Respiratory

Question 1

Waiting period after using antihistamine

Answer 1

at least 12 hours prior to operating vehicle

Question 2

Allergic rhinitis max certification

Answer 2

2 years

Question 3

When not to certify allergic rhinitis

Answer 3

• severe conjunctivitis affecting vision
• inability to keep eyes open
• photophobia
• controllable sneezing fits
• sinusitis with severe HA
• medications that cause other side effects

Question 4

Life-threatening allergy max certification

Answer 4

2 years

Question 5

Waiting period for life-threatening allergies

Answer 5

must have successful preventative measures

-treatment without adverse effects

Question 6

What must drivers with severe allergies always carry

Answer 6

epi-pen

Question 7

asthma max certification

Answer 7

2 years

Question 8

What test to conduct if asthmatic is symptomatic at presentation

Answer 8

PFT

if FEV1 <65% need ABG

Question 9

Max certification for hypersensitivity pneumonitis

Answer 9

2 years

Question 10

What test used to monitor hypersensitivity pneumonitis

Answer 10

CXR

Question 11

Max certification for common cold, flu, acute bronchitis

Answer 11

2 years

Question 12

max certification for atypical TB

Answer 12

2 years

Question 13

When should atypical TB be certified

Answer 13

if disease is stable with normal lung function

Question 14

What test to do if you suspect atypical TB has progressed

Answer 14

PFT

Question 15

Waiting period for pulmonary TB

Answer 15

do not certify until driver not contagious

Question 16

max certification for pulmonary TB

Answer 16

2 years

Question 17

Certification requirement for pulmonary TB

Answer 17

• not contagious
• completed streptomycin therapy without hearing/balance loss
• compliant with antitubercular therapy
• no side effects that interfere with driving

Question 18

What CN can be affected by streptomycin therapy

Answer 18

8

leads to damage in balance and/or hearing

Question 19

A positive PPD and negative CXR requires what

Answer 19

nothing

Question 20

max certification for chest wall deformities

Answer 20

2 years

Question 21

when not to certify driver with chest wall deformity

Answer 21

hypoxemia at rest
chronic respiratory failure
history of continued cough with cough symptoms

Question 22

Oxygen therapy is DQ T/F

Answer 22

true

Question 23

Max certification for COPD

Answer 23

2 years

Question 24

Max certification cystic fibrosis

Answer 24

2 years

Question 25

What test is required for any pulmonary disease or pulmonary symptoms

Answer 25

spirometry

FEV1 >65%, if not need ABG

Question 26

What test must be done to confirm resolution of traumatic pneumothorax

Answer 26

CXR

Question 27

Max certification for pneumothorax

Answer 27

2 year

Question 28

When not to certify spontaneous pneumothorax

Answer 28

history of 2 or more spontaneous on one side if no successful surgical procedure has been done to prevent recurrence

Question 29

What is a passing screening pulse ox

Answer 29

> 92%

Question 30

What ABG measurements are considered as passing

Answer 30

PaO2 > 65 at <5000 ft
PaO2 > 60 at >5000 ft
PaCO2 <45 at any altitude

Question 31

max certification cor pulmonale

Answer 31

2 years

Question 32

Max certification pulmonary HTN

Answer 32

1 year

Question 33

Criteria for moderate to severe obstructive sleep apnea

Answer 33

apnea-hypopnea index (AHI) >15