q

How long can you certify stage 3 CKD drivers

A

1 years

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10
Q

How long can you certify stage 4 CKD drivesr

A

6 month if nml EKG and bp <140/90

3 months if nml EKG and bp 140-180/90-110

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11
Q

When do you not certify a stage 4 CKD driver

A

Abnormal ECG or echo with LVH

b/p >180/110

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12
Q

Can you certify a driver on anticonvulsant?

A

Yes if

  1. they are not being taken for seizures
  2. Enough time to stabilized on the medication and no side effects that would effect driving.
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13
Q

When a patient is on anticonvulsants, you must always know

A

Why they are taking them.

DQ if taking them for seizures

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14
Q

When are unprovoked seizures greatest after a structural brain injury?

A

2 years

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15
Q

What is the minimum waiting period for a structural brain injury with mild insult without early seizures, stroke without seizure risk, and intracerebral or subarachnoid hemorrhage without risk for seizure

A

1 year seizure free and anticonvulsants

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16
Q

Structural brain injury with moderate insult without early seizures or a mild insult with early seizures, waiting periods is what

A

2 years seizure free and off anticonvulsants

17
Q

Structural brain injury moderate insult with early seizures, stroke with risk of seizure, or intracerebral or subarachnoid hemorrhage with risk of seizures

A

5 years seizure free and off anticonvulsants

18
Q

What is max cert for structural brain injury

A

1 year

19
Q

What is needed to certify for a structural brain injury

A
  1. Appropriate amount of waiting period
  2. Normal PE, neuro exam
  3. Neuro-ophthalamological eval and neuropsychological test
  4. Clearance from a neurologist
20
Q

What automatically DQ’s a structural brain injury

A
  1. Severe brain insult

2. Do not meet required critieria

21
Q

Can you certify seizures due to from systemic metabolic illness?

A

Max - 2 years if

  1. Only certify if they have a known etiology
  2. Tx was effective and has been corrected
  3. minimal risk of reoccurrence of primary condition
22
Q

Can someone with epilepsy be certified

A
  1. Generally No.

However. if

  1. 8 years seizure free off medication (some say 10 years)
  2. On medication stable, with no change in dosages or frequency for minim 2 years.

Annual certification

23
Q

Does one seizure constitute epilepsy?

A

No.

2 unprovoked seizures constitutes epilepsy.

24
Q

Can you certify a single unprovoked seizure?

A

Yes.

  1. 5 year seizure free and off anticonvulsants
  2. Clearance from a neurologist

Max cert - 1 year

After 4 years can seek an exemption

25
Q

What is the waiting period for CNS tumors ?

A

1 year post surgical removal for

  1. Infratentorial meningiomas
  2. Acoustic neuromas
  3. Pituitary adenomas
  4. spinal benign tumors
  5. Benign extra axial tumors

2 years for

  1. benign supratentorial tumors
  2. spinal tumors not benign
26
Q

Max cert for tumors

A

1 year

27
Q

Certify from turbos if

A
  1. Minimum waiting period complete
  2. Stable non-progressive deficit or no neurological deficit
  3. Imaging shows no tumors

*if pt has seizures move to seizure guidelines

28
Q

Do not certify tumors that are

A

primary or metastatic malignant tumors

existing nervous system tumors

29
Q

Waiting period for autonomic neuropathy?

A

None- determined if treatment is adequate

30
Q

Max cert for autonomic neuropathy?

A

2 years

31
Q

No cert for autonomic neuropathy if

A

CV neuropathic changes; resting tachycardia, orthostatic b/p

32
Q

No certification for disorders of muscle activity such as

A

Myotonia
Isaac’s syndrome
stiff-man syndrome

FMCSA (6 decks)

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