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DOT Study > Neurological > Flashcards

Neurological Flashcards

1
Q

Maximum period for neurological disease certification

A

1 year

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2
Q

Epilepsy

A

Disqualifying

History of 2 + unprovoked seizures

Minimum 10 years off anticonvulsant medications and seizure free

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3
Q

Disqualifying neurological conditions

A

Severe traumatic brain injury

Ménière’s disease

Arreriovenous malformation/aneurysm

Dementia

Parkinsonism

Cerebella ataxia

Frequent severe headaches

Peripheral neuropathy

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4
Q

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

A

5 years

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5
Q

Single unprovoked seizure

A

Minimum 5 years seizure free without meds

Max cert 1 year

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6
Q

Childhood febrile seizures

A

No waiting period

Max cert 2 years

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7
Q

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

A

Waiting 1 year

Max cert 1year

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8
Q

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

A

Minimum 2 years

Max 1 years

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9
Q

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

A

5 years

Max 1 year

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10
Q

Severe brain insult with or without early seizures

A

Disqualifying

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11
Q

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

A

Disqualifying

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12
Q

Waiting period and certification period for systemic metabolic illness

A

No waiting period
Certification 2 years
Certify if condition completely treated

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13
Q

Disqualifying vertigo conditions

A

Ménière’s disease
Labyrinthine fistula
Non functioning labyrinths

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14
Q

Waiting and certification period for vertigo and fussiness

A

2 months symptom free

2 years

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15
Q

Disqualifying medications used for dizziness and vertigo

A

Benzodiazepines

Phenothiazines

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16
Q

Waiting and certification for headaches

A

Waiting none

Max 2 years

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17
Q

Embolus or thrombotic stroke

A

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

Max cert 1 year

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18
Q

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

A

5 years at risk for seizures

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19
Q

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

A

1 year

20
Q

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

A

False

21
Q

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

A

True

22
Q

Intracerebral or subarachnoid hemorrhage waiting and certification period

A

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

Max cert. 1 year

23
Q

Risk for reoccurrence of tias

A

Highest during first few weeks and months declines after 1 year

24
Q

Waiting and certification for tias

A

Waiting 1 year

Max cert 1 year

25
Q

Dementia

A

Progressive disease disqualifying

26
Q

How are tbis classified

A

Based on Duran penetration, duration of loss of consciousness

3 classes

27
Q

Severe head injury

A

Injury penetrates the dura causes loss of consciousness

Lasting longer than 24 hours

High risk for unprovoked seizures risk doesn’t diminish over time

28
Q

Moderate head injury

A

Does not penetrate the dura

Loss of consciousness lasting longer than 30 minutes less than 24 hours

29
Q

Mild head injury definition

A

No rural penetration or loss of conscious

Less than 30 minutes

30
Q

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

A

Waiting 2 years seizure free off anticonvulsant

Max certification 1 year

31
Q

Maximum certification for mild tbi without early seizures

A

2 years

32
Q

Waiting and certification for moderate tbi with early seizures

A

Min. 5 years off medication

Max cert 1 year

33
Q

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

A

1 year waiting/certification

34
Q

Cns tumor removal of benign supratentorial tumors, spinal tumors

A

Min 2 years waiting

1 year certification

35
Q

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

A

Minimum 1 year

Max cert 2 years

36
Q

Bacterial meningitis with early seizures

A

5 year waiting no seizure no meds

Max cert 2 years

37
Q

Viral encephalitis with early seizures

A

10 year waiting and off meds

Max cert 2 years

38
Q

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

A

Five years

39
Q

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

A

One year

40
Q

A driver with peripheral neuropathy

A

Should not be certified

41
Q

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

A

Parkinsons

42
Q

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.

A

2 months

2 years

43
Q 
Which of the following conditions are disqualifying 
Myotonia
Stiff man syndrome
Isaacs syndrome
Amyotrophic lateral sclerosis
All of them
A

All of them

44
Q

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

A

5 years

45
Q 
Which of the following conditions is not disqualifying 
Ms
Congenital myopathies
Metabolic muscle diseases
Muscular dystrophy
A

Ms

46
Q

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 _____.

A

No waiting period

2 years

DOT Study (11 decks)

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