Exam 4: Driver Identification and History

What are the main factors that contribute to a driver's stress and fatigue?

A 43-year-old male presents for examination for the purpose of re-certification. He has a history of sleep apnea; however, he is cleared by his treating physician based on successful PAP (positive airway pressure) treatment. He indicated he had undergone a mitral valve repair surgery 6 weeks before. He provides a cardiologist report indicating that he is asymptomatic, tolerant to medication, can perform light duty work, and must return for post-operative evaluation after 12 weeks. Is this person qualified to continue the examination, and why?

A 52-year-old female CMV driver states that she is taking Coumadin since 5 months ago in relation to her acute deep vein thrombosis (DVT). She provides a medical report indicating that she is asymptomatic. What additional health history information is needed from this person?

A 20-year-old person approaches you and asks you to perform a medical examination for him as he is planning to apply for an interstate CMV driver job advertised by a local transportation company. According to the FMCSA standards, a person under 21 is not eligible to work as an interstate CMV driver; however, you can still perform the examination because:

According to CFR 391.41(b)(10) regulations, can an individual who has a known history of Daltonism be certified?

According to FMCSA's guidelines for the Diabetes Exemption Program, what is the minimum period required to demonstrate insulin stability following the first episode of hypoglycemia before a CMV driver with diabetes mellitus can be certified?

When discussing medication with a positive health history person, the medical examiner must assess and evaluatethe side effects that may impair driving ability such as:

According to FMCSA's guidelines, the medical examiner's comments on a driver's health history must include as a minimum:

According to FMCSA guidelines, what is the hypertension stage of a chronic hypertension person with blood pressure 190/115?

According to the Federal Diabetes Exemption Program requirements, a CMV driver with diabetes mellitus who is previously treated with oral medication and now requiring insulin must establish a stable control of hypoglycemia or hyperglycemia for a period of:

A 56-year-old male driver applying for a new certificate admitted that he suffered a myocardial infarction (MI) 3 months before. He provides you with a clearance certificate by a cardiologist. He also informs you that he is not feeling any chest pain post MI. Is this information sufficient to determine his health history?

A 39-year-old female presents for examination. She's been suffering from carpal tunnel syndrome in her right hand for the last 6 months as a result of her previous job as office assistant. She has weak hand grasp and is not taking any treatment for the syndrome. What would you require from this person in order to complete the qualifying procedure under CFR 391.41?

A 47-year-old male driver has had surgery 2 years ago and has an Implantable Cardiac Defibrillator (ICD). What is the certification period for such a medical condition history?

On September 25th, 2014, while you perform a health history questionnaire on a 25-year-old male driver, he informs you that he previously had two (2) incidents of unprovoked seizures, one in 2009 and a second one in 2012. He stopped taking anti-seizure medication since 2013. He has no other health issues. How would you define his medical history in relation to these seizure incidents and what would be your decision regarding his fitness to drive?

For the purpose of the Federal Diabetes Exemption Program, FMCSA defines a severe hypoglycemic reaction as something that results in:

On August 27, 2013 a 43-year-old male CMV driver requests that you perform a recertification examination. He provides you with a Medical Examiner's Certificate that has expired on July 23, 2013. You complete the medical examination, but before you issue a renewed medical certificate, you need additional medical reports concerning a previous knee surgery that was done back in March 2010. You ask him to return to you on September 10, 2013 with the required reports in order to complete the examination. The driver returns on September 10, 2013 and provides all needed documents. You complete the examination, confirm that he is qualified and you issue the renewed certificate. The expiry date to be recorded on his renewed medical certificate should be:

A 40-year-old female presents for examination. She admits to being diagnosed with irritable bowel syndrome (IBS) a year ago. She is prescribed dicyclomine 10mg capsules four times daily. She is maintaining the treatment, is tolerant to medication and her symptoms are well-controlled. Can this person be qualified as CMV driver, and why?

According to CFR 391 regulations, an ophthalmologist/optometrist evaluation is required in the case of which of the following health history condition(s)?

A 37-year-male CMV driver presents for examination. He has the fourth finger missing from his right hand. He provides a medical report confirming a strongright-hand grasp. Does this person require a Skill Performance Evaluation (SPE) Certificate by FMCSA to complete the qualifying procedure under CFR 391.41, and why?

What is the maximum certification period of a 44-year-old male CMV driver with a history of angina pectoris and who provides a cardiologist report dated 4 months before indicating that he is asymptomatic, tolerant to medication, and achieved 110 bpm as a maximum heart rate (HRmax) on ETT?