Neuro

Question 1

Waiting period for anticoagulation therapy

Answer 1

1 month with INR

Question 2

Max certification for anticoagulation therapy

Answer 2

1 year

Question 3

max certification for anticonvulsant therapy

Answer 3

2 years

Question 4

when is anticonvulsant therapy disqualifying

Answer 4

when used for seizure disorder

Question 5

Waiting period for mild insult without early seizure

Answer 5

1 year seizure free and off anticonvulsant medications

Question 6

waiting period for stroke without risk for seizures

Answer 6

1 year seizure free and off anticonvulsant medications

Question 7

waiting period for intracerebral or subarachnoid hemorrhage without risk for seizures

Answer 7

1 year seizure free and off anticonvulsant medications

Question 8

waiting period for moderate insult without early seizures

Answer 8

2 year seizure free and off anticonvulsant medications

Question 9

waiting period for mild insult with early seizures

Answer 9

2 year seizure free and off anticonvulsant medications

Question 10

waiting period for moderate insult with early seizures

Answer 10

5 year seizure free and off anticonvulsant medications

Question 11

waiting period for stroke with risk for seizures

Answer 11

5 year seizure free and off anticonvulsant medications

Question 12

waiting period for intracerebral or subarachnoid hemorrhage with risk for seizures

Answer 12

5 year seizure free and off anticonvulsant medications

Question 13

Max certification for any acute seizure

Answer 13

1 year

Question 14

Can patient with history of severe brain insult with or without seizures be certified

Answer 14

NO

Question 15

Max certification for acute seizure due to systemic metabolic illness

Answer 15

2 years

Question 16

Max certification for childhood febrile seizures

Answer 16

2 years

Question 17

When is epilepsy diagnosed

Answer 17

with second unprovoked seizure regardless of time frame

Question 18

Epilepsy is a disqualifying illness T/F

Answer 18

True

Question 19

Drivers with epilepsy can not be qualified due to

Answer 19

• having medical history of epilepsy
• has current clinical diagnosis of epilepsy
• taking anti-seizure medications

Question 20

Waiting period for epilepsy

Answer 20

10 years off anticonvulsant and seizure free

Question 21

Seizure exemption requirements

Answer 21

• neuro evaluation
• 3 year driving record with detailed activities
• 30 day public comment period
• can reduce waiting period

Question 22

Max certification for headaches

Answer 22

2 years

Question 23

waiting period for single unprovoked seizure

Answer 23

5 years seizure free and off anticonvulsant medications

Question 24

max certification for single unprovoked seizure

Answer 24

1 year

Question 25

Which disorders that cause vertigo and dizziness can be certified

Answer 25

BPV | acute and chronic peripheral vestibulopathy

Question 26

waiting period for BPV and acute/chronic peripheral vestibulopathy

Answer 26

2 months asymptomatic

Question 27

max certification for BPV and acute/chronic peripheral vestibulopathy

Answer 27

2 years

Question 28

waiting period for bacterial meningitis without early seizures

Answer 28

1 year seizure free and off anticonvulsants

Question 29

waiting period for viral encephalitis without early seizures

Answer 29

1 year seizure free and off anticonvulsants

Question 30

waiting period for bacterial meningitis with early seizures

Answer 30

5 year seizure free and off anticonvulsants

Question 31

waiting period for viral encephalitis with early seizures

Answer 31

10 year seizure free and off anticonvulsants

Question 32

Max certification for infections of the CNS

Answer 32

2 years

Question 33

Max certification for autonomic neuropathy

Answer 33

2 years

Question 34

when not to certify autonomic neuropathy

Answer 34

-resting tachycardia | orthostatic BP

Question 35

Which conditions are not certifiable with abnormal muscle activity

Answer 35

Mytonia Isaac's syndrome Stiff-man syndrome

Question 36

max certification for conditions associated with abnormal muscle activity

Answer 36

2 years

Question 37

T/F congenital myopathies are certifiable

Answer 37

False | DQ

Question 38

T/F metabolic muscle diseases are certifiable

Answer 38

False | DQ

Question 39

T/F Motor neuron disease is not certifiable

Answer 39

True | DQ

Question 40

T/F muscular dystrophy is not certifiable

Answer 40

True | DQ

Question 41

T/F Muscular dystrophy is certifiable

Answer 41

False | DQ

Question 42

T/F neuromuscular junction disorders (MG/MS) are certifiable

Answer 42

False | DQ

Question 43

T/F Peripheral neuropathies are certifiable

Answer 43

False | DQ

Question 44

Which CNS tumors have a waiting period of 1 year post-surgery

Answer 44

``` infratentorial meningiomas acoustic neuromas pituitary adenomas spinal benign tumors benign extra-axial tumors ```

Question 45

Which CNS tumors have a waiting period of 2 year post-surgery

Answer 45

benign supratentorial tumors | spinal tumors

Question 46

Max certification for CNS tumors

Answer 46

1 year

Question 47

Which CNS tumors are NOT allowed to be certified

Answer 47

- primary or metastatic malignant tumors of CNS | - benign nervous system tumors

Question 48

Monitoring requirements for CNS tumors

Answer 48

-residual exams must show no evidence of recurrent or new tumors

Question 49

T/F patients with dementia can operate CMV

Answer 49

False | DQ

Question 50

T/F Spinal cord injury resulting in paraplegia is a disqualifier

Answer 50

True

Question 51

Which vascular lesions are not associated with increased seizure risk

Answer 51

cerebellum and brainstem

Question 52

which deficits are associated with increased seizure risk

Answer 52

cortical and subcortical

Question 53

waiting period for cerebellum or brainstem vascular lesion

Answer 53

1 year

Question 54

waiting period for cortical or subcortical deficits

Answer 54

5 years

Question 55

Max certification for strokes, hemorrhages, TIA

Answer 55

1 year

Question 56

When not to certify driver with history of stroke, hemorrhage, or TIA

Answer 56

if using oral anticoagulant therapy | increased risk for bleeding

Question 57

T/F drivers with a history of stroke, hemorrhage, or TIA need clearance from neurologist prior to certification

Answer 57

True

Question 58

Severe TBI characteristics

Answer 58

penetrates dura LOC >24 hours high risk of unprovoked seizures (risk does not decrease overtime)

Question 59

Moderate TIA characteristics

Answer 59

does not penetrate dura | LOC >30 minutes, < 24 hours

Question 60

Mild TIA characteristics

Answer 60

no dural penetration or LOC if LOC, <30 minutes distinguish between mild TBI with or without early seizure

Question 61

Waiting period for moderate TBI without early seizure

Answer 61

2 years seizure free and off anticonvulsant

Question 62

waiting period for mild TBI with early seizure

Answer 62

2 years seizure free and off anticonvulsant

Question 63

Waiting period for moderate TBI with early seizure

Answer 63

5 years seizure free and off anticonvulsant

Question 64

Max certification for mild TBI without early seizure

Answer 64

2 years

Question 65

Max certification for other seizure types

Answer 65

1 year

Question 66

Which seizure type is NOT certifiable

Answer 66

severe TBI with or without early seizures | mild or moderate TBI without completing waiting period, abnormal physical/evaluations, no clearance from neurologist

Question 67

Which diagnosis requires 10 year waiting period

Answer 67

history of epilepsy | viral encephalitis with early seizures

Question 68

which diagnosis requires 5 year waiting period

Answer 68

single unprovoked seizure bacterial meningitis and early seizures moderate TBI with early seizures stroke with risk for seizures (cortical or subcortical) intracerebral or subarachnoid hemorrhage with risk for seizures

Question 69

which diagnosis requires 2 year waiting period

Answer 69

acute seizure with acute structural CNS insult moderate TBI without early seizures surgically removed supratentorial or spinal tumors