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68 Cards in this Set
- Front
- Back
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PCI waiting period and cert
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one week and one yr if normal Stress test in 3-6 months
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arrythmias wait and cert
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one month after drug therapy
one Year |
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long Qt syndrome wait and cert
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never
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Brigade syndrome wait and cert
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Never
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Pacemaker wait And cert
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one mont SP implantation
Cert one yr. Annual Checks reqUired |
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neurcardiogenic syncope wait and cert
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3 month post pacemaker implantation due to vasodepressor component. one yr
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AAA cert guidelines and size
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< 4 Cm can Cert if <5
3 months after surgical repair Cleared by cardio one yr certification US monitoring reccomended |
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DO not cert AAA if ..
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>5cm
if it grows >0.5 cm in 6 months symptomatic Surgery is needed but not yet performed |
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Thoracic aneUrysm Cert criteria and waiting period
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<3.5cm
3 months after surgical repair Cleared by cardio one year Cert |
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PVD cert and waiting
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3 months post surgery
Must be asymptomatic NO PAIN @ rest |
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anticoagulation
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One month waiting period
must be stabilized one yr Certification |
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anticoagulated with a CerebvovasCular disorder
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Do not certify
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Superficial phlebitis or varicose veins
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Max cert 2 years if treatment is adequate and no DVT
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Aortic stenosis
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Certify if Mild; MOD that is asymptomatic ; Severe that has been treated
one yr cert must have echo with Doppler . |
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Required annual tests for a pt c CHF
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HoLter monitor
Cardio Clearance Echo stress test not required |
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aortic VaLve Surgery
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One yr waiting period
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Annual Diabetes assesµest pacK includes?
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Endocrine eval + Checklists
Optho eval +Checklists |
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Things to Check in urine
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protein
spacific gravity blood glucose |
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Target organ damage in DM
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retinopathy
macwlor degeneration peripheral neuropathy nephropathy |
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is annual DM education required for the exemption program
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Yes
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when must a driver with an exemption ✓ glucose
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An hour before driving and at least once every 4 hours while driving
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Do drivers with an exemption have to provide a glucose log annually
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yes
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What signifies significant hypoglycemic reaction
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Requires assistance of another person accompanied by a seizure or loss of consciousness
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Do not certify a diabetic if the following hypoglycemic events have happened
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1 episode in the past year or two episodes in the past 5 years
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Is passing a driver with the diabetic exemption it must be documented where
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On the medical examination report and examiner's certificate
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Can you pass a driver with retinopathy
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only if cleared by ophthalmology
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Is dialysis disqualifing
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yes
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Is electro convulsive therapy dq
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yes
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What is the percentage your alcohol needs to be below
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0.04%
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What happens if your blood alcohol level is higher than regulated
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.04%
.Must be assessed by substance abuse professional . must test below. 0 .02% prior to work return . are subject to random alcohol testing |
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You may not drive unless your alcohol is below blank but you get no regulatory action and less your alcohol is above blank
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. 02 %
Point zero four percent |
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Who must get alcohol testing
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All DMV drivers unless driving on private property only
. Greater than 26000 combined wt . Carrying 16 passengers or more . transporting hazardous materials |
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Is drug and alcohol testing required as part of the medical examiners exam
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No but it may be done if there is suspicion
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Recertification of a driver disqualified for alcohol or drug abuse requires the following
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Substance abuse evaluation
Negative drug test result Substance abuse professional documentation of successful completion of rehab |
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What is the maximum certification for alcoholism
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2 years
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Does a driver need to be medically re exam if they test positive for drugs or alcohol
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No they are cleared by the sap professional
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Drug alcohol testing or outline and what part of the cfr
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48 cfr part 40
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When can you get a 3 month extension for bp
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first time being seen after a year clearance for stage 1 hypertension. or diagnosed with stage two but uncontrolled on meds
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how long can u be certified after having a history of stage 3 htn
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6 months if controlled. dq is not controlled
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how long can u be certified with a new diagnosis of stage one htn
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1 yr then a one time 3 months
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Where are driver physical qualification standards found
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49 c_f_r 391.41
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Where is the medical examiner responsibilities found
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49 CFR 391. 43
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What objective tests and measurements are required as part of the driver's physical exam
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Height and weight
vision hearing blood pressure and pulse urinalysis |
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What criteria must a driver with CHF mean
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ef of greater than 40%
cardio clearance no arrhythmia asymptomatic |
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What time does CHF should you look for
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fatigue
dyspnea LE swelling |
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what are post cabg qualifications
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wait 3 months
cardio approval echo post surgery ett 5 yrs post surgery tolerates meds asymptomatic |
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Dq neuro symptoms
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extreme headaches
seizures vertigo narcolepsy sleep apnea untreated rls idiopathic cns hypersomnolence |
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waiting period for tia
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one yr. due to increased risk of tia and stroke
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copd pt should have abg testing if FEV1 is what?
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<65%
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Do not certify if ABG testing
PO2 < ? at sea level PO2 < ? at 5000 above sea level |
65
60 |
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P f t testing should include what
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FEV1
FVC FEV1/FVC ratio |
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annual cxr for ...
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mitral stenosis
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Antihistamine restrictions
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Do not take within 12 hrs of Driving.
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waiting period for sleep apnea
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1 month for cpap
3 months for surgery |
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requirements for spe are found where
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49 CFR 391.49
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how to test prehension?
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Have driver go up and down steps with railings to assess drivers ability to grasp rails
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how to test grip strenght
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with a dynamometer
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how to test agility
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Place objects in the hallway and observe the driver maneuvering around objects
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how to test strengths
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Have driver left object of unknown weight
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how to test dexterity
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Have a driver rapidly place object in boxes. use OT equipment designed to measure hand dexterity
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TIA
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one yr wait. one yr cert. do not cert if on anticoagulants
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waiting period for stroke
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one yr for a stroke in the cerebellar or brainstem are
5 yrs for cortical or subcortical areas due to increased risk of seizures |
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tbi mild mod severe
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mild loc less than 30 min
mod less than 24hrs greater than 30 min severe greater the 24 hrs |
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waiting period for
mild tbi with seizures mod tbi without mod tbi with |
mild with 2 yrs
mod without 2yrs mod with 5 yrs |
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waiting period for bacterial meningitis and viral encephalitis with and without seizures
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both without 1 yr seizure free
bacterial with seizure is 5 yr wait viral with 10 yr wait |
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wait period for tumors
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one yr for most
2 yrs for benign supratentorial or malignant spinal tumors |
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waiting period for 1 unprovoked seizure
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5 yrs
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where can u find the section on being grandfathered in for monocular vision
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CFR 391.64
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