4th

Question 1

Max cert for driver on antidepressant therapy

Answer 1

1 year cert

Question 2

What class of antidepressant is disqualifying?

Answer 2

1st generation example tricyclics

Question 3

What is the waiting period of driver on 2nd generation antidepressant therapy?

Answer 3

None specific

• long enough to stabilize and have a therapeutic effect
• ME clinical judgement

Question 4

Max cert for driver on antidepressant therapy on 2ne generation antidepressant therapy?

Answer 4

1 year

• stable on medication
• documentation from a mental health provider.

Question 5

Can you certify a patient with ADHD?

Answer 5

Yes

1. No waiting period, but must comply with treatment, tolerate treatment
2. No SE from treatment.
3. Had a comprehensive eval and documentation from prescribing physician they are compliant .

Question 6

Max cert for Adult ADHD

Answer 6

1 year

Question 7

Waiting period for pt with bipolar

Answer 7

1. 6 month following a non-psychotic major depression unaccompanied by suicidal behavior
2. 1 year symptoms free following severe depressive episode, suicide attempt, or manic episode.

Question 8

Max Cert for bipolar

Answer 8

1 year

Question 9

What DQ’s a driver with bipolar

Answer 9

Active psychoses, prominent negative symptoms, treatment side effects

Question 10

Certify a bipolar driver must have

Answer 10

1. Appropriate waiting time

2. Evidence and documentation of stable treatment for a mental health provider.

Question 11

current Driver with bipolar has any manic or severe depressive episode, how long do they have to report this

Answer 11

30 days

Question 12

Can you certify a driver on anxiolytics and sedative hypnotic therapy

Answer 12

Not on Benzo’s

Yes if they are using them not while driving, for short periods that have half lives <5hrs and at lowest effective dose.

Max cert 2 years

Question 13

Driver took a benzodiazepine, how long before he can drive?

Answer 13

Wait at least 7 half-lives of the drug.

• Chronic users (>1 month) should wait an additional week to ensure clearance from their system.

Question 14

How long after tx with ECT can someone be cleared to drive

Answer 14

6 months if

1. comprehensive eval
2. Not going under any maint ECT
3. tolerates treatment without disqualifying SE

Question 15

What is the waiting period for a driver after a non-psychotic major depression unaccompanied by suicidal behavior

Answer 15

6 months sx free

Question 16

What is the waiting period for a driver with severe depressive episode, suicide attempt, or manic episode?

Answer 16

1 year sx free

Question 17

Max cert with major depression

Answer 17

1 year

Question 18

What DQ’s a driver with major depression

Answer 18

Active psychosis, prominent negative symtoms or treatment side effects

Question 19

Can you certify a driver taking Lithium?

Answer 19

1. Asx
2. Therapeutic level maintained - must provide documentation
3. No impairments

Question 20

What can a driver on lithium no do?

Answer 20

Drive at night, Lithium effects night vision.

Question 21

What colors do you test for color vision?

Answer 21

Red, green, and amber

Question 22

What type of vision is disqualifying?

Answer 22

Mononuclear

Question 23

Instead of a fundoycopic exam what can you assess?

Answer 23

Retinopathy- black spots
Cataracts - blurring vision
Glaucoma - loss of lateral vision
macular deg- loss of central vision

Question 24

Convert ISO score to ANSI for 500 HZ

Answer 24

Subtract 14dB from the ISO score

Question 25

Convert ISO score to ANSI for 1000 HZ

Answer 25

Subtract 10 dB from the ISO score

Question 26

Convert ISO score to ANSI for 2000 HZ

Answer 26

Subtraact 8.5 dB from ISO score