Neurological

Question 1

Maximum period for neurological disease certification

Answer 1

1 year

Question 2

Epilepsy

Answer 2

Disqualifying

History of 2 + unprovoked seizures

Minimum 10 years off anticonvulsant medications and seizure free

Question 3

Disqualifying neurological conditions

Answer 3

Severe traumatic brain injury

Ménière’s disease

Arreriovenous malformation/aneurysm

Dementia

Parkinsonism

Cerebella ataxia

Frequent severe headaches

Peripheral neuropathy

Question 4

Waiting period for someone who has had 1 unprovoked seizure, seizure free off and off of anti-seizure medications

Answer 4

5 years

Question 5

Single unprovoked seizure

Answer 5

Minimum 5 years seizure free without meds

Max cert 1 year

Question 6

Childhood febrile seizures

Answer 6

No waiting period

Max cert 2 years

Question 7

Waiting period and max certification for stroke without risk for seizures, mild insult without early seizures, intracerebral of subarachnoid hemorrhage without risk for seizures

Answer 7

Waiting 1 year

Max cert 1year

Question 8

Waiting period and max certification for moderate insult without early seizures, mild insult with early seizures

Answer 8

Minimum 2 years

Max 1 years

Question 9

Waiting period and max certification for moderate insult with early seizures, stroke with risk of seizures, i trace reveal or subarachnoid hemorrhage with risk for seizures

Answer 9

5 years

Max 1 year

Question 10

Severe brain insult with or without early seizures

Answer 10

Disqualifying

Question 11

Surgical procedures involving dural penetration risk for subsequent epilepsy similar to severe head trauma

Answer 11

Disqualifying

Question 12

Waiting period and certification period for systemic metabolic illness

Answer 12

No waiting period
Certification 2 years
Certify if condition completely treated

Question 13

Disqualifying vertigo conditions

Answer 13

Ménière’s disease
Labyrinthine fistula
Non functioning labyrinths

Question 14

Waiting and certification period for vertigo and fussiness

Answer 14

2 months symptom free

2 years

Question 15

Disqualifying medications used for dizziness and vertigo

Answer 15

Benzodiazepines

Phenothiazines

Question 16

Waiting and certification for headaches

Answer 16

Waiting none

Max 2 years

Question 17

Embolus or thrombotic stroke

Answer 17

Evaluated by neurologist
Waiting 1 year - o seizure
Waiting 5 years if seizures.

Max cert 1 year

Question 18

Waiting period for cortical or sub cortical deficits (emboli or thrombotic strokes)

Answer 18

5 years at risk for seizures

Question 19

Waiting period for cerebellum or brainstorm vascular lesions (emboli or thrombotic strokes)

Answer 19

1 year

Question 20

True or false cerebellum and brain stem vascular hemorrhages are associated with an increased risk for seizures

Answer 20

False

Question 21

True or false cortical and subcortical hemorrhages are associated with an increased risk for seizures

Answer 21

True

Question 22

Intracerebral or subarachnoid hemorrhage waiting and certification period

Answer 22

1 year with no increased risk for seizure
5 years with increased risk for seizures

Max cert. 1 year

Question 23

Risk for reoccurrence of tias

Answer 23

Highest during first few weeks and months declines after 1 year

Question 24

Waiting and certification for tias

Answer 24

Waiting 1 year

Max cert 1 year

Question 25

Dementia

Answer 25

Progressive disease disqualifying

Question 26

How are tbis classified

Answer 26

Based on Duran penetration, duration of loss of consciousness 3 classes

Question 27

Severe head injury

Answer 27

Injury penetrates the dura causes loss of consciousness Lasting longer than 24 hours High risk for unprovoked seizures risk doesn’t diminish over time

Question 28

Moderate head injury

Answer 28

Does not penetrate the dura Loss of consciousness lasting longer than 30 minutes less than 24 hours

Question 29

Mild head injury definition

Answer 29

No rural penetration or loss of conscious Less than 30 minutes

Question 30

Waiting and certification for moderate without early or mild tbi with early seizures

Answer 30

Waiting 2 years seizure free off anticonvulsant Max certification 1 year

Question 31

Maximum certification for mild tbi without early seizures

Answer 31

2 years

Question 32

Waiting and certification for moderate tbi with early seizures

Answer 32

Min. 5 years off medication | Max cert 1 year

Question 33

Cns tumors surgical removal of infratenorial meningioma, acoustic neuromas, pituitary adenoids, spinal benign tumors, benign extra-axial tumors

Answer 33

1 year waiting/certification

Question 34

Cns tumor removal of benign supratentorial tumors, spinal tumors

Answer 34

Min 2 years waiting 1 year certification

Question 35

Waiting/certification for bacterial meningitis without early seizures or viral encephalitis without early seizures

Answer 35

Minimum 1 year | Max cert 2 years

Question 36

Bacterial meningitis with early seizures

Answer 36

5 year waiting no seizure no meds | Max cert 2 years

Question 37

Viral encephalitis with early seizures

Answer 37

10 year waiting and off meds | Max cert 2 years

Question 38

A driver with a history of bacterial meningitis with early seizures or a single unprovoked seizure requires a waiting period of ______ seizure free and off anticonvulsant medications

Answer 38

Five years

Question 39

Tias are automatically disqualified for _____ . After the minimum waiting period the certification depends in the interval history, general health, neurological examination, and compliance with the treatment program

Answer 39

One year

Question 40

A driver with peripheral neuropathy

Answer 40

Should not be certified

Question 41

Levodopa carbidopa May cause the driver to be disqualified because it is used for the treatment of what condition

Answer 41

Parkinsons

Question 42

Driver examination on 6/18/2011. Driver disqualifyed due to benign positional vertigo with last symptoms noted 5/15/2011. Driver advised to return after a _____ symptom free interval for a max _____ certification interval.

Answer 42

2 months | 2 years

Question 43

``` Which of the following conditions are disqualifying Myotonia Stiff man syndrome Isaacs syndrome Amyotrophic lateral sclerosis All of them ```

Answer 43

All of them

Question 44

A driver with history of moderate traumatic brain injury with early seizures, stroke with risk for seizures, or intracerebral or subarachnoid hemorrhage with risk for seizure requires a waiting period of _____ seizure free and off anticonvulsant medications

Answer 44

5 years

Question 45

``` Which of the following conditions is not disqualifying Ms Congenital myopathies Metabolic muscle diseases Muscular dystrophy ```

Answer 45

Ms

Question 46

The waiting period for a driver with a history of acute seizures secondary to a systematic metabolic illness is _____ and the driver may be certified for up to _____.

Answer 46

No waiting period | 2 years