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FMSCA ME Exam > CVD > Flashcards

CVD Flashcards

1
Q

What EF is DQ

A

<40%

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2
Q

What size AAA is qualifying if asymptomatic

A

<4.0cm

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3
Q

What size AAA is qualifying if asymptomatic and cleared by specialist

A

4-5cm

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4
Q

what size AAA is DQ if not surgically repaired

A

> 5 cm

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5
Q

Post-op surgical waiting period for AAA

A

3 months

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6
Q

What imaging study is conducted to monitor change in AAA size

A

If 4-5 cm in size, need US to monitor if not repaired

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7
Q

What size thoracic aneurysm is DQ

A

> 3.5 cm

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8
Q

Waiting period for thoracic aneurysm post-op

A

3 months

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9
Q

Is hypertrophic cardiomyopathy qualifying

A

No

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10
Q

In what situation is idiopathic dilated cardiomyopathy and CHF qualifying

A

if asymptomatic
no ventricular arrhythmias
LVEF 40-50%

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11
Q

What further evaluation is required for idiopathic dilated cardiomyopathy and CHF

A

cardiology evaluation
echo
Holter

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12
Q

Is symptomatic CHF qualifying

A

No

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13
Q

Is asymptomatic CHF with ventricular arrhythmias and EF <50% qualifying

A

no

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14
Q

Is asymptomatic CHF without ventricular arrhythmias and EF <40% qualifying

A

No

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15
Q

Is asymptomatic CHF without ventricular arrhythmias and EF 40-50% qualifying

A

yes

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16
Q

Is restrictive cardiomyopathy qualifying

A

no

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17
Q

When is risk of recurrent major cardiac event the highest?

A

first months post-MI

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18
Q

Waiting period for post-MI

A

2 months

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19
Q

Frequency of ETT for post-MI

A

Biennial at the least

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20
Q

Post-MI EF minimum requirements for certification

A

> 40%

21
Q

Waiting period for angina pectoris

A

change in angina pattern within 3 months of exam

22
Q

Qualifiers needed to certify angina pectoris

A 
no rest angina
no change in angina pattern in last 3 months
normal ETT
no ischemic changes on EKG
tolerance to CV therapy
23
Q

Frequency of ETT for angina pectoris

A

biennial at minimum

24
Q

Waiting period for PCI

A

1 week post-procedure

25
Q

When does ETT need to be conducted post PCI

A

3-6 months after PCI

26
Q

Frequency of ETT needed for PCI

A

Biennial

27
Q

How long should initial certification period be for PCI

A

Recertify starting with 6 months

Then can do annually with satisfactory ETT

28
Q

Waiting period for CABG

A

3 months post-op

29
Q

EF needed for CABG

A

> 40%

30
Q

When does ETT need to be conducted for post-CABG

A

after 5 years need an annual ETT

31
Q

What is an abnormal ETT

A

unable to exceed 6 METs on Bruce protocol

32
Q

Max certification period for congenital heart conditions

A

1 year post repair

33
Q

Are implantable defibrillators certifiable

A

NO

34
Q

Waiting period for post heart transplant

A

1 year post-transplant

35
Q

Max certification for heart transplant

A

6 months

36
Q

Is driver with mitral regurgitation and afib certfiable

A

no, high risk of stroke

37
Q

Mild mitral regurgitation qualifiers

A

asymptomatic
normal LV size
normal PAP

38
Q

In a driver with mitral regurg, what grade of disease requires an annual echo

A

moderate and severe

39
Q

How often does a driver with severe mitral regurg need an echo

A

every 6-12 months if not corrected by surgery

40
Q

Moderate mitral regurgitation qualifers

A

asymptomatic
normal LV size
normal PAP

41
Q

Waiting period for severe mitral regurgitation post-op

A

3 months

42
Q

Can severe mitral regurgitation be certified

A

yes if asymptomatic or 3 months post-op

43
Q

What is the most common presenting manifestation of occlusive arterial disease

A

intermittent claudication

44
Q

waiting period for intermittent claudication

A

3 months post-op

45
Q

Is lone afib qualifiable

A

yes

46
Q

Requirements for drivers with afib and increased risk of stroke

A

anticoagulation for at least 1 month
INR regulated at least monthly
rate and rhythm control deemed adequate by cardiology

47
Q

Waiting period for mechanical valves

A

3 months post-op

48
Q

Qualifiers for acute DVT

A

no residual acute DVT

if on coumadin, follow anticoagulation protocol

FMSCA ME Exam (9 decks)

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