CME Certified Federal Medical Examiner

Category - Driver Identification and History

A 60-year-old male presents for examination. He admits to taking Sinemet® tablets 3 times per day. What is the health condition of this person and what is the decision regarding his certification?
  1. Myocardial infarction; Qualified annually
  2. Blepharospasm (involuntary closing of the eyelids); Qualified normally
  3. Parkinson’s disease/syndrome; Disqualified
  4. Meningitis; Disqualified
Explanation
Answer: C - Parkinson’s disease/syndrome; Disqualified

This is the correct answer because Sinemet® (Levodopa-Carbidopa) is used in the treatment of Parkinson’s disease, which is a disqualifying health condition according to FMCSA guidelines. Parkinson’s disease impairs the ability to drive as it results in motor function disorders such as prolonged motor and premotor reaction times, slowness of execution of movement,frequent interruptions of ongoing movement, and inability to perform two or more tasks simultaneously.
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