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86 Cards in this Set
- Front
- Back
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Anticonvulsants |
Barbituates, Dilantin, Tegetol, depakote, topomax, valium, diazepam, neurontin, gabpentin. |
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Examination requirements for seizure (single unprovoked) |
1. Seizure free for 4 years 2. Stable on meds for 2 years. |
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Exemption requirement for Epilepsy? |
1. 8 years seizure free 2. Stable on medication for 2 years
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Hix of surgical dural peneration? Waiting period? Qualify for how long? |
DQ-there is no certification for this EVER. |
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Single provoked seizure, moderate to high risk factors? |
DQ 1. Non-penetrationg head injury with loss of consciousness or amesia greater than 30 minutes 2. Penetrating head wound 3. Intracerebral hemorrage associated with a stroke or tauma 4. Infection, intracranial hemorrage 5. Post-operative complications-hemmorage, grain tumor, or stroke |
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CNS infection waiting period? |
1 Year for: -Bacteriorl meningitis without seizures -Viral encephalitis without eraly seizures 5 years seizure free -Bacterial mengitis with early seizures 10 years Seizure free -Viral encephilitis with early seizures |
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Test for cognitive impairment? |
Folstein's test or Mini-Mental state exam (MMSE) Any score >= 25 is considered normal |
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Non certifyable muscle diseases? |
1. Myotonia 2. Isaac's Syndrome 3. Stiff-man Syndrome |
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Motor Neuron Diseases not Certifyable? |
1. ALS 2. Heridetary spinal muscular atrophy 3. Muscular dystrophy 4. Myasthenia gravis 5. Myasthenic syndrome |
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Symptoms of Glucoma? |
1. Night and Color vision decreased 2. Peripheral vision decrease, < 70 degrees 3. Visual acuity not affected. |
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Symptoms of Cataracts? |
1. Light glare, esp. at night 2. Constrast and color resolution decreased 3. Close vision temporarily improved |
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Wating Period for excessive sleepiness? |
1. Stable for 6 months on medication 2. Provigil 3. Monitored by PCP |
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Symptoms of Retinopathy? |
1. Contrast sensativity is decreased 2. Flicker vision 3. Color dscrimination is decreased 4. Vision loss in any field |
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Symptoms of Macular degeneration? |
1. Decreased visual acuity in center 2. Peripheral vision is spared 3. Bright light recovery time is increased |
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What standard does FMCSA us to evaluate/test hearing? |
ANSI (American national standard) |
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Kidney test for creatinine has to be less than what to qualify? |
2.5 or less
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Pneumothorax- How many can you have and still be qualified? |
1- is okay, but must be confirmed by x-ray that it has resolved 2-DQ if on the same side. |
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What is PFT? |
Pulmonary Function Test
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What PFT is minimum requirement? |
Minimum FEV-65% FVC-60, FEV/FVC (minimum ratio is 65%) |
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Minimum PaO2? |
92%
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Minimum ABG? |
65% > below 5, 00 feet 60% > above 5, 000 feet |
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Chantix= Certify or DQ? |
DQ
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Waiting period for driver using Chantix? |
2 Weeks |
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Normal A1c? A1c limit to be qualified? |
4-6.5 10 or less 10= 300 mg/dl glucose |
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What is the FMCSA number for diabetic and vision exemptions weiver? |
49 CFR 391.64 |
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What is BMI? At what numbar are you required to test for OSA? |
Body Mass Index 35 > |
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1st generation tricyclics?
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Elvavil Amitriptyline (okay if below 25mg at night before bed) Tofranil (Emipramine) Memorize " don't EAT trics" |
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Waiting period for Pulmonary embolism and deep vein thrombosis? |
3 months, same as surgical procedure. |
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Does Neoplastic Disease Qualify? |
Yes, but not during active treatment for the diseases. |
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Waiting period for people with seizure disorder taking medication? |
10 years under medical supervision and no seizures. Can certify for 2 years |
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Waiting period for Severe depression/thoughts of suicide or atempted suicide? |
1 year, can recertify for 1 year. |
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Waiting period for Non-sychotic (major), depression, no suicide attempts? |
6 months |
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Waiting period for psychosis? |
Have to be symptom free with no episodes for 1 year, breif episode 6 months. Recertify 1-2 years, based on best of practice of CME. |
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Benzodiazepines? |
1st generation NO-- Diazepam, Zepam, Olam. Only Buspar & Lithium quailfy, but has a 3 month waiting period (bipolar) 2nd generation Yes Xanax, Librium, Klonopin, Ativan (Lorazepam), Valium, Halcion Remember: xl-hvak, lorin |
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Stimulants can only be used for what condition to qualify? |
ADHD (okay with PCP clearance)
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What are the most common drugs to treat ADHD? |
Concerta, Adderall, Ritalin, Dexadrine Recertify for 1 year Remember: We CARD anyone with ADHD
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Do murmurs qualify? |
Stage 1& 2 YES Stage 3 or > NO |
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Do Implantable cardioverter-defibrillator qualify? |
Always NO |
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What is the minimum % requiredment for pulse Oximetry? |
92% |
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What are the selft testing rquirements for Insulin dependant diabetics? |
Waiver 49 CFR 391.64 (grandfather waiver) Recertify for 2 years Test: 1 hour before driving, and every 4 hours. Must maintain a log and rapid absorbable glucose on hand at all times while driving |
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What is the minimum % of ABG (arterial glood gas) requirement? |
65% below 5,000 feet 60% above 5,000 feet no PaCO2>45mmHg at any elvation |
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Can hypnotics be used? What are some of their names? |
YES, if half life of 5 hours & only used for max. of 2 weeks. Sominex, Lunesta, Sonata, Ambian |
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Seretonin Selective Reuptake Inhibitors? |
OKAY Celexa, lexapro, paxil, prozac, zoloft Remember: PC-PLZ
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Selective Neuron reuptake inhibitors? |
OKAY Effexor, Cymbalta |
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What is 49 CFR 391.64? |
Grand-fathering for vision & diabetic waiver program |
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Waiting period for Cardiac surgical procedures? |
All 3 Months Transplant----1year PCI------------1 week DVT/Pulmon-3 Months Recertify for 1 year CABG--------3 Months |
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Waiting period for Percutaneous Coronary Intervention (Angioplasty) |
1 week with clearance from specialist Recertify 3-6 months then 1 year biannual E.T.T.
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Waiting period post MI & BPPU? |
2 months Recertify 1 year with clearance from specialist |
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Wating period for schizophrenia? |
NEVER, ALWAYS DQ This is a perminant condition and will not change. |
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What is the Exemption waiver # for loss of limb or limb impairment? |
SPE (skilled performance evluation) 49 CFR 391.49 |
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Waiting period for Transient Ischemic Attack? |
This is a Neurological condition Recertify: 1 year with specialist clearance. If on anti-coagulant DQ (perminant condition and will never qualify) |
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What is the code # for CDL normal 2 year certification? |
49 CFR 391.41 |
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What are DQ drugs for treating alcohol or drug abuse? |
Methadone (always a DQ) Saboxone Naltrexone Antabuse |
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What are the only Benzo's allowed for DOT? |
Wellbutrin, buspar/buspirone, lithium (after 3 month waithing period) all used for depression and bipoar |
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Special consideration drugs? |
Wellbutrine (buproprion), buspar, amitriptyline 25mg max and only at night |
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Waiting period for anti-coagulants? Which drugs can be used |
1 month (if for non cardiovascular condition) Cumadin & Warfarin (must be checked monthly) INR 2-3 Normal is .8-1.2 |
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Waiting peiod for 1 seizure of unkown cause & on NO anti-sezure medication? |
5 years 2 seizures is considered epilepsy and is DQ for 10 years until off seziure meds for 10 years, and clearance from specialist |
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What is the conversion formula to convert ISO to ANSI? |
40 db or less to qualify Subtract 14 db from 150 for 500 Hz Subtract 10 db from 150 for 1,000 Hz Subtract 8.5 db from 150 for 2,000 Hz Remember 14, 10, 8.5
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What is Aortic Artirial Anyuresium DQ limits? |
>5cm or increased .5cm in size over 6 month period >3.5cm for thoraic aorta |
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Are Monoamine Oxidase Inhibitors DQ? |
YES * Isocarboxazid (Marplan)* Phenelzine (Nardil) * Selegiline (Emsam)Tranylcypromine (Parnate) |
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INR What is it? How often do you check it? What numbers should you maintain? Normal values? |
International Normalised Ratio or INR. Prothrobin time Monthly Range must be 2-3 Normal 0.8-1.2 |
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Skilled Performance Evaluation (SPE) #? |
49 CFR 391.49 |
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What drug is a DQ if used for Pulmonary/Resporatory disease? |
Streptomyocine DQ if used |
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Waiting period for OSA (Obstructive Sleep Apnea)? |
1 month with CPAP OSA= 30 hypo-apnea/hr Yearly test with PCP required Recertify: 1 year with clearance from PCP |
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Waiting period for Seizure from known cause? |
None 0-6 months Requires specialist clearance |
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Minimum grip strength? |
58 pounds |
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Dipstick tests for DOT? |
specific gravity, glucose, protein |
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What are the 4 non-discretionary standards? |
Epilepsy, hearing, vision, insulin dependant Remember: E (edward) got HIV |
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T or F active TB is a DQ? |
True |
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T or F Narcolepsy is DQ? |
True |
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If a driver requires oxygen in any manner is it a DQ? |
Yes |
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Stage 1 hypertension? |
140-159/90-99 Certify for 1 year |
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Maximum blood pressure to qualify for 2 years? |
140/90 |
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Waiting period for Vertigo? |
2 months symptom free |
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Can a driver with Meniere's disease qualify? |
NEVER |
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High Blood pressure stage 2 & 3? |
Stage 2 160-179/100-109 Stage 3 180/110 > |
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Driver has stage 3 high blood pressure, certify? |
DQ 6 months. no CERT until under control |
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Driver has stage 2 high blood pressure, Certify? |
1 time= 3 months, if not under control after 3 months DQ until stable, safe and treatment is effective. |
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Driver taking blood pressure medication and uner 140/90, certify for how long? |
1 year |
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Driver has tachycardia at rest, certify? |
No |
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What are the audiometric levels tested for? |
500, 1000, 2000, 4000 |
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What is the minimum hearing whisper test? |
5 feet no loss more then 40 decibles.
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Driver had 2 or more episodes of hypoglycemia in last 5 years or last 12 months, certify? |
DQ |
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Murmur grading scale? |
1 strain to hear it 2 no strain to hear it 3 can clearly hear it 4 murmur with thrill 5 can hear with stethescope on skin 6 can hear it withou a stethescope on the skin |
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Progressive dementia, certify? |
DQ |
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Random drug test on CDL drivers are looking for which drugs? |
Cocaine Marijuana Opiates PCP Amphetimines |
