Neurology

Question 1

epilepsy dx

Answer 1

2 or more unprovoked seizures

Question 2

single unprovoked seizure

Answer 2

no discernable acute severe systemic metabolic fx alteraion or acute insult to structure of brain

no dx of epilepsy but @ higher r/f subsequent episodes

WP = 5 years of SFT

max cert = 1 year

Question 3

acute seizure d/t metabolic illness

Answer 3

no known associated w/ subsequent episodes

Max cert 2 years if:
–metabolic dysfx is corrected
–no DQing r/o recurrent of seizure causing condition

Question 4

seizure exemption

Answer 4

very rarely given
case-by-case

contingent on driver maintaining stable tx regimen and SF during 2 year period

requires annual report from neurologist of SFT

Question 5

Severe TBI

Answer 5

penetration of dura and LOC > 24h

high r/o unprovoked seizure which does not diminish overtime

DQ (w/ or w/o early seizure)

Question 6

Moderate TBI

Answer 6

no dural penetration; LOC > 30 min but < 24h

w/o early seizure –> max cert = 1 year

w/ early seizure –> WP = 5 years seizure free and off meds

Question 7

Mild TBI

Answer 7

no dural penetration; LOC < 30 min

w/o early seizure –> max cert = 2 years

w/ early seizure –> WP = 2 years seizure free and off meds

Question 8

TBI certs depend on

Answer 8

completed WP
normal PE
normal neuro exam
testing from and neuro-ophth & neuropsych
neurology clearance

Question 9

TIA

Answer 9

cerebral blood supply is decreased for 20 minutes w/ resolution of sx and no lasting neuro deficits

WP = 1 year
max cert = 1 year if
–asymptomatic
–completed WP
–cleared from neuro
–SF & not on seizure meds
–no neuro deficits
–driving unaffected

Question 10

Strokes and hemorrhages

Answer 10

criteria = same

WP dependent on lesion location

max cert 1 year if:
–asx
–completed WP
–cleared from neuro
–SF & not on seizure meds
–no neuro deficits
–driving unaffected

Question 11

cerebellum or brainstem stroke/hemorrhage

Answer 11

low seizure risk

WP = 1 year

Question 12

cortical or subcortical stroke/hemorrhage

Answer 12

high seizure risk

WP = 5 years

Question 13

Strokes and hemorrhages DQ

Answer 13

DQ if anticoags are part of medical tx –> high r/o bleeding complications

Question 14

autonomic neuropathy

Answer 14

nerves innervating vital fxs (heart and smooth muscle) are affected

certify if nature and severity does not endanger public safety

Question 15

Congenital myopathies

Answer 15

Absolute DQ, no exemptions

dermatomyositis
inclusion body myositis
polymyositis

Question 16

metabolic muscles dz

Answer 16

Absolute DQ, no exemptions

Question 17

motor neuron dz

Answer 17

Absolute DQ, no exemptions

hereditary spinal muscular atrophy
acquired lateral sclerosis

Question 18

muscular dystrophy

Answer 18

Absolute DQ, no exemptions

Question 19

neuromuscular junction disorders

Answer 19

Absolute DQ, no exemptions

MG
myasthenic syndrome

Question 20

peripheral neuropathies

Answer 20

Absolute DQ, no exemptions

Question 21

myotonia

Answer 21

Absolute DQ, no exemptions

Question 22

isaac’s syndrome

Answer 22

Absolute DQ, no exemptions

Question 23

stiff-man syndrome

Answer 23

Absolute DQ, no exemptions

Question 24

most CNS tumors

Answer 24

WP = 1 year

max cert = 1 year if
–WP complete
–stable, non-progressive deficits or no deficits
–imaging shows no tumors

Question 25

CNS tumors w/ 2 year WP

Answer 25

benign supratentorial
spinal tumors

Question 26

absolute DQ CNS tumors

Answer 26

primary or metastatic malignant tumors of nervous system

Question 27

Bacterial meningitis

Answer 27

w/o early seizure –> WP = 1 year

w/ early seizure –> WP = 2 years

Question 28

Viral encephalitis

Answer 28

w/o early seizure –> WP = 1 year

w/ early seizure –> WP = 10 years

Question 29

Immediate DQ dx

Answer 29

dementia
Alzheimer’s
Pick’s dz

Absolute DQ, no exemptions