Bonus Questions

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1) Which of the following medications requires regular lab monitoring?

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2) Which of the following medical conditions is most likely to result in incapacitation?

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3) A 54-year-old driver presents for a physical exam. He denies any significant medical history or medications. He is a tall, thin, and healthy appearing individual. While walking to the exam room, you notice that his heels never completely touch the ground. When you ask if he has always been a toe-walker, he replies that his achilles tendon has become a little tighter, which he attributes to being an avid runner in the past. His vitals are all within normal range. What test(s) are important for the medical examiner to perform during the physical exam?

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4) Which of the following medical conditions is most likely to result in a driver being unsafe to drive?

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5) Which of the following medical conditions is most likely to result in incapacitation?

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6) A driver is unable to identify most of the numbers contained in the Ishihara’s color blindness charts and cannot distinguish traffic signal color cards in red, green, and amber. The examiner should:

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7) During an examination of a male driver, the examiner identifies an inguinal hernia that is non-reducible.  Upon questioning, the driver reports that he has had this for quite some time (it was originally diagnosed a few years ago during a CDL exam). However, he has noticed that it recently has become mildly painful with exertion but getting worse in the past week.  The examiner’s best course of action would be to?

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8) During a medical exam, the driver does not know English and fails to follow instructions from the medical examiner.  What is the next best step?

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9) A driver with a history of COPD, hypertension, and a MI, presents for recertification.  Results from the cardiologist were normal except for the driver achieving 4.5 METs on the ETT.  No testing or evaluation was done for COPD.  What should the examiner do?

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10) A driver has a blood pressure of 168/112 confirmed during the examination.  The driver would be?

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11) A driver has 35 degrees of cervical rotation to the right and left but can view both side mirrors. What is the next best step?

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12) A driver reports a recent spontaneous pneumothorax, on the right side. A previous spontaneous pneumothorax was also on the right side. The doctor has released the driver to return to driving. What is the next step?

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13) A 47-year-old female driver has a history of bipolar disorder for which she takes Lithium. She denies any history of any major or severe depressive episodes. Her blood lithium levels are frequently monitored by her treating provider. Normal lithium levels range from approximately 0.8 to 1.2mEq/L. Which of the following would you not be concerned about if the level was 1.8mEq/L?

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14) A driver lives in a state where marijuana has been legalized. He admitted to recreational marijuana use two weeks ago.  He remarks that he does not regularly use marijuana.  What is the next best step?

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