Practice Quiz

CME Certified Federal Medical Examiner

Category - Driver Identification and History

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On September 25th, 2014, while you perform a health history questionnaire on a 25-year-old male driver, he informs you that he previously had two (2) incidents of unprovoked seizures, one in 2009 and a second one in 2012. He stopped taking anti-seizure medication since 2013. He has no other health issues. How would you define his medical history in relation to these seizure incidents and what would be your decision regarding his fitness to drive?
  1. A medical history of epilepsy; thus disqualifying the driver
  2. No medical history of epilepsy; thus qualifying the driver
  3. No medical history of epilepsy, because he had only 2 seizures within 5 years; thus qualifying the driver
  4. A medical history of epilepsy; thus conditionally qualifying the driver for 1 year
Explanation
Answer: A - A medical history of epilepsy; thus disqualifying the driver

This is the correct answer because a second occurrence of unprovoked seizures, regardless of the time elapsed since the first incident, constitutes a medical history of epilepsy. According to FMCSA’s guidelines, a person with epilepsy must be disqualified. Conditional certification (for 1 year) is possible if the person has been seizure free for a minimum of 10 years AND is off anti-seizure medication for at least 2 years. In this case the subject driver did not meet the required conditions.
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