Shared Flashcard Set

Details

NRCME
DOT Medical Examiner
91
Medical
Professional
08/02/2017

Additional Medical Flashcards

 


 

Cards

Term
Urine tested for what drugs?
Definition
PCOMA - PCP, Cocaine, Opiates, Marijuana, Amphetamines
Term
Need CMV for
Definition
>10,000#, 9-15 pax w/ compensation, >16 pax regardless compensation, Haz-mat req placard
Term
Safety sensitive transport reqs
Definition
Drug and alcohol testing (Omnibus trans act 91)
Term
Age req for CMV
Definition
21
Term
Crash w vehicle twice mass of other vehicle = ___ risk of death
Definition
6x
Term
Semi vs SUV = ___ mass of SUV
Definition
20x
Term
4 non-discretionary standards
Definition
hearing, vision, DM, Epilepsy
Term
only portion that can be completed by another provider
Definition
vision
Term
Glare at night =
Definition
cataracts
Term
Gradual peripheral field deficits
Definition
Glaucoma
Term
Controled Vertigo waiting period
Definition
2 month symptom free
(BPV or peripheral vestibulopathy)
Term
Meniere's
Definition
DQ
Term
Labyrinthine Fistula
Definition
DQ
Term
To convert ISO to ANSI hearing test results subtract
Definition
14 dB for 500 Hz
10 dB for 1000 Hz
8.5 dB for 2000 Hz
Term
To calculate ANSI results
Definition
add 500, 1000, 2000 Hz readings and divide by 3
Term
Calculated ANSI results must be
Definition
40
Term
3 required vision tests
Definition
VA, peripheral horizontal visual fields, color
Term
Required VA in each eye
Definition
20/40
Term
Field of vision at least ___ degrees
Definition
70
Term
Monocular vision
Definition
DQ - federal vision exemption available
Term
Certify for ___ with federal vision exemption
Definition
1 year
Term
May certify syncope if
Definition
etiology confirmed and Tx stable (specialist clearance)
Term
Max cert length w/ syncope
Definition
1 year
Term
wait time after AMI, max cert post AMI
Definition
2 months, 1 year
Term
Required post AMI prior to recert
Definition
Asymptomatic, Good ETT, EF >40%, no EKG changes, Cardiac clearance
Term
Wait time with Angina, Max cert time
Definition
3 months, 1 year (stable and good ETTq2yrs)
Term
Wait time post CABG, Max cert
Definition
3 months, 1 year (annual ETT)
Term
Req post CABG prior to recert
Definition
EF >40, cardiac clearance, healed sternum, asymptomatic
Term
Post PCI wait and max times
Definition
1 week wait, Initial cert 6 mos, recert 1 yr w/ good ETT
Term
Hypertrophic or resrictive cardiomyopathy
Definition
DQ
Term
Heart transplant wait and max times
Definition
1 year wait, max 6 mos
Term
requirements post transplant
Definition
asymp, no signs of rejection, cards clearance q 6 mos
Term
Aortic regurg max
Definition
1 yr if mild or mod w/ asymptomatic and normal LV function (Echo req q 2 yrs)
Term
Severe AR
Definition
3 mos p repair w/ max 1 yr
max 6 mos if not repaired
Echo q 6 mos w/ EF >50% & good ETT
(LVEDD <60, LVESD <50)
Term
Aortic stenosis max
Definition
3 mos p repair, Max 1 yr (Echo q 5 yrs mild, Q 1-2 yrs if moderate)
Term
Mitral regurg
Definition
wait 3 mos p repair, max 1 yr,
Echo- mild 2-3 yrs, mod 1yr, severe EST & echo q 6 mos
DQ if sxs, ruptured chordae, AF, LV dysfunction, Embolism, Pulm HTN, poor ETT
Term
Mitral stenosis
Definition
wait 1 month p balloon, 3 mos p repair max 1 yr. Req annual CXR, EKG, 2D echo w/doppler
Term
MVP
Definition
no wait, max 1 yr if no side fx
Term
prosthetic valves
Definition
wait 3 mos, max 1 yr w/ cards clearance & INR
Term
Pulmonary stenosis
Definition
1 mo p balloon, 3 mos p repair, reqs cards clearance, No cert if RVH RV dysfunction
Term
Pacemaker wait times
Definition
AV block 1 month
Neurocardio or hypersensitive carotid sinus syncope 3 months
Term
Supravent arrythmias
Definition
1 month wait w/coagulation A-fib or w/ablation A-flutter
Term
Ventricular arythmias
Definition
1 mo p therapy
DQ if sustained, non-sustained w/EF<40, Long QT, or Brugada
Term
ETT should be
Definition
>6 mets, 85% pred max, >20 mmHg ^ in SBP w/o sxs
Term
AAA
Definition
must be <5cm and not increased > 0.5cm in 6 mos, Must have clearance >4cm
3 mos p surgery, max 1 yr w ca
Term
Thoracic aneurysm
Definition
<3.5cm
Term
DVT
Definition
no wait, max 1 year - no residual
Term
PE
Definition
3 mos no PE w/ long term therapy, max 1 yr
Term
Anticoagulant for cardio
Definition
Stable 3 mos, copy of INR, monthly INR, max 1yr
Term
Anticoag for neuro
Definition
DQ
Term
PVD
Definition
3 mos p repair (DQ if pain at rest)
Term
Intermittent claudication
Definition
3 mos p repair, max 1 yr
Term
HTN max cert
Definition
1 yr Stage 1 or 2, 6 mos if Stage 3 if BP controlled <140/90
Term
If BP >140/90
Definition
one time 3 mos cert until <140/90
Term
HbA1c >10
Definition
poor control , further eval and more freq monitioring needed
Term
Incretin mimetics (Byetta, Glipzide, Glimipiride)
Definition
^ risk hypoglycemia. Max 1 yr WITH statement that 1)tolerates meds, 2)how freq monitored, 3) Eficacy of tx
Term
What is considered Hypoglycemic rxn
Definition
Reaction with Seizure, LOC, need for help, Impaired cognitive fxn w/o warning
Term
DM should check levels every
Definition
2-4 hrs while driving (100-400 safe for driving)
Term
Annual DM Assessment package includes
Definition
Endo and Optho checklist
Term
Asthma FEV1 and PaO2 must be
Definition
>65%
Term
PTX
Definition
2 yrs - DQ if 2 on same side w/o repair
Term
Need PFT if
Definition
Sx SOB, cough, tight, wheeze, Smoker >35 y/o
Term
If SpO2 < ___ need ABG
Definition
92%
Term
Apnea = ___?, Hypopnea = ___?
Definition
stop >10 secs, decreased flow >10 secs
Term
(AHI)Apnea severity 1)Mild ____ 2)Mod ____ 3) severe___
Definition
mild 5, Mod 15, Severe 30 (>30 =OSA)
Term
Sz / brain insult wait w/ mild w/o sz, CVA w/o risk sz, Bleed w/o risk sx
Definition
1 yr sz free off meds
Term
Sz / brain insult wait w/ mod w/o sz, mild w/ sz
Definition
2 yr sz free off meds
Term
Sz / brain insult wait w/ mod w/sz, CVA w/risk sz, Bleed w/risk sx
Definition
5 yrs sz free off meds
Term
Sz d/t metabolic illness
Definition
no wait once metabolic illness corrected
Term
Epilepsy wait
Definition
10 yrs sz free off meds
Term
Single unprovoked sz
Definition
5 yrs sz free off meds (max 1 yr w/ neuro clearance)
Term
CNS infection Bacterial meningitis w/o early sz or viral encephalopathy w/o sz
Definition
1 yr sz free off meds
Term
CNS infection Bacterial meningitis with early sz
Definition
5 yr sz free off meds
Term
CNS infection viral encephalopathy with early sz
Definition
10 yr sz free off meds
Term
Autonomic neuropathy max cert.
Definition
2 yrs unless resting tachcardia or orthostatic B/P
Term
CNS Tumors wait
Definition
2 yrs p surg if supratentorial and spinal
1 yr post surg meningiomas, acoustic neuromas, pit adenomas, benign spinal or extra axial.
DQ if malignant
Term
Dementia
Definition
DQ
Term
Stroke or Hemorrhage (SAH or intracerebral) wait times
Definition
1 yr cerebellum or brainstem
5 yr cortical or subcortical
Term
TIA
Definition
1 yr wait, max 1 yr
Term
TBI mild w/sz or mod w/o sz
Definition
2 yrs sz free off meds
Term
TBI mod w/ early sz
Definition
5 yrs
Term
congenital myopathy disorder (MS, MD, myopathy, central core dz)
Definition
DQ
Term
Nephropathy
Definition
no wait, max 2 yrs
Term
Bipolar major depresion w/o suicidal behavior
Definition
6 months wait
Term
Bipolar severe depression episode, suicide attempt, manic episode
Definition
1 yr wait
Term
Personality disorder
Definition
no wait if no tx side fx
Term
Schizophrenia wait
Definition
6 mos if brief or schizophreniform disorder
Term
Methadone or Marijuana
Definition
DQ
Term
ADHD max cert
Definition
1 yr
Term
ECT for severe depression wait
Definition
6 mos sx free
Term
Chantix use
Definition
DQ
Supporting users have an ad free experience!