Practice Quiz

CME Certified Federal Medical Examiner

Category - Driver Identification and History

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A 52-year-old female CMV driver states that she is taking Coumadin since 5 months ago in relation to her acute deep vein thrombosis (DVT). She provides a medical report indicating that she is asymptomatic. What additional health history information is needed from this person?
  1. Nothing, she is disqualified
  2. INR test results of minimum 5.0
  3. A copy of her vaccinations records
  4. A monthly INR test result indicating regulation of the Prothrombin Time (PT) within range
Explanation
Answer: D - A monthly INR test result indicating regulation of the Prothrombin Time (PT) within range

This is the correct answer because according to FMCSA guidelines, persons with acute DVT maybe certified if they meet all the following conditions: asymptomatic, on Coumadin treatment regulated for at least 1 month, and monthly INR monitoring within range. INR of more than 5.0 is not a valid answer because INR of > 5.0 is not recommended as it increases the risk of bleeding.
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