Deck 7: Risk Assessment

Question 1

A medical examiner is evaluating a driver who uses an anti-arrhythmia device. The medical examiner should consider each of the following EXCEPT:

A)What is the risk for cerebral hypoperfusion and loss of consciousness?
B)What is the family history of cardiovascular disease?
C)Is the underlying heart disease disqualifying?
D)What is the risk for sudden death?

Answer 1

What is the family history of cardiovascular disease?

Question 2

A driver who has suffered an intracerebral hemorrhage may be at an increased risk for seizures. The determining factor as to whether or not seizures are likely is:

A)The severity of the hemorrhage
B)The location of the hemorrhage
C)The age of the driver
D)A family history of strokes

Answer 2

The location of the hemorrhage

Question 3

Personality disorders may interfere with driving ability by compromising which of the following abilities?

A)Speech
B)Visual-spatial function
C)Mobility
D)None of the above

Answer 3

Visual-spatial function

Question 4

Regarding cardiovascular disease, the primary responsibility of the medical examiner is to do which of the following?

A)Determine if the driver has a genetic predisposition for cardiovascular disease
B)Establish whether the driver has a cardiovascular disease that increases the likelihood of sudden death or incapacitation
C)Determine the driver's likely life expectancy
D)Determine how a driver's lifestyle affects his/her cardiovascular health

Question 5

Regarding the operation of a vehicle, a medical examiner should consider which of the following when performing a risk assessment of a driver?

A)Driver's ability to see in rearview mirror
B)Driver's ability to manipulate an oversized steering wheel
C)Driver's ability to hear the horn of an oncoming car
D)All of the above

Question 6

A driver presents with atrial fibrillation. The major risk associated with this condition is which of the following?

A)Blindness
B)Cardiac arrest
C)Dementia
D)Stroke

Question 7

The primary concern of any medical examiner when examining a driver with diabetes should be:

A)Minimizing target organ damage.
B)Prescribing insulin.
C)Assessing the risk of severe hypoglycemic episode.
D)All of the above

Question 8

A driver who has suffered a stroke in the last two years should have which of the following assessed in a neurological exam?

A)Vision
B)Concentration
C)Cognitive abilities
D)All of these

Question 9

When assessing the driver's mental health, which of the following might indicate a mental illness?

A)Flat affect
B)Threatening behavior
C)Auditory hallucinations
D)All of the above

Question 10

Which of the following should NOT be queried and assessed by a medical examiner?

A)Weight disorders
B)Surgery within the last five years
C)Surgery within the last ten years
D)Pulmonary diseases

Question 11

The respiratory portion of a medical exam reveals prolonged expiration. How should this situation be handled?

A)Nothing needs to be done.
B)The driver should not be certified.
C)A detailed pulmonary function evaluation with a pulmonologist should be performed.
D)The driver should be certified after a two-month waiting period.

Question 12

A potential driver is examined and is shown to have a blood pressure of 165/90. What is the next step for the medical examiner in this instance?

A)Immediately disqualify the driver
B)Encourage the driver to admit themselves to the ER
C)Document the driver's blood pressure with FMCSA
D)Perform a second measurement of the driver's blood pressure later in the exam

Question 13

The overall detection rate for abdominal aortic aneurysm (AAA) is 31%. Which of the following factors are likely to hinder detection during an examination?

A)The driver's age
B)A history of clinical depression
C)A history of migraines
D)Obesity

Question 14

A driver with angina pectoris is examined. The examiner should determine whether the angina is stable or unstable. Each of the following may indicate stable angina EXCEPT:

A)Sexual activity
B)Pain occurring at rest
C)Extremes in weather
D)Physical exertion

Question 15

When performing a respiratory exam, an examiner must followup and discuss with the driver if he/she answers "yes" to which of the following?

A)Shortness of breath
B)Nasal allergies
C)Family history of respiratory illness
D)Presence of mold in the home

Question 16

A driver who is a long-time smoker is examined and is found to have a chronic cough and sputum production. These are likely an indication of which of the following?

A)Lung cancer
B)Flu
C)Congestive heart failure
D)COPD

Question 17

A driver with a prosthetic valve who also has LV dysfunction may not be certified if he/she has ejection fraction of less than what?

A)80%
B)75%
C)50%
D)40%

Question 18

During a respiratory exam, a medical examiner must document discussion with the driver about each of the following EXCEPT:

A)Family history of chronic bronchitis
B)Any abnormal findings
C)Potential negative effects of medication use
D)A history of asthma

Question 19

A driver presents with a history of seizures. A medical examiner should ask the driver all of the following EXCEPT:

A)Were there childhood febrile seizures?
B)Are there unprovoked seizures?
C)Is there a family history of seizures?
D)Are there provoked seizures?

Question 20

Which of the following types of headaches could possibly interfere with a driver's ability to drive safely?

A)Migraines
B)Post-traumatic head injury syndrome
C)Atypical facial pain
D)All of the above

Question 21

When examining a driver who presents with diabetes mellitus, a medical examiner should examine the toes, feet, fingers, and hands for which of the following?

A)Interstitial cystitis
B)Fibromyalgia
C)Peripheral neuropathy
D)Huntington's disease

Question 22

When performing a musculoskeletal exam, a medical examiner should evaluate which of the following?

A)History of migraines
B)Perceptible limp
C)Hearing loss
D)Glaucoma

Question 23

When evaluating a driver with diabetes mellitus, a medical examiner may ask all of the following questions EXCEPT:

A)Does the driver use an incretin mimetic?
B)Does the driver have a history of fainting, dizziness, or loss of consciousness?
C)How many calories does the driver consume in an average day?
D)Does the driver routinely monitor blood glucose level?

Question 24

When evaluating a driver's medication (both prescription and over the counter), a medical examiner may ask which of the following questions to determine possible side effects?

A)Does the driver experience decreased sex drive?
B)Does the driver experience decreased reflex responses?
C)Does the driver have a history of mental illness?
D)None of the above

Question 25

A driver with diabetes mellitus who takes insulin must be evaluated by the medical examiner to determine which of the following?

A)The dosage
B)The route
C)The frequency
D)All of the above

Question 26

The Skill Performance Evaluation (SPE) is required only in the case of which of the following?

A)Drivers with progressive illnesses
B)Drivers with psychological disorders
C)Drivers with a fixed deficit of an extremity
D)None of the above

Question 27

When a medical examiner evaluates a driver who uses narcotic or habit-forming drugs, the medical examiner should determine if the driver has which of the following?

A)Therapeutic or habitual need
B)Goal to alter mood, affect, or state of consciousness
C)History of drug rehabilitation
D)All of the above

Question 28

According to federal regulations, a driver who answers affirmatively for substance abuse should be evaluated for which of the following?

A)Tremor
B)Arthritis
C)Hearing loss
D)Enlarged heart

Question 29

A driver presents with superficial phlebitis. Upon examination, the medical examiner should evaluate for evidence of:

A)Hearing impairment.
B)Deep-vein thrombosis.
C)Vertigo.
D)Alcoholism.

Question 30

A driver with a major mood disorder should be evaluated by a mental health professional how often?

A)At least every two years
B)Every six months
C)At least every year
D)Every five years

Question 31

While assessing a driver's medical history, a medical examiner has a responsibility to followup with questions about the usage of which of the following?

A)Prescription medication
B)Herbs and supplements
C)Over the counter medication
D)All of the above

Question 32

A driver with diabetes mellitus should also be examined for which of the following?

A)Migraines
B)Autonomic neuropathy
C)Restless leg syndrome
D)All of the above

Question 33

A driver presents with congenital heart disease. Considering the likelihood of heart failure or sudden death due to congenital heart disease, a medical examiner's decision to certify should be based on which of the following?

A)Severity of the congenital defect
B)Present fitness status
C)Results of treatment
D)All of the above

Question 34

When observing a driver's general appearance, a medical examiner should note which of the following?

A)Whether the driver is markedly overweight
B)An irregular heartbeat
C)Evidence of hearing loss
D)All of the above

Question 35

Because many drivers of commercial vehicles will work long shifts and overnight hours, it is important for medical examiners to do which of the following?

A)Provide drivers with sleeping pills
B)Teach drivers how to meditate in order to help them relax
C)Consider adverse health effects associated with irregular driving patters
D)Certify drivers only when they are limited to day shifts

Question 36

A medical examiner should note which of the following when examining a driver's abdomen?

A)Abdominal tenderness
B)Abnormal breath sounds
C)Scoliosis
D)None of the above

Question 37

When examining a driver's lungs, chest, and thorax, the medical examiner should note which of the following?

A)Abnormal breath sounds
B)Respiratory rate and pattern
C)Scars
D)All of the above

Question 38

When assessing a driver's ability to operate a commercial vehicle, a medical examiner should consider all of the following regarding an identified disease EXCEPT:

A)Stability.
B)Progression rate.
C)Likelihood of gradual or sudden incapacitation.
D)All of the above

Question 39

A driver presents with a history of depression and appears evasive and suspicious during the medical exam. Which of the following questions should the medical examiner ask the driver?

A)Have your relationships suffered due to mental illness?
B)Do you have a family history of mental illness?
C)Have you ever thought of hurting yourself?
D)All of the above

Question 40

A driver with a history of seizures must be free of any neurological residual limitations which might interfere with which of the following?

A)Vision
B)Concentration
C)Attention
D)All of the above