CME Certified Federal Medical Examiner

Category - Driver Identification and History

A 56-year-old male driver applying for a new certificate admitted that he suffered a myocardial infarction (MI) 3 months before. He provides you with a clearance certificate by a cardiologist. He also informs you that he is not feeling any chest pain post MI. Is this information sufficient to determine his health history?
  1. No, need information on post-MI LVEF, ETT, ECG, and tolerance to medication.
  2. No, need information on ECG and on tolerance to medication.
  3. Yes, no other information is needed.
  4. No, need information on post-MI ETT and tolerance to medication.
Explanation
Answer: A - No, need information on post-MI LVEF, ETT, ECG, and tolerance to medication.

This is the correct answer because according to FMCSA guidelines a person who has had a MI at least 2 months before and who is asymptomatic, must still demonstrate LVEF > 40%, normal ETT, no ischemic changes on ECG and good tolerance to medications before she/he can be certified.
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