Term
|
Definition
Symptomatic at ANY size.
Recommendation for repair by Cardiologist.
Has GROWN more than 0.5cm in past 6 months. |
|
|
Term
| AAA certification criteria |
|
Definition
The AAA is:
Less than 4 cm
Asymptomatic.
4-5 cm with clearance from cardiologist |
|
|
Term
|
Definition
PaO2 less than 65 at less than 5000 feet.
PaO2 less than 60 at more than 5000 feet.
PA CO2 greater than 45 at any altitude. |
|
|
Term
| ADHD certification criteria |
|
Definition
1- Complies with treatment program.
2- tolerated treatment without disqualifying side effects(sedation or impairment).
3- evaluation from appropriate mental health professional. |
|
|
Term
| ADHD certification interval |
|
Definition
|
|
Term
|
Definition
1- Active psychosis.
2- prominently negative symptoms such as:
-substantially compromised judgment.
-attentional difficulties.
-suicidal behavior or ideation.
-personality disorder with over inappropriate acts.
3-Side effects that interfere with driving. |
|
|
Term
|
Definition
| No recommended time frame |
|
|
Term
| Abdominal aortic aneurysm waiting time |
|
Definition
| Three months post surgery |
|
|
Term
| Abnormal Muscular activity Waiting Period |
|
Definition
|
|
Term
| Abnormal muscular activity certification criteria |
|
Definition
|
|
Term
| Abnormal muscular activity certification period |
|
Definition
|
|
Term
| Abnormal muscular activity failure criteria |
|
Definition
Diagnosis of:
Myotonia
Isaac's syndrome
Stiff man syndrome |
|
|
Term
|
Definition
|
|
Term
| Acute DVT Failure criteria |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Acute seizures structural insult (hemorrhage without risk for seizures) waiting period |
|
Definition
| one year seizure-free and off antiseizure medications |
|
|
Term
| Acute seizures structural insult (mild without early seizures) waiting period |
|
Definition
| one year seizure-free and off anti-seizure medications |
|
|
Term
| Acute seizures structural insult (sstroke without risk for seizures) waiting period. |
|
Definition
| One year seizure-free and off anti-seizure medications |
|
|
Term
| Acute seizures structural insult certification criteria |
|
Definition
normal physical exam, neuro exam, neuro ophthalmologic exam and neuro psych exam.
Clearance from neurologist |
|
|
Term
| Acute seizures structural insult maximum sort |
|
Definition
|
|
Term
| Acute seizures structural insult waiting period-stroke or hemorrhage with risk for seizures |
|
Definition
| 5 years seizure-free and off med |
|
|
Term
| Acute seizures systemic metabolic illness certification criteria |
|
Definition
-the underlying systemic metabolic dysfunction corrected
-No disqualifying risk of recurrence |
|
|
Term
| Acute seizures systemic metabolic illness leading. |
|
Definition
|
|
Term
| Acute seizures systemic metabolic illness maximum certification time |
|
Definition
|
|
Term
| Acute seizures waiting period-moderate insult with early seizures |
|
Definition
| 5 years seizure-free and off medications |
|
|
Term
| Alcoholism certification interval |
|
Definition
|
|
Term
| Alcoholism failure criteria |
|
Definition
Current clinical diagnosis of alcoholism.
Signs of current alcoholic illness.
Noncompliance with DOT alcohol conduct guidelines.
Alcohol related unstable physical condition. |
|
|
Term
| Allergic rhinitis maximum certification period |
|
Definition
|
|
Term
| Allergic rhinitis waiting period |
|
Definition
|
|
Term
| Allergy related life-threatening conditions failure criteria |
|
Definition
A. No effective treatment regimen.
B. No successful preventive measures. |
|
|
Term
| Allergy related life-threatening conditions waiting period |
|
Definition
|
|
Term
| Allergy-related life-threatening conditions certification period |
|
Definition
|
|
Term
| Anticoag Therapy Cert Criteria for CV condition. |
|
Definition
stabilized on med for 1 month
Has copy of INR at exam
Has at least monthly INR monitoring |
|
|
Term
| Anticoag Therapy Cert period |
|
Definition
| 1 Year if for CV condition |
|
|
Term
| Anticoag Therapy FAILURE Criteria |
|
Definition
| If on Anticoag Therapy for Neuro Condition |
|
|
Term
| Anticoag Therapy Waiting period |
|
Definition
| 1 month if for CV condition. |
|
|
Term
| Aortic Stenosis Cert Criteria |
|
Definition
Asymptomatic (mild or moderate)
Severe that has been surgically repaired and meets all guidelines. |
|
|
Term
| Aortic Stenosis Cert period |
|
Definition
|
|
Term
| Aortic Stenosis Monitoring |
|
Definition
| Echo every 5 years for mild or Every 1-2 years for moderate. |
|
|
Term
| Aortic Stenosis Waiting Period |
|
Definition
|
|
Term
| Asthma maximum certification period |
|
Definition
|
|
Term
| Asthma certification criteria |
|
Definition
|
|
Term
|
Definition
| A. Continual uncontrolled symptomatic. B. FEV1 less than 65 and PAO2 less than 65 |
|
|
Term
|
Definition
|
|
Term
| Atypical tuberculosis certification criteria |
|
Definition
stable disease.
Normal lung function
Good toleration of medical regimen |
|
|
Term
| Atypical tuberculosis certification criteria |
|
Definition
stable disease.
Normal lung function
Good toleration of medical regimen |
|
|
Term
| Atypical tuberculosis failure criteria |
|
Definition
extensive pulmonary dysfunction.
Weakness.
Fatigue.
Adverse reaction to medications |
|
|
Term
| Atypical tuberculosis failure criteria |
|
Definition
extensive pulmonary dysfunction.
Weakness.
Fatigue.
Adverse reaction to medications |
|
|
Term
| Atypical tuberculosis maximum certification period |
|
Definition
|
|
Term
| Atypical tuberculosis maximum certification period |
|
Definition
|
|
Term
| Atypical tuberculosis waiting period |
|
Definition
|
|
Term
| Atypical tuberculosis waiting period |
|
Definition
|
|
Term
| Autonomic Neuropathy Cert Criteria |
|
Definition
|
|
Term
| Autonomic Neuropathy Cert period |
|
Definition
|
|
Term
| Autonomic Neuropathy Failure Criteria |
|
Definition
Cardiovascular Autonomic Neuropathy causing:
Resting Tachycardia or
Orthostatic Blood Pressure or
Other organ Autonomic Neuropathy that impairs driving ability. |
|
|
Term
| Autonomic Neuropathy Waiting period |
|
Definition
|
|
Term
| Autonomic neuropathy certification period |
|
Definition
|
|
Term
| Autonomic neuropathy failure criteria |
|
Definition
resting tachycardia
Orthostatic blood pressure
Other neuropathy that interferes with driving ability |
|
|
Term
| Bipolar certification criteria |
|
Definition
Completes waiting.
Complies with treatment program.
Tolerates treatment without disqualifying side effects.
Has comprehensive evaluation from appropriate mental health professional. |
|
|
Term
|
Definition
1- Active psychosis.
2- prominently negative symptoms such as:
-substantially compromised judgment.
-attentional difficulties.
-suicidal behavior or ideation.
-personality disorder with over inappropriate acts.
3-Side effects that interfere with driving. |
|
|
Term
| Bipolar reporting requirements |
|
Definition
| Driver must report any manic or severe major depressive episode within 30 days of onset to employer, medical examiner, or appropriate healthcare professional, And must seek medical intervention |
|
|
Term
|
Definition
Six months symptom free if no suicidal behavior.
One year symptom-free after severe episode, suicide attempt, or manic episode. |
|
|
Term
| CHD Risk Equivalent (multiple CHD risk factors) Cert Criteria |
|
Definition
|
|
Term
| CHD Risk Equivalent (multiple CHD risk factors)Maximum Cert period |
|
Definition
|
|
Term
| CHD Risk Equivalent (multiple CHD risk factors)Waiting period |
|
Definition
| No recommended time frame |
|
|
Term
| Can a driver with past diagnosis of Vertigo ever be certified? |
|
Definition
Yes, after at least 2 months symptom free with a diagnosis of Benign Positional Vertigo or
acute and chronic peripheral vestibulopathy. |
|
|
Term
| Can the driver with monocular vision ever drive? |
|
Definition
| May apply for Federal Vision Exemption. |
|
|
Term
| Central nervous system tumors waiting period |
|
Definition
| one year after removal of infratentorial meningiomas, acoustic neuromas, pituitary adenomas, spinal benign tumors, benign extra axial tumors. 2 years after removal of benign supratentorial tumors and spinal tumors |
|
|
Term
| Cert criteria for Post-Acute MI. |
|
Definition
-Asymptomatic
-Tolerates meds
-satisfactory Exercise Tolerance Test
-Resting LVEF >40%
-No ECG ischemic changes. |
|
|
Term
| Cert criteria for syncope |
|
Definition
-Treated for symptomatic disease.
-Asymptomatic
-Tolerates meds.
-Low risk for syncope or near syncope
-Clearance from appropriate specialist. |
|
|
Term
| Certification period for Vision |
|
Definition
|
|
Term
| Chest wall deformities certification criteria |
|
Definition
|
|
Term
| Chest wall deformities certification time |
|
Definition
|
|
Term
| Chest wall deformities failure criteria |
|
Definition
hypoxemia at rest.
Chronic respiratory failure.
Continuing cough with cough syncope. |
|
|
Term
| Chest wall deformities waiting period |
|
Definition
|
|
Term
| Childhood febrile seizures certification criteria |
|
Definition
| history is limited to only childhood seizures |
|
|
Term
| Childhood febrile seizures maximum certification period |
|
Definition
|
|
Term
| Childhood febrile seizures waiting period |
|
Definition
|
|
Term
| Chronic Thrombotic Venous Disease Cert Period |
|
Definition
|
|
Term
| Chronic Thrombotic Venous Disease FAILURE criteria |
|
Definition
|
|
Term
| Chronic Thrombotic Venous Disease Waiting period |
|
Definition
|
|
Term
| Chronic Thrombotic Venous Disease cert criteria |
|
Definition
|
|
Term
| Chronic obstructive pulmonary disease certification criteria |
|
Definition
|
|
Term
| Chronic obstructive pulmonary disease failure criteria |
|
Definition
hypoxemia at rest.
Chronic respiratory failure.
Continuing cough with syncope. |
|
|
Term
| Chronic obstructive pulmonary disease maximum certification period |
|
Definition
|
|
Term
| Chronic obstructive pulmonary disease waiting period |
|
Definition
|
|
Term
| Chronic sleep disorder certification criteria |
|
Definition
successful nonsurgical therapy with:
A. Multiple sleep latency values in normal range.
B. Resolutions of apnea confirmed by repeat sleep study.
Continuous successful nonsurgical therapy for one month. Resolution of symptoms following completion of postsurgical waiting period. |
|
|
Term
| Chronic sleep disorder certification period |
|
Definition
|
|
Term
| Chronic sleep disorder monitoring |
|
Definition
| yearly sleep study or maintenance of wakefulness test |
|
|
Term
| Chronic sleep disorder monitoring |
|
Definition
| yearly sleep study or maintenance of wakefulness test |
|
|
Term
| Chronic sleep disorders waiting period |
|
Definition
one month after starting CPAP.
3 months symptom free after surgery. |
|
|
Term
| Color vision requirements |
|
Definition
| Sufficient to recognize traffic signals with Red, Amber, and Green. |
|
|
Term
| Conditions associated with abnormal muscle activity certification period |
|
Definition
|
|
Term
| Conditions associated with abnormal muscle activity failure criteria |
|
Definition
diagnosis of:
Myotonia
Isaacs syndrome
Stiff man syndrome |
|
|
Term
| Conditions associated with abnormal muscle activity waiting period |
|
Definition
|
|
Term
| Congenital heart disease certification considerations |
|
Definition
Anatomic diagnosis
Severity of the congenital defect
Results of treatment
Present fitness status
Risk of sudden death or incapacitation |
|
|
Term
|
Definition
Central core disease
Centro nuclear myopathy
Congenital muscular dystrophy
Rod myopathy |
|
|
Term
| Congenital myopathies failure criteria |
|
Definition
|
|
Term
| Congenital myopathies reconsideration |
|
Definition
evaluation by a neurologist or physiatry as to who understands functions and demands of commercial driving.
Annual recertification |
|
|
Term
| Congenital myopathies waiting period |
|
Definition
|
|
Term
| Congenital myopathy certification recommendation |
|
Definition
Recommend not to certify.
May reconsider if disease is stable and annual evaluation buy neurologist or physiatrist. |
|
|
Term
| Congenital myopathy waiting period |
|
Definition
|
|
Term
| Cystic fibrosis certification criteria |
|
Definition
|
|
Term
| Cystic fibrosis failure criteria |
|
Definition
hypoxemia at rest.
Chronic respiratory failure.
History of continuing cough with syncope.
Not met spirometry parameters.
Unstable condition or treatment regimen |
|
|
Term
| Cystic fibrosis maximum certification period |
|
Definition
|
|
Term
| Cystic fibrosis waiting period |
|
Definition
|
|
Term
|
Definition
| automatic failure Press enter |
|
|
Term
| Diabetes certification criteria |
|
Definition
| treatment plan that manages the disease and does not include insulin or interfere with safe driving |
|
|
Term
| Diabetes failure criteria |
|
Definition
one episode in the last 12 months, or 2 episodes in the last 5 years of:
Seizure, LOC, need of assistance from another, period of impaired function that occurred without warning.
Loss of position or pedal sensation.
Resting tachycardia or orthostatic hypotension.
Neuropathy or retinopathy |
|
|
Term
| Diabetes maximum certification period |
|
Definition
2 years.
However recommendation is one year. |
|
|
Term
| Diabetes monitoring parameters |
|
Definition
if UA shows glycosuria, do a fingerstick.
if A1c is greater than 10 monitor her the patient more frequently |
|
|
Term
|
Definition
|
|
Term
| Distant binocular vision in both eyes with or without corrective lenses. |
|
Definition
|
|
Term
| Distant visual acuity in each eye with or without corrective lenses. |
|
Definition
|
|
Term
| Drug abuse and alcoholism certification criteria |
|
Definition
Does not use any schedule one substance unless prescribed.
Has no current clinical diagnosis of alcoholism.
No residual disqualifying physical impairment.
Successfully completed counseling and/or treatment.
No current disqualifying alcohol-related disorders |
|
|
Term
| Drug abuse failure criteria |
|
Definition
Same as for alcohol.
Use of amphetamines, narcotics, methadone, or marijuana(even in states where legal). |
|
|
Term
| Ebstein anomaly FAILURE criteria |
|
Definition
Moderate or severe anomaly
Intracardiac lesion
Shunt
Symptomatic arrhythmia
Accessory conduction pathway |
|
|
Term
| Ebstein anomaly certification criteria |
|
Definition
Asymptomatic
Mild tricuspid anomaly
Mild cardiac enlargement
Mild right ventricular dysfunction |
|
|
Term
| Ebstein anomaly certification time |
|
Definition
|
|
Term
| Ebstein anomaly monitoring |
|
Definition
Annual cardiologist visit with
EKG |
|
|
Term
| Ebstein anomaly waiting time |
|
Definition
|
|
Term
| Embolic and thrombotic stroke failure criteria |
|
Definition
use of anticoagulant therapy, or other drugs with high rates of complication.
Residual impairments that interfere with driving.
Does not have clearance from neurologist. |
|
|
Term
|
Definition
| 10 years off medications and seizure-free |
|
|
Term
| Exclusion criteria for Post-Acute MI. |
|
Definition
Rest angina or change in angina pattern in past 3 months.
ECG ischemic changes at rest.
Intolerance to CV therapy. |
|
|
Term
| Exclusion criteria for syncope |
|
Definition
Do not certify if:driver experiences syncope as a consequence of the disease process, regardless of underlying condition.
-Is at high risk for repeat. |
|
|
Term
| Field of vision in the horizontal meridian of each eye. |
|
Definition
|
|
Term
| Fixed deficit of an extremity certification interval |
|
Definition
|
|
Term
| Fixed deficit of an extremity failure criteria |
|
Definition
-Impairment that affects the torso,
-No proof of compliance with SPE certification requirements,
-A disqualifying limb impairment caused by a progressive disease like MS |
|
|
Term
| Fixed deficit of an extremity waiting interval |
|
Definition
|
|
Term
| Fixed deficit of extremity certification criteria |
|
Definition
|
|
Term
| Headaches maximum certification period |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Heart Failure Cert Criteria |
|
Definition
Asymptomatic
Tolerates meds
Exercise Tolerance Test >6 METS
LVEF > 40% |
|
|
Term
| Heart Failure Cert period |
|
Definition
|
|
Term
|
Definition
Annual eval by specialist including
Echo
Holter |
|
|
Term
| Heart Failure Waiting Period |
|
Definition
|
|
Term
| Hernia certification criteria |
|
Definition
|
|
Term
| Hernia certification period |
|
Definition
|
|
Term
|
Definition
|
|
Term
| How do you calculate Audiometric test results? |
|
Definition
| Average the readings for each ear (add and divide by 3). One ear must be < 40dB to pass. |
|
|
Term
| How long can you certify a driver with a Federal Exemption for Vision? |
|
Definition
|
|
Term
| How long may a driver be certified based on hearing? |
|
Definition
|
|
Term
| Hypersensitivity pneumonitis certification and failure criteria |
|
Definition
|
|
Term
| Hypersensitivity pneumonitis maximum certification period |
|
Definition
|
|
Term
|
Definition
49 CF R39 1.41 b6:
a person is physically qualified if they have no current clinical diagnosis of hypertension which would be likely to interfere with the ability to operate a commercial motor vehicle safely |
|
|
Term
| INCRETIN mimetic guidelines |
|
Definition
standard diabetic certification rules.
Should have a written statement from treating health care professional that:
A) describes the driver's tolerance to the medication..
B.) includes frequency of driver monitoring.
C.) Includes efficacy of treatment |
|
|
Term
| If driver fails one of the hearing tests what should you do? |
|
Definition
| Administer the other one. Driver must only pass one test in one ear to qualify. |
|
|
Term
| If the audiometer is not calibrated to ANSI standard (ISO) how do you convert? |
|
Definition
Subtract from the ISO results:
14 for 500, 10 for 1000, and 8.5 for 2000 |
|
|
Term
| Implantable defibrillator waiting period |
|
Definition
|
|
Term
| Infections of the central nervous system cert criteria |
|
Definition
History of:
aseptic meningitis.
Bacterial or viral after waiting period. |
|
|
Term
| Infections of the central nervous system maximum certification time |
|
Definition
|
|
Term
| Infections of the central nervous system waiting period bacterial meningitis with early seizures |
|
Definition
| 5 years seizure-free and off medications |
|
|
Term
| Infections of the central nervous system waiting period viral encephalitis with early seizures |
|
Definition
| 10 years seizure-free and off medications |
|
|
Term
| Infections of the central nervous system waiting period-bacterial meningitis or viral encephalitis without early seizures |
|
Definition
| one year seizure free and off medications |
|
|
Term
|
Definition
Acquired diseases that may be treated:
Dermatomyositis
Inclusion body myositis
Polymyositis |
|
|
Term
| Insulin therapy blood glucose monitoring guidelines |
|
Definition
driver must use a monitoring device that record the results for later review:
Before driving.
Every 2-4 hours while driving.
Readings between 104 100 or generally considered safe for driving |
|
|
Term
| Insulin therapy waiting period |
|
Definition
one month if existing diabetes that did not include insulin treatment.
2 months if newly diagnosed |
|
|
Term
| Insulin therapy, certification period |
|
Definition
|
|
Term
| Insulin therapy. Certification criteria |
|
Definition
meets all diabetes guidelines and:
As r exemption or is eligible to apply for exception.
Was a participant on 3/31/96 in the Federal diabetes Waiver program and continues to meet all requirements |
|
|
Term
| Intermittent claudication waiting period |
|
Definition
| 3 months post surgical repair |
|
|
Term
| Intermittent claudication failure criteria |
|
Definition
|
|
Term
| Intermittent claudication maximum certification period |
|
Definition
|
|
Term
| Interstitial lung disease certification criteria |
|
Definition
|
|
Term
| Interstitial lung disease failure criteria |
|
Definition
hypoxemia at rest.
Chronic respiratory failure.
Continuing cough with syncope. |
|
|
Term
| Interstitial lung disease maximum certification period |
|
Definition
|
|
Term
| Interstitial lung disease waiting period |
|
Definition
|
|
Term
| Intracerebral and subarachnoid hemorrhage failure criteria |
|
Definition
use of anticoagulant therapy or other drugs with high rate of complications.
Residual defects.
No clearance from neurologist. |
|
|
Term
| Intracerebral and subarachnoid hemorrhage maximum certification period |
|
Definition
|
|
Term
| Intracerebral and subarachnoid hemorrhage waiting period |
|
Definition
| one year if no risk for seizures. 5 years if risk for seizures. |
|
|
Term
| Letter of application for SPE certificate requirements |
|
Definition
One–a copy of the results of the medical examination.
Two –a copy of the completed medical certificate
Three –evaluation summary by the physiatrist or orthopedist |
|
|
Term
| Major depression certification criteria |
|
Definition
Completes waiting.
Complies with treatment program.
Tolerates treatment without disqualifying side effects.
Has comprehensive evaluation from appropriate mental health professional. |
|
|
Term
| Major depression certification interval |
|
Definition
|
|
Term
| Major depression failure criteria |
|
Definition
1- Active psychosis.
2- prominently negative symptoms such as:
-substantially compromised judgment.
-attentional difficulties.
-suicidal behavior or ideation.
-personality disorder with over inappropriate acts.
3-Side effects that interfere with driving. |
|
|
Term
| Major depression waiting period |
|
Definition
Six months symptom free if no suicidal behavior.
One year symptom-free after severe episode, suicide attempt, or manic episode. |
|
|
Term
| Medical evaluation summary for disqualified driver |
|
Definition
1- assessment of functional capabilities of the driver.
2- statement that driver is capable of both precision prehension and power grasp prehension |
|
|
Term
|
Definition
|
|
Term
| Metabolic muscle diseases certification recommendation |
|
Definition
Recommended not to certify
May reconsider if disease is stable and annual evaluation buy neurologist or physiatrist. |
|
|
Term
| Metabolic muscle diseases waiting period |
|
Definition
|
|
Term
| Mild or Moderate Aortic Regurgitation Cert Criteria |
|
Definition
Asymptomatic
Normal LV function
Mild LV enlargement |
|
|
Term
| Mild or Moderate Aortic Regurgitation Cert period |
|
Definition
|
|
Term
| Mild or Moderate Aortic Regurgitation Monitoring |
|
Definition
|
|
Term
| Mild or Moderate Aortic Regurgitation Waiting Period |
|
Definition
|
|
Term
| Mitral Regurgitation Cert Criteria |
|
Definition
Asymptomatic
Normal LV size and function
Clearance is severe
> 6 METS Bruce |
|
|
Term
| Mitral Regurgitation Cert period |
|
Definition
|
|
Term
| Mitral Regurgitation FAILING CRITERIA |
|
Definition
<6 METS
Ruptured Chordae or Flail Leaflet
AFib
LV Dysfunction
Thromboembolism
Pulmonary HTN |
|
|
Term
| Mitral Regurgitation Monitoring |
|
Definition
Annual echo if moderate
Every 6 months + ETT and EKG if Severe |
|
|
Term
| Mitral Regurgitation Waiting Period |
|
Definition
|
|
Term
| Mitral Stenosis Cert Criteria |
|
Definition
Asymptomatic
Clearance from specialist if Severe and repaired. |
|
|
Term
| Mitral Stenosis Cert Period |
|
Definition
|
|
Term
| Mitral Stenosis Waiting Period |
|
Definition
4 weeks if post PCI
3 Months if post surgery |
|
|
Term
| Mitral valve prolapse FAILURE criteria |
|
Definition
Symptoms or reduced effort tolerance due to mitral valve prolapse or regurgitation
Ruptured Chordae or flail leaflet
Systemic emboli
A fib
Syncope or VTACH
Severe mitral regurgitation or LV dysfunction |
|
|
Term
| Mitral valve prolapse and cert criteria |
|
Definition
|
|
Term
| Mitral valve prolapse and waiting time |
|
Definition
|
|
Term
| Mitral valve prolapse cert time |
|
Definition
|
|
Term
| Mitral valve prolapse monitoring |
|
Definition
Optional exercise tolerance testing
If definite mitral regurgitation even mild, annual echo and clearance from cardiologist |
|
|
Term
|
Definition
|
|
Term
| Motor neuron diseases certification recommendation |
|
Definition
Recommend not to certify.
May reconsider if disease is stable and annual evaluation buy neurologist or physiatrist. |
|
|
Term
| Motor neuron diseases waiting interval |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Muscular dystrophy certification recommendation |
|
Definition
Recommend not to certify.
May reconsider if disease is stable and annual evaluation buy neurologist or physiatrist. |
|
|
Term
| Muscular dystrophy waiting. |
|
Definition
|
|
Term
| Musculoskeletal Cert Criteria |
|
Definition
-No loss of foot, hand, or arm OR WITH A SKILL PERFORMANCE EVALUATION CERTIFICATE.
-No impairment of hand or finger that interferes with prehension or pwr grasping.
-No impairment of arm, foot, or leg which interferes with ability to do the job. |
|
|
Term
| Must the driver wear a hearing aid when driving? |
|
Definition
| Yes, if it was used to pass the test. |
|
|
Term
| Nephropathy certification criteria |
|
Definition
1- meet physical qualifications.
2- as a treatment plan that manages the disease and does not interfere with safe driving. |
|
|
Term
| Nephropathy certification period |
|
Definition
|
|
Term
| Nephropathy failure criteria |
|
Definition
|
|
Term
| Nephropathy of the waiting period |
|
Definition
| No recommended time frame |
|
|
Term
| Neuromuscular junction disorders |
|
Definition
|
|
Term
| Neuromuscular junction disorders (myasthenia gravis or myasthenic syndrome) certification recommendation |
|
Definition
Recommend not to certify.
May reconsider if disease is stable and annual evaluation buy neurologist or physiatrist. |
|
|
Term
| Neuromuscular junction disorders (myasthenia gravis or myasthenic syndrome) waiting interval |
|
Definition
|
|
Term
| Other Aneurysm FAILURE criteria |
|
Definition
| Recommendation from specialist for repair. |
|
|
Term
| Other Aneurysm Waiting Period |
|
Definition
|
|
Term
| Other Aneurysms Cert period |
|
Definition
|
|
Term
| Other Aneurysms cert criteria |
|
Definition
| 3 months out from repair AND clearance from specialist |
|
|
Term
|
Definition
| Appropriate long term treatment |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| if driver has no other disqualifying disease |
|
|
Term
| Pacemaker certification criteria |
|
Definition
Documentation indicating presence of a functioning pacemaker
Documentation of routine pacemaker checks
No disqualifying underlying disease |
|
|
Term
| Pacemaker certification time |
|
Definition
|
|
Term
|
Definition
One month if underlying disease is
Sinus node dysfunction
AV block
Three months if underlying disease is
neurocardiogenic syncope
Hypersensitive carotid sinus with syncope |
|
|
Term
|
Definition
|
|
Term
| Peripheral neuropathy's certification recommendation |
|
Definition
Recommend not to certify.
May reconsider if disease is stable and annual evaluation buy neurologist or physiatrist. |
|
|
Term
| Peripheral neuropathy's waiting interval |
|
Definition
|
|
Term
| Personality disorder certification criteria |
|
Definition
Complies with treatment program.
Tolerates treatment without disqualifying side effects.
Has comprehensive evaluation from appropriate mental health professional. |
|
|
Term
| Personality disorder certification interval |
|
Definition
|
|
Term
| Personality disorders failure criteria |
|
Definition
1- Active psychosis.
2- prominently negative symptoms such as:
-substantially compromised judgment.
-attentional difficulties.
-suicidal behavior or ideation.
-personality disorder with over inappropriate acts.
3-Side effects that interfere with driving. |
|
|
Term
| Personality disorders waiting period |
|
Definition
| No recommended time frame |
|
|
Term
| Pneumothorax certification criteria |
|
Definition
asymptomatic.
No disqualifying underlying lung disease.
confirmed resolution of the pneumothorax.
Successful PLEURODESIS.
Meets other pulmonary parameters. |
|
|
Term
| Pneumothorax failure criteria |
|
Definition
unmet certification parameters.
2 or more spontaneous pneumo's on one side if no surgery to prevent recurrence.
hypoxemia at rest.
Chronic respiratory failure.
Continuing cough with syncope |
|
|
Term
| Pneumothorax maximum certification period |
|
Definition
|
|
Term
|
Definition
Asymptomatic
tolerates meds
LVEF > 40%
Cardiologist Approval to Drive
Healed Sternum |
|
|
Term
|
Definition
|
|
Term
|
Definition
Annual Exercise Tolerance Test
Imaging stress test if indicated. |
|
|
Term
|
Definition
|
|
Term
| Post Heart Transplant Cert Criteria |
|
Definition
Asymptomatic
Tolerates meds
Clearance from specialist
No s/s rejection
Meets all other requirements. |
|
|
Term
| Post Heart Transplant Cert Period |
|
Definition
|
|
Term
| Post Heart Transplant Monitoring |
|
Definition
| Visit to specialist every 6 months |
|
|
Term
| Post Heart Transplant Waiting period |
|
Definition
|
|
Term
|
Definition
Asymptomatic
Tolerates meds
No injury to vascular access site.
No Angina at rest.
No eschemic EKG changes |
|
|
Term
|
Definition
6 months initially, then
1 year if ETT is OK. |
|
|
Term
|
Definition
|
|
Term
|
Definition
ETT in 3-6 months after procedure
Annual clearance from specialist
Biennial ETT |
|
|
Term
|
Definition
|
|
Term
| Post aortic valve repair Cert period |
|
Definition
|
|
Term
| Post aortic valve repair cert criteria |
|
Definition
asymptomatic
clearance by specialist
No Thromboembolic complications |
|
|
Term
| Post aortic valve repair monitoring |
|
Definition
| 2D echo with Doppler prior to d/c |
|
|
Term
| Post aortic valve repair waiting period |
|
Definition
|
|
Term
| Post mitral valve repair for regurgitation FAILING criteria |
|
Definition
Thromboembolic complications
A fib
Pulmonary hypertension |
|
|
Term
| Post mitral valve repair for regurgitation certification criteria |
|
Definition
Asymptomatic and meets requirements for underlying condition
Clearance by cardiologist |
|
|
Term
| Post mitral valve repair for regurgitation certification time |
|
Definition
|
|
Term
| Post mitral valve repair for regurgitation waiting time |
|
Definition
|
|
Term
| Post perc balloon mitral valvotomy CERT time |
|
Definition
|
|
Term
| Post perc balloon mitral valvotomy cert criteria |
|
Definition
Asymptomatic
clearance from specialist
experienced no thromboembolic complications
no pulmonary hypertension return meets the CERT recommendations for the underlying condition |
|
|
Term
| Post perc balloon mitral valvotomy monitoring |
|
Definition
Annual cardiology exam including
EKG
Chest x-ray
2-D echo with Doppler. |
|
|
Term
| Post perc balloon mitral valvotomy. Waiting period |
|
Definition
|
|
Term
| Post prosthetic valve replacement FAILING criteria |
|
Definition
Persistent symptoms
LV dysfunction (ejection fraction less than 40%)
Thromboembolic complications post procedure
A fib
Pulmonary hypertension
Inadequate anticoagulant based on INR checks monthly |
|
|
Term
| Post prosthetic valve replacement certification criteria |
|
Definition
Asymptomatic
Clearance from cardiologist |
|
|
Term
| Post prosthetic valve replacement certification time |
|
Definition
|
|
Term
| Post prosthetic valve replacement waiting Time |
|
Definition
|
|
Term
| Post surgical commissurotomy certification criteria |
|
Definition
Asymptomatic
Clearance from cardiologist
No thromboembolic complications
No pulmonary hypertension
Meets the CERT recommendations for the underlying condition |
|
|
Term
| Post surgical commissurotomy certification period |
|
Definition
|
|
Term
| Post surgical commissurotomy monitoring |
|
Definition
Annual cardiology exam including
EKG
Chest x-ray
2-D echo with Doppler. |
|
|
Term
| Post surgical commissurotomy waiting period |
|
Definition
|
|
Term
| Pulmonary function testing guidelines |
|
Definition
history of any specific lung disease.
Shortness of breath, cough, chest tightness, or wheezing..
Cigarette smoking and driver's 35 years of age or older. |
|
|
Term
| Pulmonary hypertension certification criteria |
|
Definition
|
|
Term
| Pulmonary hypertension failure criteria |
|
Definition
dyspnea at rest.
Dizziness or hypotension.
PaO2 less than 65 |
|
|
Term
| Pulmonary hypertension maximum certification period |
|
Definition
|
|
Term
| Pulmonary hypertension waiting |
|
Definition
|
|
Term
| Pulmonary tuberculosis guidelines |
|
Definition
do not certified until driver is no longer contagious.
Treatment shown to be effective, safe, and stable. |
|
|
Term
| Pulmonary tuberculosis guidelines |
|
Definition
do not certified until driver is no longer contagious.
Treatment shown to be effective, safe, and stable. |
|
|
Term
| Pulmonary tuberculosis certification criteria |
|
Definition
A. Not contagious..
B. Has completed streptomycin therapy without affecting hearing or balance.
C. Is compliant with therapy.
D. No side effects to interfere with driving. |
|
|
Term
| Pulmonary tuberculosis certification criteria |
|
Definition
A. Not contagious..
B. Has completed streptomycin therapy without affecting hearing or balance.
C. Is compliant with therapy.
D. No side effects to interfere with driving. |
|
|
Term
| Pulmonary tuberculosis failure criteria |
|
Definition
advanced tuberculosis not meeting pulmonary function test criteria.
Chronic tuberculosis.
Noncompliance with therapy.
Not completed streptomycin therapy.
Residual damage to CN 8 affecting balance or hearing |
|
|
Term
| Pulmonary tuberculosis maximum certification period |
|
Definition
|
|
Term
| Pulmonary tuberculosis maximum certification period |
|
Definition
|
|
Term
| Pulmonary tuberculosis waiting period |
|
Definition
|
|
Term
| Pulmonary tuberculosis waiting period |
|
Definition
|
|
Term
| Pulmonary valve stenosis certification criteria |
|
Definition
Mild or moderate pulmonary valve stenosis
Or pulmonary valve stenosis corrected by surgery or balloon |
|
|
Term
| Pulmonary valve stenosis certification time |
|
Definition
|
|
Term
| Pulmonary valve stenosis monitoring |
|
Definition
|
|
Term
| Pulmonary valve stenosis waiting time |
|
Definition
One month if post balloon
three months if post surgery |
|
|
Term
| Required grip strength test |
|
Definition
|
|
Term
| Requirement to use corrective lenses while driving. |
|
Definition
| Only if corrective lenses were used to meet the requirements. |
|
|
Term
| SEVERE Aortic Regurgitation Cert Criteria |
|
Definition
Asymptomatic
Normal LV function
LV End diastolic (LVEDD)< 60
LV End Systolic (LVESD)< 50
Bruce Protocol > 6 METS |
|
|
Term
| SEVERE Aortic Regurgitation Cert period |
|
Definition
6 months if not repaired.
1 Year if repaired. |
|
|
Term
| SEVERE Aortic Regurgitation Monitoring |
|
Definition
| Echo every 6-12 months if LVEDD and SD < 60&50. Otherwise every 4-6 months. |
|
|
Term
| SEVERE Aortic Regurgitation Wating Period |
|
Definition
| 3 months if post valve repair |
|
|
Term
| Schizophrenia and related psychotic disorders certification criteria |
|
Definition
Complies with treatment program.
Tolerates treatment without disqualifying side effects.
Has comprehensive evaluation from appropriate mental health professional. |
|
|
Term
| Schizophrenia and related psychotic disorders certification interval |
|
Definition
|
|
Term
| Schizophrenia and related psychotic disorders failure criteria |
|
Definition
Diagnosis of schizophrenia.
1- Active psychosis.
2- prominently negative symptoms such as:
-substantially compromised judgment.
-attentional difficulties.
-suicidal behavior or ideation.
-personality disorder with over inappropriate acts.
3-Side effects that interfere with driving. |
|
|
Term
| Schizophrenia and related psychotic disorders waiting period |
|
Definition
Six months symptom free if brief reactive psychosis or schizophreniform disorder.
When you're symptom-free if any other psychotic disorder. |
|
|
Term
| Screening pulse oximetry guidelines |
|
Definition
| if SpO2 less than 92% driver must have ABGs |
|
|
Term
| Should both ears be tested, even if the driver passed in the first ear? |
|
Definition
|
|
Term
| Single unprovoked seizure certification criteria |
|
Definition
| completed waiting period and cleared by neurologist |
|
|
Term
| Single unprovoked seizure waiting period |
|
Definition
| 5 years seizure-free and off medication |
|
|
Term
|
Definition
Evaluation from specialist
Biennial ETT. |
|
|
Term
| Stable Angina Waiting period |
|
Definition
| 3 months with no rest angina or change in angina pattern. |
|
|
Term
| Stable Angina cert criteria |
|
Definition
-Stable Angina
-Asymptomatic
-Tolerates Meds
-Has Satisfactory Exercise Tolerance Test (ETT) |
|
|
Term
| Superficial phlebitis Cert Criteria |
|
Definition
| Driver otherwise qualified |
|
|
Term
| Superficial phlebitis Cert period |
|
Definition
|
|
Term
| Superficial phlebitis FAILURE criteria |
|
Definition
| Driver also has DVT and doesn't meet guidelines for that. |
|
|
Term
| Superficial phlebitis waiting period |
|
Definition
|
|
Term
| Supraventricular arrhythmias FAILURE criteria |
|
Definition
The condition causes:
Loss of consciousness
Compromised cerebral function
Sudden-death resuscitation |
|
|
Term
| Supraventricular arrhythmias certification criteria |
|
Definition
Heart rate that is controlled
Treatment for prevention of emboli
No Underlying disease that is disqualifying
Clearance from the cardiologist |
|
|
Term
| Supraventricular arrhythmias certification time |
|
Definition
|
|
Term
| Supraventricular arrhythmias waiting time |
|
Definition
One month anticoagulated and diagnosis of a fib
-As cause of stroke or risk for stroke
-Following thoracic surgery
One month post ablation and diagnosis of A-flutter
One month asymptomatic and diagnosis of AV nodal reentry tachycardia
A V tachycardia and WPW syndrome
Atrial tach
Junctional tach |
|
|
Term
| T or F: Monocular vision is disqualifying. |
|
Definition
|
|
Term
| T/F: The examiner should not advise the driver to carry a spare set of glasses. |
|
Definition
|
|
Term
|
Definition
Meets all standards AND
CLEARANCE FROM NEUROLOGIST |
|
|
Term
|
Definition
2 Years - Mild TBI WITHOUT early SZ.
1 Year - all others |
|
|
Term
| TBI Waiting Period Moderate TBI WITH early SZ. |
|
Definition
| 5 years sz free and off meds. |
|
|
Term
| Thoracic Aneurysm Cert Criteria |
|
Definition
Aneurysm < 3.5 cm.
Repaired and driver is 3 months out AND has clearance from cardiologist |
|
|
Term
| Thoracic Aneurysm Cert period |
|
Definition
|
|
Term
| Thoracic Aneurysm FAILURE Criteria |
|
Definition
|
|
Term
| Thoracic Aneurysm Waiting period |
|
Definition
|
|
Term
| Transient ischemic attack bleeding. |
|
Definition
|
|
Term
| Transient ischemic attack certification criteria |
|
Definition
completed waiting period without seizures and no anticonvulsant medications
Normal exam
Clearance from neurologist. |
|
|
Term
| Transient ischemic attack in failure criteria |
|
Definition
| use of anticoagulants or other drugs with high rate of complications |
|
|
Term
| Transient ischemic attack maximum certification period |
|
Definition
|
|
Term
Traumatic Brain Injury Waiting Period
Mild TBI with early sz or
Moderate TBI WITHOUT early sz |
|
Definition
| 2 years sz free and off meds. |
|
|
Term
| Varicose veins certification criteria |
|
Definition
| if the driver has no complications |
|
|
Term
| Varicose veins failure criteria |
|
Definition
|
|
Term
| Varicose veins maximum certification period |
|
Definition
|
|
Term
| Varicose veins monitoring or testing |
|
Definition
|
|
Term
| Varicose veins waiting period |
|
Definition
|
|
Term
| Ventricular arrhythmias FAILURE criteria |
|
Definition
Symptomatic
Sustained ventricular tachycardia
NSVT LVEF less than 40
DIAGNOSIS OF
HYPERTROPHIC CARDIOMYOPATHY
LONG QT INTERVAL SYNDROME
BUGADA SYNDROME |
|
|
Term
| Ventricular arrhythmias certification criteria |
|
Definition
Asymptomatic
Identified non-disqualifying cardiac cause
Clearance from cardiologist |
|
|
Term
| Ventricular arrhythmias monitoring |
|
Definition
| Annual cardiologist visit |
|
|
Term
| Ventricular arrhythmias waiting times |
|
Definition
One month after drug or other therapy with diagnosis of
Coronary heart disease
Ventricular tachycardia |
|
|
Term
| Vertigo and dizziness failure criteria |
|
Definition
symptomatic within waiting period
Diagnosis of: Ménière's disease, labyrinthine fistula, nonfunctioning labyrinths |
|
|
Term
| Vertigo and dizziness maximum certification |
|
Definition
|
|
Term
| Vertigo and dizziness waiting period |
|
Definition
2 months asymptomatic with diagnosis of benign positional vertigo or
Acute and chronic peripheral vestibulopathy |
|
|
Term
| What are the cardiovascular exclusions for qualification? |
|
Definition
| Must have no CURRENT diagnosis of MI, Angina pectoris, coronary insufficiency, thrombosis OR ANY OTHER KNOWN TO BE ACCOMPANIED BY Syncope, Dyspnea, Collapse, or CHF. |
|
|
Term
| What do you do if pt has angina and ETT is inconclusive? |
|
Definition
|
|
Term
| What hearing conditions are grounds for disqualification? |
|
Definition
Meniere's Disease
Vertigo
Labyrinthine Fistula
Nonfunctioning Labyrinth. |
|
|
Term
| What is the Maximum Cert Period for Syncope? |
|
Definition
|
|
Term
| What is the maximum cert period for Post-Acute MI? |
|
Definition
|
|
Term
| What is the recommended monitoring for Syncope. |
|
Definition
| Annual clearance from cardiologist. |
|
|
Term
| What is the standard for audiometric testing? |
|
Definition
| Hearing loss < 40 decibels at 500hz,1000hz, and 2000hz. |
|
|
Term
| What is the standard for the Forced Whisper? |
|
Definition
| Heard in the better ear at least 5 feet away WITH or WITHOUT a hearing aid. |
|
|
Term
| What is the waiting period for Post-Acute MI? |
|
Definition
|
|
Term
| What is the waiting period for Syncope? |
|
Definition
| No recommended time frame. |
|
|
Term
| What should the driver include in an application for Federal Exemption for monocular vision? |
|
Definition
| A copy of the Medical Exam Report form and the Medical Examiner's Certificate. |
|
|
Term
| What tests can be used for hearing? |
|
Definition
Forced Whisper Test and
Audiometric device. |
|
|
Term
| Who can perform and certify vision test results. |
|
Definition
| Medical examiner, opthalmologist or optometrist. |
|
|
Term
acute seizures-weighting period
moderate insult without early seizures or mild insult with early seizures |
|
Definition
| 2 years seizure-free and off seizure medications |
|
|
Term
| allergic rhinitis failure criteria |
|
Definition
A. Severe conjunctivitis.
B. Inability to keep eyes open.
C. Photophobia.
D. Uncontrollable sneezing fits.
E. Sinusitis with severe headaches.
F. Medications that cause sedation or other side effects that would interfere with driving. |
|
|
Term
| autonomic neuropathy waiting period |
|
Definition
|
|
Term
| central nervous system tumors maximum certification period |
|
Definition
|
|
Term
| chest wall deformities examples |
|
Definition
| kyphosis, kyphoscoliosis, pectus excavatum, ankylosing spondylitis, massive obesity, recent surgery or injury in that area. |
|
|
Term
|
Definition
| a person is physically qualified to drive if they have noticed him with medical history or clinical diagnosis of diabetes currently requiring insulin |
|
|
Term
| embolic and thrombotic stroke certification period |
|
Definition
|
|
Term
| embolic and thrombotic strokes waiting period |
|
Definition
one year if not at risk for seizures
5 years if risk for seizures |
|
|
Term
| hypersensitivity pneumonitis waiting period |
|
Definition
|
|
Term
| infections of the central nervous system failure criteria |
|
Definition
| current central nervous system infection |
|
|
Term
| insulin therapy annual recert exams |
|
Definition
driver with an exception should have a copy of the completed annual diabetes assessment package which includes: Endocrinologist annual evaluation checklist.
Vision annual evaluation checklist |
|
|
Term
| insulin therapy. Failure criteria |
|
Definition
| standard diabetes. Failure criteria |
|
|
Term
| intermittent claudication certification criteria |
|
Definition
post surgery:
Relief of symptoms
No other Disqualifying cardiovascular disease |
|
|
Term
| pneumothorax waiting period |
|
Definition
|
|
Term
| single unprovoked seizure maximum certification period |
|
Definition
|
|
Term
| stage I Hypertension recommendations |
|
Definition
a person with hypertension who is being medicated should be recertified more frequently.
Stage I hypertension may be recertified for one year even with no medications.
Recertification if the hypertension has resolved then the individual may be recertified for one year. If the hypertension remains stage I however the individual may only be certified for 3 more months. |
|
|
Term
| stage II hypertension recommendations |
|
Definition
in individual with stage II hypertension should be treated at a one time certificate for 3 months can be issued.
Once the hypertension has resolved the patient may be recertified annually |
|
|
Term
| stage III hypertension recommendation |
|
Definition
| the patient was stage III hypertension may not be certified in to the hypertension has resolved.. After that there may be certified every 6 months |
|
|
