Practice Quiz

CME Certified Federal Medical Examiner

Category - Driver Identification and History

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A 43-year-old male presents for examination for the purpose of re-certification. He has a history of sleep apnea; however, he is cleared by his treating physician based on successful PAP (positive airway pressure) treatment. He indicated he had undergone a mitral valve repair surgery 6 weeks before. He provides a cardiologist report indicating that he is asymptomatic, tolerant to medication, can perform light duty work, and must return for post-operative evaluation after 12 weeks. Is this person qualified to continue the examination, and why?
  1. No, individuals with history of sleep apnea and who are pending the findings of a 3-month post-operative evaluation are disqualified until they are cleared.
  2. No, a known history of sleep apnea is a disqualifying condition.
  3. Yes, the person is asymptomatic, tolerant to medication and is cleared to work on light duty.
  4. Yes, the person has successfully treated his sleep apnea.
Explanation
Answer: A - No, individuals with history of sleep apnea and who are pending the findings of a 3-month post-operative evaluation are disqualified until they are cleared.

This is the correct answer because according to FMCSA guidelines and the recommendations of the Medical Expert Panel (MEP) Members in 2008 about sleep disorders, individuals who have history of obstructive sleep apnea and who have undergone surgery pending the findings of a 3-month post-operative evaluation should not be certified or re-certified to drive a commercial motor vehicle.
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