CVD

Question 1

What EF is DQ

Answer 1

<40%

Question 2

What size AAA is qualifying if asymptomatic

Answer 2

<4.0cm

Question 3

What size AAA is qualifying if asymptomatic and cleared by specialist

Answer 3

4-5cm

Question 4

what size AAA is DQ if not surgically repaired

Answer 4

> 5 cm

Question 5

Post-op surgical waiting period for AAA

Answer 5

3 months

Question 6

What imaging study is conducted to monitor change in AAA size

Answer 6

If 4-5 cm in size, need US to monitor if not repaired

Question 7

What size thoracic aneurysm is DQ

Answer 7

> 3.5 cm

Question 8

Waiting period for thoracic aneurysm post-op

Answer 8

3 months

Question 9

Is hypertrophic cardiomyopathy qualifying

Answer 9

No

Question 10

In what situation is idiopathic dilated cardiomyopathy and CHF qualifying

Answer 10

if asymptomatic
no ventricular arrhythmias
LVEF 40-50%

Question 11

What further evaluation is required for idiopathic dilated cardiomyopathy and CHF

Answer 11

cardiology evaluation
echo
Holter

Question 12

Is symptomatic CHF qualifying

Answer 12

No

Question 13

Is asymptomatic CHF with ventricular arrhythmias and EF <50% qualifying

Answer 13

no

Question 14

Is asymptomatic CHF without ventricular arrhythmias and EF <40% qualifying

Answer 14

No

Question 15

Is asymptomatic CHF without ventricular arrhythmias and EF 40-50% qualifying

Answer 15

yes

Question 16

Is restrictive cardiomyopathy qualifying

Answer 16

no

Question 17

When is risk of recurrent major cardiac event the highest?

Answer 17

first months post-MI

Question 18

Waiting period for post-MI

Answer 18

2 months

Question 19

Frequency of ETT for post-MI

Answer 19

Biennial at the least

Question 20

Post-MI EF minimum requirements for certification

Answer 20

> 40%

Question 21

Waiting period for angina pectoris

Answer 21

change in angina pattern within 3 months of exam

Question 22

Qualifiers needed to certify angina pectoris

Answer 22

no rest angina
no change in angina pattern in last 3 months
normal ETT
no ischemic changes on EKG
tolerance to CV therapy

Question 23

Frequency of ETT for angina pectoris

Answer 23

biennial at minimum

Question 24

Waiting period for PCI

Answer 24

1 week post-procedure

Question 25

When does ETT need to be conducted post PCI

Answer 25

3-6 months after PCI

Question 26

Frequency of ETT needed for PCI

Answer 26

Biennial

Question 27

How long should initial certification period be for PCI

Answer 27

Recertify starting with 6 months | Then can do annually with satisfactory ETT

Question 28

Waiting period for CABG

Answer 28

3 months post-op

Question 29

EF needed for CABG

Answer 29

>40%

Question 30

When does ETT need to be conducted for post-CABG

Answer 30

after 5 years need an annual ETT

Question 31

What is an abnormal ETT

Answer 31

unable to exceed 6 METs on Bruce protocol

Question 32

Max certification period for congenital heart conditions

Answer 32

1 year post repair

Question 33

Are implantable defibrillators certifiable

Answer 33

NO

Question 34

Waiting period for post heart transplant

Answer 34

1 year post-transplant

Question 35

Max certification for heart transplant

Answer 35

6 months

Question 36

Is driver with mitral regurgitation and afib certfiable

Answer 36

no, high risk of stroke

Question 37

Mild mitral regurgitation qualifiers

Answer 37

asymptomatic normal LV size normal PAP

Question 38

In a driver with mitral regurg, what grade of disease requires an annual echo

Answer 38

moderate and severe

Question 39

How often does a driver with severe mitral regurg need an echo

Answer 39

every 6-12 months if not corrected by surgery

Question 40

Moderate mitral regurgitation qualifers

Answer 40

asymptomatic normal LV size normal PAP

Question 41

Waiting period for severe mitral regurgitation post-op

Answer 41

3 months

Question 42

Can severe mitral regurgitation be certified

Answer 42

yes if asymptomatic or 3 months post-op

Question 43

What is the most common presenting manifestation of occlusive arterial disease

Answer 43

intermittent claudication

Question 44

waiting period for intermittent claudication

Answer 44

3 months post-op

Question 45

Is lone afib qualifiable

Answer 45

yes

Question 46

Requirements for drivers with afib and increased risk of stroke

Answer 46

anticoagulation for at least 1 month INR regulated at least monthly rate and rhythm control deemed adequate by cardiology

Question 47

Waiting period for mechanical valves

Answer 47

3 months post-op

Question 48

Qualifiers for acute DVT

Answer 48

no residual acute DVT | if on coumadin, follow anticoagulation protocol