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FMSCA ME Exam > Neuro > Flashcards

Neuro Flashcards

1
Q

Waiting period for anticoagulation therapy

A

1 month with INR

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2
Q

Max certification for anticoagulation therapy

A

1 year

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3
Q

max certification for anticonvulsant therapy

A

2 years

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4
Q

when is anticonvulsant therapy disqualifying

A

when used for seizure disorder

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5
Q

Waiting period for mild insult without early seizure

A

1 year seizure free and off anticonvulsant medications

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6
Q

waiting period for stroke without risk for seizures

A

1 year seizure free and off anticonvulsant medications

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7
Q

waiting period for intracerebral or subarachnoid hemorrhage without risk for seizures

A

1 year seizure free and off anticonvulsant medications

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8
Q

waiting period for moderate insult without early seizures

A

2 year seizure free and off anticonvulsant medications

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9
Q

waiting period for mild insult with early seizures

A

2 year seizure free and off anticonvulsant medications

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10
Q

waiting period for moderate insult with early seizures

A

5 year seizure free and off anticonvulsant medications

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11
Q

waiting period for stroke with risk for seizures

A

5 year seizure free and off anticonvulsant medications

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12
Q

waiting period for intracerebral or subarachnoid hemorrhage with risk for seizures

A

5 year seizure free and off anticonvulsant medications

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13
Q

Max certification for any acute seizure

A

1 year

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14
Q

Can patient with history of severe brain insult with or without seizures be certified

A

NO

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15
Q

Max certification for acute seizure due to systemic metabolic illness

A

2 years

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16
Q

Max certification for childhood febrile seizures

A

2 years

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17
Q

When is epilepsy diagnosed

A

with second unprovoked seizure regardless of time frame

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18
Q

Epilepsy is a disqualifying illness T/F

A

True

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19
Q

Drivers with epilepsy can not be qualified due to

A
  • having medical history of epilepsy
  • has current clinical diagnosis of epilepsy
  • taking anti-seizure medications
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20
Q

Waiting period for epilepsy

A

10 years off anticonvulsant and seizure free

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21
Q

Seizure exemption requirements

A
  • neuro evaluation
  • 3 year driving record with detailed activities
  • 30 day public comment period
  • can reduce waiting period
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22
Q

Max certification for headaches

A

2 years

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23
Q

waiting period for single unprovoked seizure

A

5 years seizure free and off anticonvulsant medications

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24
Q

max certification for single unprovoked seizure

A

1 year

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25
Q

Which disorders that cause vertigo and dizziness can be certified

A

BPV

acute and chronic peripheral vestibulopathy

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26
Q

waiting period for BPV and acute/chronic peripheral vestibulopathy

A

2 months asymptomatic

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27
Q

max certification for BPV and acute/chronic peripheral vestibulopathy

A

2 years

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28
Q

waiting period for bacterial meningitis without early seizures

A

1 year seizure free and off anticonvulsants

29
Q

waiting period for viral encephalitis without early seizures

A

1 year seizure free and off anticonvulsants

30
Q

waiting period for bacterial meningitis with early seizures

A

5 year seizure free and off anticonvulsants

31
Q

waiting period for viral encephalitis with early seizures

A

10 year seizure free and off anticonvulsants

32
Q

Max certification for infections of the CNS

33
Q

Max certification for autonomic neuropathy

34
Q

when not to certify autonomic neuropathy

A

-resting tachycardia

orthostatic BP

35
Q

Which conditions are not certifiable with abnormal muscle activity

A

Mytonia
Isaac’s syndrome
Stiff-man syndrome

36
Q

max certification for conditions associated with abnormal muscle activity

37
Q

T/F congenital myopathies are certifiable

38
Q

T/F metabolic muscle diseases are certifiable

39
Q

T/F Motor neuron disease is not certifiable

40
Q

T/F muscular dystrophy is not certifiable

41
Q

T/F Muscular dystrophy is certifiable

42
Q

T/F neuromuscular junction disorders (MG/MS) are certifiable

43
Q

T/F Peripheral neuropathies are certifiable

44
Q

Which CNS tumors have a waiting period of 1 year post-surgery

A 
infratentorial meningiomas
acoustic neuromas
pituitary adenomas
spinal benign tumors
benign extra-axial tumors
45
Q

Which CNS tumors have a waiting period of 2 year post-surgery

A

benign supratentorial tumors

spinal tumors

46
Q

Max certification for CNS tumors

47
Q

Which CNS tumors are NOT allowed to be certified

A
  • primary or metastatic malignant tumors of CNS

- benign nervous system tumors

48
Q

Monitoring requirements for CNS tumors

A

-residual exams must show no evidence of recurrent or new tumors

49
Q

T/F patients with dementia can operate CMV

50
Q

T/F Spinal cord injury resulting in paraplegia is a disqualifier

51
Q

Which vascular lesions are not associated with increased seizure risk

A

cerebellum and brainstem

52
Q

which deficits are associated with increased seizure risk

A

cortical and subcortical

53
Q

waiting period for cerebellum or brainstem vascular lesion

54
Q

waiting period for cortical or subcortical deficits

55
Q

Max certification for strokes, hemorrhages, TIA

56
Q

When not to certify driver with history of stroke, hemorrhage, or TIA

A

if using oral anticoagulant therapy

increased risk for bleeding

57
Q

T/F drivers with a history of stroke, hemorrhage, or TIA need clearance from neurologist prior to certification

58
Q

Severe TBI characteristics

A

penetrates dura
LOC >24 hours
high risk of unprovoked seizures (risk does not decrease overtime)

59
Q

Moderate TIA characteristics

A

does not penetrate dura

LOC >30 minutes, < 24 hours

60
Q

Mild TIA characteristics

A

no dural penetration or LOC
if LOC, <30 minutes
distinguish between mild TBI with or without early seizure

61
Q

Waiting period for moderate TBI without early seizure

A

2 years seizure free and off anticonvulsant

62
Q

waiting period for mild TBI with early seizure

A

2 years seizure free and off anticonvulsant

63
Q

Waiting period for moderate TBI with early seizure

A

5 years seizure free and off anticonvulsant

64
Q

Max certification for mild TBI without early seizure

65
Q

Max certification for other seizure types

66
Q

Which seizure type is NOT certifiable

A

severe TBI with or without early seizures

mild or moderate TBI without completing waiting period, abnormal physical/evaluations, no clearance from neurologist

67
Q

Which diagnosis requires 10 year waiting period

A

history of epilepsy

viral encephalitis with early seizures

68
Q

which diagnosis requires 5 year waiting period

A

single unprovoked seizure
bacterial meningitis and early seizures
moderate TBI with early seizures
stroke with risk for seizures (cortical or subcortical)
intracerebral or subarachnoid hemorrhage with risk for seizures

69
Q

which diagnosis requires 2 year waiting period

A

acute seizure with acute structural CNS insult
moderate TBI without early seizures
surgically removed supratentorial or spinal tumors

FMSCA ME Exam (9 decks)

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