1. An unrestricted Commercial Motor Vehicle Driver Medical Certificate must be renewed:
A. Annually
B. Every Two Years
C. Every Four Years
D. Whenever the State Issued Driver's License is renewed - B. Every two years
2 years is the max for a healthy person
2. A driver presents with history of an isolated TIA 6 months ago. He has a return to work letter from his primary care provider (PCP) and neurologist. He is taking and tolerating well hydrochlorothiazide and simvastatin. All other aspects of the exam and history were normal. What should the medical examiner do next?
A. Certify driver for 1 year
B. Disqualify driver for now
C. Certify driver for 3 months
D. Certify driver for 2 years - B. Disqualify the driver for now
The waiting period is 1 year for Transient ischemic attack, stroke, or intracerebral or subarachnoid hemorrhages with no risk for seizures.
3. FMCSA regulates interstate commercial operation including the:
A. Driver
B. Vehicle
C. Motor Carrier
D. All of above - D. All of the above
Self-explanatory
4. During the CMV exam, a driver perceived a whispered voice at 5 feet in his left year and 4 feet in his right year. Exam was otherwise normal. What do you do as the medical examiner?
A. Required audiometric test to determine the extent of hearing loss in left ear
B. Certify driver for 2 years
C. Certify driver for 1 year
D. Disqualify driver - B. Certify the driver for 2 years.
Passing the forced whisper test at 5 ft in at least 1 ear is good enough.
5. Which of the following is an assessment of L4 nerve root pathology?
A. Plantar flexion
B. Patellar reflex
C. Hip extension
D. Babinski reflex - B. Patellar Reflex ("Knee-Jerk Reflex")
Patellar Reflex = L3-L4 (Primarily the L4)
Plantar Flexion = S1-S2 (Tibial nerve)
Hip Extension = L4-L5 (via the gluteal nerve)
Babinski Reflex (Plantar Flexion) = upper motor neuron lesion
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