Exam 4: Driver Identification and History

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Which one of the following best completes the below statement regarding affirmative questions in the driver's health history? The medical examiner must identify, query and note:

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A 50-year-old male CMV driver has chronic kidney failure and is on hemodialysis (Mon, Wed, & Fri) for the past 2 years. His treating physician provided him with a medical report indicating that he can work normally except on the days he is undergoing dialysis. He is also suffering from hypertension. This CMV driver would be:

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A 44-year-old male presents for examination. He has undergone a surgery for repair of a 5.0 cm abdominal aortic aneurysm 1 year ago. He provides a clearance report by a cardiovascular specialist indicating he is asymptomatic. Is this person qualified? If yes, for how long?

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Why is it important to ask a person who has given negative responses to health history questions about any supplements taken?

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When performing a risk assessment of a driver's current medical treatment, the medical examiner must determine if the treatment taken is:

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A 43-year-old male who was previously certified as a CMV driver presents for re-certification. He wears a hearing aid device in his left ear since 5 years ago. He provides a recent audiometer test report indicating that his left ear has a hearing loss of 50 Db at 500Hz with the use of a hearing aid. His right ear is normal. Is this person eligible for re-certification? If yes, under what conditions?

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According to FMCSA's guidelines, which of the following physical health history conditions is immediately disqualifying?

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Which of the following health history condition(s) require(s) referral to a specialist for consultation and evaluation before conducting medical examination for the purpose of CMV driving?

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A 34-year-old male presents for examination. He has a cast on his left forearm as a result of falling down the stairs 2 weeks ago. On questioning of his past and current health condition, he states that he is currently feeling dizziness, fatigue, irritability and nausea. Also 1 month before he broke his hand he had a bacterial infection in his right inner ear, he was prescribed amoxicillin pills and 1 week later he had an allergic reaction. Which one of the below mentioned is most likely to be the cause of the symptoms and must be investigated further?

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A 46-year-old male driver presents for examination. He has a history of pneumothorax as a result of a car accident 4 years ago. He is a smoker. Since the last 2 weeks, he decided on his own to use Ventolin inhalers to ease his symptoms. He experiences frequent chest pain and shortness of breath.His only medical record provided is a pulmonary function evaluation showing a FVC of 60%. Can this driver be certified and why?

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According to FMCSA, what annual examinations are required for an interstate CMV driver who is certified under the Federal Diabetes Exemption Program for 2 years?

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The driver must fill out section 1 of the Medical Examination Report. For the purpose of confirming the driver's identification, the medical examiner is responsible to check the following information in section 1:

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A 50-year-old female driver informs you that 2 years ago she had a mastectomy as a result of breast cancer. She has healed completely andis now following an annual screening program. She is taking Enjuvia (Conjugated Estrogen) as a hormone replacement therapy (HRT) as she is suffering from severe menopause symptoms. Other than possible side effects from HRT medications, what important issues in relation to her medical history must you discuss and query?

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The purpose of the health history questions is to obtain information for any pre-existing physical, mental, or organic health conditions. While you perform the health history assessment for a 37-year-old male CMV driver, he answered Yeswhen asked if he has high blood pressure. For this answer you need to discuss with or ask the driver for additional information, except for:

(Multiple Choice)
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A 29-year-old female army veteran presents for examination to qualify as a CMV driver. She admits that she has had a head surgery after a bullet penetrated her head 3 years ago. She lost consciousness for 36 hours after the incident occurred. No history of seizures post injury. No current medication or any other health issues. She is a smoker. Is this person qualified to drive a CMV and why?

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While reviewing and discussing a person's health history, which of the following condition(s) indicate(s) a weight disorder that requires further assessment and querying?

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According to FMCSA's guidelines, which of the following neurological health history conditions is immediately disqualifying?

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A 49-year-old male presents for examination to qualify as an interstate CMV driver. While you interview him he admits drinking alcohol whenever he has a headache and inability to sleep, and sometimes alcohol helps him overcome any feeling of nausea. He has no other significant health issues. He used to exercise 3 times a week but stopped 6 months ago as he doesn't find time for it. What is the most probable health history of this person and what would be your decision regarding his medical examination process?

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A 25-year-old male presents for examination. In the health history section he answers "yes" to the question "Regular, frequent alcohol use." What should the medical examiner query and discuss with this person in relation to his answer?

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A 47-year-old female admits to being diagnosed with asthma 7 years ago and that she's using a Ventolininhaler for at least 5 timesaday. She was hospitalized 3 times in the past year as a result of her condition. Is this person qualified to be a CMV driver, and why?

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