CME Certified Federal Medical Examiner

Category - Driver Identification and History

A 25-year-old male presents for examination. In the health history section he answers “yes” to the question “Regular, frequent alcohol use.” What should the medical examiner query and discuss with this person in relation to his answer?
  1. The route of alcohol ingestion
  2. The type of alcohol consumed
  3. The type and quantity of alcohol consumed
  4. The frequency/time pattern and quantity of alcohol consumption
Explanation
Answer: D - The frequency/time pattern and quantity of alcohol consumption

According to FMCSA guidelines, the medical examiner must query and discuss the person’s alcohol consumption in terms of time patterns (i.e., frequency of intake) and the quantity of alcohol consumed in order to evaluate whether this person has a current clinical diagnosis of alcoholism or not and whether he needs referral to a specialist.
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