A 49-year-old male presents for examination to qualify as an interstate CMV driver. While you interview him he admits drinking alcohol whenever he has a headache and inability to sleep, and sometimes alcohol helps him overcome any feeling of nausea. He has no other significant health issues. He used to exercise 3 times a week but stopped 6 months ago as he doesn’t find time for it. What is the most probable health history of this person and what would be your decision regarding his medical examination process?
Explanation
Answer: A - Alcoholism; he must be referred to a specialist for counseling and/or treatment before being certified
This is the correct answer because the individual has admitted to drinking alcohol for overcoming insomnia, headaches, and nausea, which is a strong indication that these symptoms are alcohol withdrawal symptoms rather than related to any other mental disorder. In addition, alcoholic individuals tend to give up on important activities in their lives as they become more consumed by alcohol intake. According to FMCSA’s guidelines, persons with alcoholism must be referred to a specialist for treatment and/or counseling before they are re-evaluated for CMV certification.
