CME Certified Federal Medical Examiner

Category - Driver Identification and History

A 39-year-old female presents for examination. She’s been suffering from carpal tunnel syndrome in her right hand for the last 6 months as a result of her previous job as office assistant. She has weak hand grasp and is not taking any treatment for the syndrome. What would you require from this person in order to complete the qualifying procedure under CFR 391.41?
  1. To provide a Skill Performance Evaluation (SPE) Certificate
  2. To provide a medical report confirming strong right-hand grasp
  3. Nothing, she is not qualified under CFR 391.41
  4. To treat her condition before proceeding with any further qualifying procedures
Explanation
Answer: D - To treat her condition before proceeding with any further qualifying procedures

This is the correct answer because if carpal tunnel syndrome is left untreated, it will exacerbate the right-hand impairment and grasping power. Carpal tunnel syndrome is a treatable musculoskeletal disorder and thus, after treatment the person can proceed with the qualification procedure and will be able to pass any SPE.
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