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60 Cards in this Set

  • Front
  • Back

Factors affecting the severity of chronic diseases leading to possible disqualification include all but:




A) Symptoms may interfere with the ability to drive.

B) Symptoms may come on too fast for the driver to stop the vehicle before becoming incapacitated.

C) Well tolerated medications may be needed to stabilize the condition.

D) Symptoms may come on so slowly that the driver is unaware of diminished capacity to operate the vehicle.

C) Well tolerated medications may be needed to stabilize the condition.

Drivers must have the following physical abilities except:




A) Grip strength.



B) Upper body strength.



C) Ability to lift 70 lbs. frequently.



D) Balance and flexibility.

C) Ability to lift 70 lbs. frequently

Which of the following is false concerning Epilepsy:




A) A current clinical diagnosis of epilepsy is disqualifying.

B) If a driver is seizure free on anticonvulsive medication, he/she may be qualified.

C) Additional advisory criteria addresses single unprovoked seizures.

D) Epilepsy is a chronic disease which may lead to loss of control of a commercial vehicle.

B) If a driver is seizure free on anticonvulsive medication, he/she may be qualified.

Which of the following is false concerning medical standards vs. advisory criteria/guidelines?




A) Standards, or Federal Motor Carrier Safety Regulations (FMCSRs) are legal requirements and must be followed.

B) Guidelines are based on medical expert panel reviews and are considered best practices.

C) When the guidelines are not followed you should provide an explanation in the comments section of the examination form.

D) There are 4 standards and 9 guidelines for commercial driver medical qualification.



D) There are 4 standards and 9 guidelines for commercial driver medical qualification.

A driver comes in for recertification. He hasbeen diagnosed with a cataract in his left eye and will be having surgery in afew months. He has a new eyeglass prescription and his vision is found to be:




L- cannot read the chart uncorrected, 20/70 corrected.


R - 20/40.




You would:




A) Issue a temporary 3 month certificate and re-examine after surgery.

B) Disqualify the driver.

C) Qualify the driver for 2 years since he has one eye meeting regulations.

D) Qualify the driver for 1 year since he wears glasses.

B) Disqualify the driver.

A 43 y/o male driver has an otherwise normal exam except for amputation of the ring and little fingers of the left hand. The driver:




A) Needs to undergo a one-time SPE examination.

B) Can be cleared for one year if his grip strength is normal.

C) Can be cleared if his grip strength is normal.

D) Needs to undergo an annual SPE examination.

C) Can be cleared if his grip strength is normal.

Four of the 13 Federal Motor Carrier Regulations or Standards are non-discretionary, with objective criteria not requiring decision making by the examiner. Which are the 4 standards?




A) Vision, Hearing, Diabetes Mellitus and Epilepsy

B) Vision, Hearing, Epilepsy and Hypertension

C) Vision, Diabetes Mellitus, Hypertension and Epilepsy


D) Hearing, Diabetes Mellitus, Hypertension and Epilepsy



A) Vision, Hearing, Diabetes Mellitus and Epilepsy


Which of the following is true concerning the Medical Examination Report form?




A) You are required to provide a copy of the report to the employer. FMCSA prohibits release of the medical examination report form to the employer.

B) You should obtain a release from the driver if the employer wishes to obtain a copy of the examination report.

C) It is not necessary to obtain a release from the driver in order to provide the examination report to the employer since this is a federally regulated examination.

B) You should obtain a release from the driver if the employer wishes to obtain a copy of the examination report.

Which is true of FMCSA Driver Exemption Programs?




A) There are exemption programs for vision, diabetes and hearing.

B) The medical examiner decides whether to grant an exemption.

C) An exemption is valid for 2 years, with an annual medical examination.

D) An exemption is valid for 1 year with an annual medical examination.

C) An exemption is valid for 2 years, with an annual medical examination.

Factors resulting in injuries and fatalities in large truck crashes include all except:




A) Injury severity equals relative velocity change.

B) The greater the mass, the greater relative velocity change.

C) The crash of a vehicle having twice the mass with a lighter vehicle equals a six-fold risk of death to persons in the lighter vehicle.

D) An SUV weighs approximately 4000 lbs. A loaded semi-tractor trailer truck weights approximately 80,000 lbs. The truck has 20 times the mass of the SUV.

B) The greater the mass, the greater relative velocity change.

Which of the following is true regarding the Medical Examination Certificate?




A) The medical examiner completes the certificate and provides a copy to the driver and a copy to the employer.

B) A release form is required to provide the certificate to the employer.

C) Only the driver needs a copy of the certificate if the employer has a copy of the medical examination report form.

D) The employer must keep both the medical examination report form and the certificate on file.

A) The medical examiner completes the certificate and provides a copy to the driver and a copy to the employer.

A driver returns to work after a two week absence due to a respiratory illness. He presents a note from his physician that he was unable to work as a truck driver because of the illness and is now cleared for returning to work. His medical certificate expires in 3 months. The driver:




A) Should be allowed to return to work based on his physician’s note.

B) Should undergo a new commercial driver examination.

C) May only be qualified for one year.

D) Can return to work at the discretion of the motor carrier.

B) Should undergo a new commercial driver examination.

A 62 y/o woman is seen for a recertification. She is a smoker and has osteoarthritis, treated with Mobic, 15mg/day. On exam she has cervical ROM limited to 15o. She has a note from her doctor that she may drive a truck but may not climb nor flex her knees beyond 90.




A) She can be qualified for a 2 year certificate.

B) She can be qualified for one year.

C) She is disqualified due to inability to climb or flex her knees.

D) She is disqualified due to Mobic.

C) She is disqualified due to inability to climb or flex her knees.

Required cognitive skills include:




A) Problem solving, communication, judgment, and appropriate behavior in both normal and emergency situations.

B) Problem solving, communication, ability to use a GPS, and appropriate behavior in both normal and emergency situations.

C) Problem solving, communication, judgment, and ability to use a GPS.

D) Ability to use a GPS, communication, judgment, and appropriate behavior in both normal and emergency situations.

A) Problem solving, communication, judgment, and appropriate behavior in both normal and emergency situations.

Regulations affecting commercial drivers include:




A) Medical Fitness for duty certification, respiratory protection standard, hours of service

B) Routine electrocardiogram testing, medical fitness for duty certification and drug screening

C) Medical fitness for duty certification, drug screening, alcohol screening

D) Medical fitness for duty, drug screening, hours of service, routine audiometry testing.

C) Medical fitness for duty certification, drug screening, alcohol screening

Motor carriers are responsible for ensuring their commercial drivers:




A) Are at least 19 years old, speak and read English well enough to converse with the general public and have a valid medical examiner’s certificate

B) Are at least 21 years old, speak and read English well enough to converse with the general public and have a valid medical examiner’s certificate

C) Are at least 21 years old, speak and read English well enough to converse with the general public and can lift at least 50 pounds frequently

D) Are at least 21 years old, have no outstanding violations and have a valid medical examiner’s certificate

B) Are at least 21 years old, speak and read English well enough to converse with the general public and have a valid medical examiner’s certificate

Factors contributing to commercial driving stressors include:




A) Short relay routes, tight pick up and delivery schedules, adverse road conditions.

B) Long relay routes, abrupt schedule changes, responsibility for passenger safety.

C) Long relay routes, frequent rest periods, responsibility for passenger safety.

D) Long relay routes, abrupt schedule changes, returning home every night.

B) Long relay routes, abrupt schedule changes, responsibility for passenger safety.

A driver is returning to work from an alcohol rehab program. Who should evaluate the driver and make recommendations on education, treatment, follow up testing, and aftercare?




A) The Motor carrier

B) The driver’s private physician

C) Substance abuse professional

D) The medical examiner


C) Substance abuse professional


A 42 y/o woman in general good health has a completely normal examination except for urine: spec grav 1.020, protein 1+,glucose neg, blood 4+. She gives additional history that she is on the 4th day of her menstrual period with heavy bleeding, which she says in not unusual for her. She denies any affect on alertness which would interfere with driving. Which of the following would NOT be appropriate:





A) Obtain a Hb to assess for anemia.


B) Qualify for 2 years, refer to gyn or PMD for possible excessive bleeding leading to anemia.


C) Hb is found to 12.2, disqualify pending further evaluation.


D) Ask about medications and supplements.



C) Hb is found to 12.2, disqualify pending further evaluation.


Which of the following is false regarding 3month certificates for hypertension?


A) Can be granted for a recertification BP reading of above 140/90.


B) Can be granted for an initial/new certification with stage 2 hypertension.


C) Can be granted for a new certification with BP 156/102


D) Can be granted after a 3 mo card has been given and the driver returns with improved BP, but still not below 140/90.




D) Can be granted after a 3 mo card has been given and the driver returns with improved BP, but still not below 140/90.

A driver with Stage 3 hypertension (greaterthan or equal to 180/110):



A) Is disqualified


B) Can be given a 3 month certification if this is the first time the blood pressure has been elevated


C) Can be given a one year certification


D) Can be given a 3 month certification if this is a recertification exam, but not if it a new certification


A) Is disqualified

Which Expiration date is incorrect:



A) Driver A - Examination 4/16/2011 - Meets standards in 49 CFR 391.41; qualifies for two year certificate. Expiration 4/16/2013


B) Driver B - Examination 4/16/2011 - Meets standards, but periodic monitoring required due to hypertension - driver qualified for 1 year. Expiration 4/16/12


c) Driver C - Examination 4/16/2011 - Disqualified due to not having results of post-CABG stress test for review. 4/25/2011 - Return to medical examiner's office with test results (attached) - driver qualified for one year. Expiration 4/25/12


D) Driver D - Examination 4/16/2011 - Disqualified due to diagnosis of benign positional vertigo 3/15/2011 - Return to medical examiner's office for Certification Examination on 5/20/11. Note asymptomatic since 3/11/2011 but periodic - driver qualified for two years. Expiration 5/20/13.


c) Driver C - Examination 4/16/2011 - Disqualified due to not having results of post-CABG stress test for review. 4/25/2011 - Return to medical examiner's office with test results (attached) - driver qualified for one year. Expiration 4/25/12

The regulatory non-discretionary standardsinclude:



A) Vision, hearing, blood pressure and seizure disorders.


B) Vision, hearing, epilepsy, and diabetes.


C) Vision, hearing, blood pressure and diabetes


D) Vision, hearing, blood pressure and epilepsy


B) Vision, hearing, epilepsy, and diabetes.

When you perform a urinalysis (dip stick)test, you are to test for what?


A) Specific gravity, drugs, protein (proteinuria) and Glucose (glycosuria)


B) Specific gravity, protein (proteinuria), blood (hematuria) and glucose (glycosuria)


C) Specific gravity, protein (proteinuria), drugs and blood (hematuria)


D) Specific gravity, protein (proteinuria) blood (hematuria) and drugs



B) Specific gravity, protein (proteinuria), blood (hematuria) and glucose (glycosuria)

Which is true concerning the SkilledPerformance Evaluation (SPE)?



A) An SPE may be used to evaluate fixed deficits of the extremities


B) An SPE may be used to evaluate weakness caused by chronic conditions such as muscular dystrophy or Parkinsons.


C) The examiner performs the SPE only if the driver is otherwise qualified.


D) An SPE should be performed for drivers with abnormalities such as clubbing, edema, or neurological conditions affecting the extremities.



A) An SPE may be used to evaluate fixed deficits of the extremities


Concerning periodic monitoring (certificationof less than 2 yrs) which of the following is false:



A) You must write the reason for periodic monitoring on the certification section of the examination form.


B) Periodic monitoring can only be for either 3, 6 or 12 months.


C) The expiration date is calculated from the original exam date, not any follow up exam dates.


D) You are never required to certify for an interval longer than would be necessary to adequately monitor a driver’s medical fitness for duty.



B) Periodic monitoring can only be for either 3, 6 or 12 months.


The FMCSA describes the periodic physicalqualification examination of the CMV driver to be a “medical fitness for duty”examination. As such:



A) The primary goal of the exam is to determine if there any health conditions creating an unacceptable public safety risk.


B) It is acceptable to begin a treatment plan for conditions diagnosed during the exam.


C) Benign conditions with good prognoses are not considered disqualifying.


D) You are not to educate drivers about their conditions, rather leave that to their primary care providers


A) The primary goal of the exam is to determine if there any health conditions creating an unacceptable public safety risk.

A 62 y/o male driver with COPD arrives forrecertification. He was discharged from hospitalization for exacerbation ofCOPD 3 months ago. A note from his pulmonologist indicates he may drive. Hemust use supplemental oxygen for any exertion. You determine:



A) He may be certified for one year


B) He may be certified if his PaO2 is >92%


C) He is disqualified


D) He may certified for 3 mos, then re-evaluated



C) He is disqualified


Upon examination of a 46 y/o male smoker, youdetect an irregularly irregular heart rhythm. The rate is 140 bpm. This isunknown to the driver and he denies any symptoms of lightheadedness, shortnessof breath, dizziness, palpitations, nor any cardiac history. You would:



A) Disqualify and refer to his PMD or cardiologist for further evaluation.


B) Order an ECG, cardiac ECHO, pulse ox and give a 3 mo. card pending results.


C) Give a 3 mo certification pending evaluation by his PMD.


D) Give a 1 yr certification and require cardiology evaluation upon recertification.


A) Disqualify and refer to his PMD or cardiologist for further evaluation.

Concerning the medical certificate, which isfalse?



A) Provide the original to the driver being examined.


B) Retain a copy for at least 3 years.


C) You may not provide a copy to the current or prospective employer, they must get it from the driver.


D) The driver must carry the original certificate during operation of a CMV.


C) You may not provide a copy to the current or prospective employer, they must get it from the driver.

Which of the following is false concerning thetype of certification?


A) A New certification requires a full examination


B) A Recertification only requires a limited examination


C) A Follow up is a continuation of a New or Recertification and does not require a physical examination


D) Any certification can be for a maximum of 2 years.



B) A Recertification only requires a limited examination

Which condition is disqualifying:



A) Kidney dialysis


B) A pacemaker


C) COPD


D) Chronic low back pain



A) Kidney dialysis


Drivers must meet the age requirement in orderto drive an interstate commercial motor vehicle (CMV). What is the age limit?



A) 16 years old


B) 18 years old


C) 21 years old


D) 23 years old


C) 21 years old

Routine required diagnostic testing forcommercial drivers includes all but which of the following:



A) Vision testing by Snellen or Titmus


B) Hearing test


C) Urinalysis


D) ECG


D) ECG

Who, beside the medical examiner, is allowedto measure height and weight during a physical examination?



A) May bring from home


B) Trained assistive personnel


C) No one else

D) Receptionist


B) Trained assistive personnel

How long must you retain a copy of the drivermedical records, including the certificate?


A) 1 year


B) 2 years


C) 3 years


D) 4 years




C) 3 years


Which of the following is false concerningadditional information the driver is to provide for any “yes” responses on thehistory section of the examination form?



A) Must list diagnosis and date of onset of the condition


B) Must list treating provider contact information


C) Any limitations resulting from current or previous conditions


D) Must list only prescription medications, not vitamins or supplements



D) Must list only prescription medications, not vitamins or supplements


What is the maximum expiration date of aMedical Examiner’s Certificate?



A) 1 year


B) 2 years


C) 3 years


D) 4 years



B) 2 years


Choose the correct statement regardingglaucoma:



A) Glaucoma results in deficits of night vision, color vision and central visual field.


B) A driver with glaucoma will generally complain of pain caused by increased intraocular pressure.


C) Gradual peripheral field deficits may be an early sign of glaucoma.


D) The Snellen chart exam will reveal signs of glaucoma.



C) Gradual peripheral field deficits may be an early sign of glaucoma.


Which of the following is false regardingretinopathy:



A) Carcinoma-associated retinopathy is characterized by slow onset of blindness caused by retinal degeneration, usually of photoreceptors.


B) The most common cause of retinopathy is diabetes mellitus.


C) Guidelines for diabetics include an annual optometrist or ophthalmologist examination.


D) Proliferative retinopathy may be caused by diabetes, sickle cell disease and sickle cell-thalassemia disease.



A) Carcinoma-associated retinopathy is characterized by slow onset of blindness caused by retinal degeneration, usually of photoreceptors.


A 48 y/o male driver has history of a huntingaccident within the past 5 years resulting in a left orbital fracture. Hepresents a note from the ophthalmologist that he “may drive.” Uncorrectedvisual acuity is: R-20/40, L - 20/20, Horizontal field of vision: R - 80o, L -inconclusive. On physical examination the L eye muscles do not move the eye tothe left. What is the appropriate determination for the medical examiner?



A) 3 mo certification pending ophthalmologist re-evaluation for field of vision testing.


B) Disqualification and referral to specialist for precise visual field measurements.


C) Otherwise qualified, refer to FMCSA for vision exemption.


D) 2 year certification as the driver has one good eye.



B) Disqualification and referral to specialist for precise visual field measurements.


Which driver meets the hearing standards?



A) Forced whisper test: L ear - 4 feet, R ear - 4 feet.


B) Audiometric test results - Hearing loss in decibels (dB) 500 Hz, 1,000 Hz, 2,000 Hz | Rt. Ear: 30, 45, 40 | Lt. Ear: 45,45,35|


C) Audiometric test results - Hearing loss in decibels (dB) 2000 Hz, 3,000 Hz, 4,000 Hz | Rt. Ear: 30, 45, 40 | Lt. Ear: 45,45,35|


D) Forced whisper test: driver with hearing aids in both ears: L ear - 4 feet, R ear - 3 feet.



B) Audiometric test results - Hearing loss in decibels (dB) 500 Hz, 1,000 Hz, 2,000 Hz | Rt. Ear: 30, 45, 40 | Lt. Ear: 45,45,35|


The medical examiner should ask the driverabout all of the following conditions and refer for specialist evaluationexcept:



A) Retinopathy


B) Cataracts


C) Macular degeneration


D) Conjunctivitis



D) Conjunctivitis


Drivers with hearing aids:



A) Are not qualified to drive commercially.


B) May use hearing aids to undergo the forced whisper test.


C) Must be evaluated by an audiologist.


D) Must have no greater than 40 decibel loss with or without hearing aids in both ears.



B) May use hearing aids to undergo the forced whisper test.


Chuck is a CMV driver who presents forrecertification. He has a history of frequent ear infections in childhood. Hehad multiple tympanic membrane ruptures and infections in elementary school andinto his middle-school years. He has “always” been “hard of hearing” in hisleft ear. On exam you note his L tympanic membrane is scarred and misshapen andhe has post-nasal drainage. Which of the following is the appropriate procedureand/or determination for this driver:


A) Whisper test L ear - 3 feet, R ear - 5 feet, he passes the hearing exam and is issued a 2 year certificate.


B) Whisper test L ear - 3 feet, R ear - 5 feet, he passes the hearing exam but is issued a 3 month certificate to follow up on the post nasal drainage as this could affect his hearing.


C) Whisper test L ear - 3 feet, R ear - 5 feet, he passes the hearing exam and is issued a 3 month certificate pending ENT evaluation.


D) Whisper test L ear - 3 feet, R ear - 5 feet, order audiometry exam.




A) Whisper test L ear - 3 feet, R ear - 5 feet, he passes the hearing exam and is issued a 2 year certificate.


Which is true of the FMCSA vision waiverprogram?



A) There are a small number of drivers remaining from the mid-90’s waiver program.


B) There is an ongoing waiver program which current drivers may apply for if they are otherwise qualified.


C) Any driver with monocular vision may be issued a waiver by the medical examiner if they are otherwise qualified.


D) Drivers with the waiver can be certified for a 2 year maximum certification period.



A) There are a small number of drivers remaining from the mid-90’s waiver program.


A 55 y/o male driver is otherwise qualifiedbut gives a history of cataract in the L eye with visual acuity L: 20/200, R -20/30, horizontal field of vision 85o bilaterally. The appropriatedetermination would be:



A) Qualify for 2 years as he has one good eye.


B) Disqualify and refer to ophthalmologist for evaluation of cataract removal and intraocular lens replacement.


C) Disqualify and refer to optometrist for eyeglass prescription.


D) Qualify for 3 months pending ophthalmologist evaluation.



B) Disqualify and refer to ophthalmologist for evaluation of cataract removal and intraocular lens replacement.


The following statements are true concerninghearing requirements of commercial drivers except:



A) Hearing aids may not be worn during the forced whisper test.


B) Either the forced whisper or audiometry tests may be performed first.


C) The forced whisper test is passed if one ear perceives the forced whisper at 5 feet.


D) Administration of both tests is only necessary if the first test is failed.



A) Hearing aids may not be worn during the forced whisper test.


Physical qualifications for vision regulationsinclude all but:


A) Distant visual acuity of at least 20/40 (Snellen) in each eye without corrective lenses or visual acuity separately corrected to 20/40 (Snellen) or better with corrective lenses.


B) Distant binocular acuity of at least 20/40 (Snellen) in both eyes with or without corrective lenses.


C) Field of vision of at least 85o in the horizontal meridian in each eye


D) The ability to recognize the colors of traffic signals and devices showing standard red, green and amber.




C) Field of vision of at least 85o in the horizontal meridian in each eye


The commercial driver must perceive therelative distance of objects due to all except:



A) React appropriately to vehicles in adjacent lanes.


B) Make lane changes.


C) Read dashboard data.


D) Avoid other vehicles on the road.



C) Read dashboard data.


A driver is disqualified on 3-11-13 due tobenign positional vertigo. She returns on 6-20-13 with a note from her ENT thatshe has been symptom free since 4-16-13. You would:



A) Perform a recertification exam. If qualified, issue a one year certification.


B) Disqualify as the waiting period for benign positional vertigo is 3 months symptom free.


C) Perform a recertification exam. If qualified issue a two year certification.


D) Perform a follow up exam, document the 2 month symptom free waiting period and the note from the ENT in the comments section of the examination form. Certify for one year from the date of the original examination.



C) Perform a recertification exam. If qualified issue a two year certification.


A 70 y/o driver fails his eye exam. He returnsafter seeing his ophthalmologist with a new pair of telescopic lenses and a notefrom the ophthalmologist stating the patient can drive. As the medical examineryou should:


A) Perform a recertification exam and if he passes the vision requirements, certify for one year, requiring ophthalmology examination annually.


B) Request specialized visual field exam from the ophthalmologist to assess level of redirection of peripheral vision from the new lenses.


C) Disqualify, telescopic lenses are not acceptable for commercial driving.


D) If he is otherwise qualified, refer to FMCSA for a vision exemption.



C) Disqualify, telescopic lenses are not acceptable for commercial driving.

When audiometry is used to test a drivershearing:



A) The driver passes if there is no greater than 40dB average loss over 500, 1000 and 2000 Hz in the better ear.


B) The driver passes if there is no greater than 40dB average loss over 500, 1000 and 2000 Hz in the better ear. If hearing aids are worn, both ears must pass.


C) The driver passes if there is no greater than 40dB average loss over 2000, 3000 and 4000 Hz in the better ear.


D) The driver passes if there is no greater than 40dB average loss over 500, 1000 and 2000 Hz in both ears.



A) The driver passes if there is no greater than 40dB average loss over 500, 1000 and 2000 Hz in the better ear.


Guidance recommends drivers not be certifiedwith all of the following conditions except:



A) Uncontrolled vertigo


B) Meniere’s disease


C) Labyrinthine fistula


D) Otitis Media



D) Otitis Media


The federal vision exemption program:


A) Is for any driver who is otherwise qualified but does not pass the vision portion of the examination.


B) Is only for monocular vision and annually renewable with 2 year certification.


C) Is only for monocular vision and is renewable every 2 years and can be certified for 2 years.


D) Is only for monocular vision, renewable every 2 years with an annual medical examination and an annual optometrist or ophthalmologist examination, and certification for one year.




D) Is only for monocular vision, renewable every 2 years with an annual medical examination and an annual optometrist or ophthalmologist examination, and certification for one year.


All of the following may perform and certifyvision test results except:



A) A chiropractor


B) Ophthalmologist


C) Optometrist


D) Registered Nurse



D) Registered Nurse


A 3 month certificate:



A) Is issued when BP is greater than 140/90 and may be renewed consecutively.


B) Is issued one time for any BP greater than 140/90.


C) Is issued only once in a lifetime.


D) Is issued for the first time a driver exhibits stage 2 hypertension.



D) Is issued for the first time a driver exhibits stage 2 hypertension.


Concerning drivers with hypertension:



A) Stage 1 hypertension may be recertified for 2 years if BP is lowered to less than 140/90.


B) A driver disqualified for stage 3 hypertension may be recertified for 6 months if BP is less than 140/90 and medications are well tolerated.


C) Stage 1 hypertension carries a high risk for the development of acute hypertension related events which could impair judgment and affect driving ability.


D) Only the medical examiner may take a driver’s blood pressure reading and record on the examination form.



B) A driver disqualified for stage 3 hypertension may be recertified for 6 months if BP is less than 140/90 and medications are well tolerated.


A 56 y/o male driver was seen 2-13-13 for anew certification. He was disqualified due to BP 186/114. Subsequent work uprevealed reno-vascular hypertension, corrected with surgery 9-17-13. He returnsfor certification 11-25-13 with BP 138/86, exam otherwise unremarkable. Hebrings all supporting hospital discharge summaries and note from his surgeonthat he is able to drive. What is the correct disposition of this case?



A) Disqualify until waiting period of 3 mos. Then, qualified for 6 month intervals as for all cases of stage 3 hypertension.


B) Disqualify until waiting period of 3 mos. Then qualified for one year.


C) Qualified as waiting period of 2 months is satisfied, then six month recertifications.


D) Qualified with one year certification from date of exam, then annual recertifications.



B) Disqualify until waiting period of 3 mos. Then qualified for one year.


Using current FMCSA guidelines a driver with aBP reading of 180/112:



A) Should be issued a 6 month certificate and recertified if the BP comes down below 140/90.


B) Should be issued a 3 month certificate and recertified only if BP comes down below 140/90.


C) Is disqualified. Once the BP comes down to below 180/112, may be recertified for one year.


D) Is disqualified. Once the BP comes down to below 140/90, may be recertified for 6 months.



D) Is disqualified. Once the BP comes down to below 140/90, may be recertified for 6 months.