COPD

Question 1

Chronic Obstructive Pulmonary)Disease max cert

Answer 1

Maximum certification — 2 years

Question 2

Screening pulse oximetry and/or arterial blood gas (ABG) analysis are indicated when:

Answer 2

Condition causes airway obstruction and pulmonary function test results are:

o FEV1 less than 65% of the predicted value.
o FEV1/FVC ratio less than 65%.

• Restrictive impairment is present and FVC is less than 60%

Question 3

Recommend not to certify Pneumothorax if

Answer 3

hx of >2 spontaneous pneumothoraces on one side if no successful surgical procedure has been done to prevent recurrence.

Hypoxemia at rest.

Chronic respiratory failure.

continuing cough/ cough syncope.

Question 4

Pneumothorax Waiting Period and max cert

Answer 4

Waiting Period — No recommended time frame
Maximum certification — 2 years

Recommend to certify if:
• asymptomatic
• confirmed resolution of the single spontaneous pneumothorax.
• Has had successful pleurodesis if > 1 PTX

Question 5

Indicators for obtaining pulmonary
function testing (PFT)

Answer 5

• History of any specific lung disease.
• Pulm Symptoms
• Cigarette smoking > 35 yo

Question 6

If oximetry is less than _____________, the driver must have an ABG analysis.

Answer 6

92%

Question 7

Recommend not to certify the driver when ABG measurements reveal:

Answer 7

• PaO2 less than:

• –> 65 mm Hg at altitudes below 5,000 feet.
• —>60 mm Hg at altitudes above 5,000 feet.

• PaCO2 > 45 mm Hg at any altitude.

Question 8

Screening pulse oximetry and/or arterial blood gas (ABG) analysis are indicated when:

Answer 8

PFTs show:
o FEV1 less than 65%
o FEV1/FVC ratio less than 65%
o FVC is less than 60%.

Question 9

If oximetry is less than 92% (oximetry equals 70), the driver must ______________

Answer 9

have an ABG analysis.

Question 10

If a driver who has pulmonary valve stenosis has been treated with a post-balloon valvuloplasty, the driver must wait a minimum of ___________ before becoming certified.

Answer 10

one month