Practice Quiz

CME Certified Federal Medical Examiner

Category - Driver Identification and History

Start a Study Session Sign up for Question of the Day
A 60-year-old male applying for re-certification declares that he previously suffered congestive heart failure (CHF). He was certified as a CMV driver annually for the past 2 years. He provides you with a cardiologist clearance report indicating normal ECG, normal Holter evaluation, no symptoms, no ventricular arrhythmias, tolerance to medication, and LVEF of 39%. What additional information do you need concerning his health history before you determine his fitness as a CMV driver?
  1. Normal post-cardiomyopathy ETT
  2. No further information, this person cannot be re-certified
  3. Documented correct function by the pacemaker center
  4. Results of a monthly prothrombin time (PT) test
Explanation
Answer: B - No further information, this person cannot be re-certified

This is the correct answer because his LVEF is < 40%. According to FMCSA guidelines, a person who has a history of CHF can be certified annually if he is asymptomatic, has no arrhythmias, follows an annual cardiology evaluation including ECG and Holter and has LVEF of 40% to 50%. ETT is not required in this case according to FMCSA. INR tests and normal pacemaker function do not apply in this case.
Was this helpful? Upvote!
Login to contribute your own answer or details
Start a Study Session Sign up for Question of the Day

Top questions

Related questions

Most popular on PracticeQuiz