Diabetes And Other Diseases

Question 1

Symptoms of hypo- hyper- glycemic

Answer 1

Hypo- syncope, confusion, clouded mental status

Hyper- delirium

Question 2

True false greatest risk is hyperglycemia

Answer 2

False hypoglycemia

Question 3

Severe hypoglycemia

Answer 3

Another person assist
Seizure
Loss of consciousness
Coma

Question 4

True false drivers are required to have a rapid form of glucose on them

Answer 4

False guidelines

Question 5

Comorbidities of diabetes

Answer 5

Peripheral neuropathy

Autonomic neuropathy

Diabetic retinopathy

Question 6

Peripheral neuropathy

Answer 6

Disqualifying

Question 7

Autonomic neuropathy

Answer 7

Disqualifying

Effects heart rate tachycardia and blood pressure

Question 8

Diabetic retinopathy

Answer 8

Disqualifying related to sudden vision loss with retinal hemorrhages

Question 9

Significant non/proliferate retinopathy

Answer 9

Disqualifying

Question 10

39 CFR part 391. 46

Answer 10

Insulin exemption

Question 11

Max certification for itdm

Answer 11

1 year

Has to be evaluated by treating clinician

45 days to return form MCSA-5870

3 months blood sugar log

Question 12

Less than 3 months bg logs

Answer 12

3 month certification

Must return with bg logs

Question 13

True or false itdm has to provide A1c and has to be less than 7.

Answer 13

False

Question 14

True or false itdms are required to monitor their bg as often as their treating clinician requires

Answer 14

True

Question 15

True or false itdms are required to report severe hypoglycemia episodes to the treating clinician as soon as reasonably practical

Answer 15

True

Question 16

Max certification for diabetes non insulin

Answer 16

1 year

Question 17

Itdb with a severe hypoglycemia reaction

Answer 17

Notify treating clinician
Disqualifying until seen by clinician
Clinician must complete new form MCSA 5870 given to driver
Driver brings form to examiner for next certification

Max cert 1 year

Question 18

Renal failure, dialysis

Answer 18

Disqualifying

Question 19

Hx of acute bleeding ulcer hospitalization and transfusion

Answer 19

Underlying cause of ulcer treated

Low recurrence

Question 20

Hepatitis c

Answer 20

Maybe certified

Question 21

Cholecystitits

Answer 21

Qualifies

Causes severe stomach pain medication can cause fatigue drowsiness can impact

Question 22

Prostatic disfunction

Answer 22

Prolonged sitting can exacerbate

Saw palmetto can decrease symptoms

Question 23

Hernia

Answer 23

Not disqualifying

Question 24

Dyspepsia gerd

Answer 24

2 year certification

Question 25

Nephropathy with fluid retention high dose medications

Answer 25

No certification

Question 26

Renal conditions

Answer 26

Pheochromocytoma Primary aldosteronism Renovascular disease Unilateral renal parenchyma disease

Question 27

Which of the following requirements for drivers with insulin dm evaluated according to 49 CFR part 391.46 Possess a rapidly absorbable form of glucose while driving Maintain a a1c less than 7 Submit blood glucose monitoring records with each certification Check blood glucose 1 hour prior to driving

Answer 27

Submit log

Question 28

Which is true: A driver with diabetes who uses insulin must be elevated according to procedures specified in 49 CFR part 391.46 The most important concern related to medications use for treating diabetes is hyperglycemia Peripheral neuropathy is not a disqualifying condition Diabetes is not a coronary heart disease equivalent condition

Answer 28

A driver with diabetes must be evaluated and meet criteria in 49 CFR 391.46

Question 29

What is the recommend certification interval for a driver with diabetes not on insulin

Answer 29

1 year

Question 30

If glucose is detected on urinalysis in a driver with no history of diabetes and appropriate next step is

Answer 30

Finger stick blood glucose

Question 31

Which of the following is the criteria that the FMCSA uses to define a sever hypoglycemia reaction

Answer 31

Seizure Need of assistance Coma Confusion

Question 32

Which is true for nephropathy: Disqualifying Max cert 2 years 3+ proteinurea should not be certified Specialist should make determination

Answer 32

Max cert is 2 years

Question 33

Drivers with which of the following conditions should be disqualified: Cancer requiring chemotherapy Umbilical hernia not surgically repaired Renal failure on dialysis Hemochromatosis

Answer 33

Dialysis

Question 34

If a significant and normal finding for urinalysis specific gravity, protein, or blood is found, the medical examiner should….

Answer 34

Use clinical expertise to determine if additional evaluation is required and request or recommend primary to care to follow up

Question 35

A driver with a history of kidney disease with or without transplant

Answer 35

Must be assessed regarding severity stability medication use and medication side effects adverse reactions

Question 36

Are hernias disqualifying

Answer 36

No