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DOT Exam > Neurological Disorders > Flashcards

Neurological Disorders Flashcards

1
Q

History of epilepsy or seizure disorder can certify if:

A
  1. Off medication & seizure free for 10 years

*recommend to have driver apply for exemption rather than take on liability

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2
Q

Unprovoked Seizures

A

Driver should be off medication and seizure free > 5 years

*2nd seizure would constitute epilepsy

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3
Q

Seizure Exemption Requirements

A
  1. Driver maintains treatment regimen and is seizure free for 2 year exemption
  2. Annual reports from treating MD
  3. Annual medical exams
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4
Q

Seizure Exemption: Epilepsy

A
  1. Seizure free on/off medication for 8 years
  2. Stable medication for 2 years

Max cert: 1 year

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5
Q

Seizure Exemption: Single Unprovoked Seizure

A
  1. Seizure free on/off meds for 4 years
  2. Stable meds for 2 years

Max cert: 2 years

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6
Q

Seizure Exemption: Single Provoked Seizure (low risk)

A

Low Risk:
- Meds
- LOC < 30 minutes
- Non-penetrating head injury
- Metabolic derangement
- Alcohol/Drug withdrawal

Max Cert: 1 year

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7
Q

Seizure Exemption: Single Provoked Seizure (Moderate/High Risk)

A

Moderate/High Risk:
- LOC > 30 minutes
- Penetrating head injury
- ICH (Stroke)
- Brain infections
- Post-operative

  1. Seizure free on/off meds x 8 years
  2. Meds stable x 2 years

Max cert: 1 year

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8
Q

Febrile Seizures: Certification Period

A

2 years

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9
Q

Mild TBI

A
  • No dural penetration
  • LOC < 30 minutes
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10
Q

Moderate TBI

A
  • No dural penetration
  • LOC > 30 minutes but < 24 hours
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11
Q

Severe TBI

A
  • Penetrates dura
  • LOC > 24 hours
  • High risk for unprovoked seizures

Do NOT certify

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12
Q

Moderate TBI w/o Seizures
Mild TBI w. Seizures
Waiting period

A

Minimum 2 years seizure free and off meds

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13
Q

Moderate TBI w/ seizures waiting period

A

Minimum 5 years seizure free and off meds

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14
Q

TBI Certification Period

A

1 year certification for:
- Mild TBI w/ Seizures
- Moderate TBI w/ or w/o seizures

2 year certification for:
- Mild TBI w/o seizures

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15
Q

Severe TBI Certification

A

Do NOT certify

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16
Q

TIA Waiting & Certification Period

A

Waiting: 1 year

Max cert: 1 year

17
Q

TIA Certification Requirements

A
  1. Completed waiting period seizure free and off meds
  2. Normal exam
  3. Cleared
18
Q

Strokes Waiting & Certification Period

A

Waiting:
- 1 year if cerebellum or brainstem lesions
- 5 years if cortical or subcortical

Max Cert: 1 year

19
Q

Strokes Certification Requirements

A
  1. Completed waiting
  2. Normal exam
  3. No interfering deficits
20
Q

Brain Bleeds Waiting & Certification Period

A

Waiting:
- 1 year if cerebellum or brainstem lesions
- 5 years if cortical or subcortical

Max Cert: 1 year

21
Q

CNS Tumors Certification Period

A

Max cert: 1 year

22
Q

CNS Tumors Waiting Period

A

1 year if:
- infratentorial meningioma
- acoustic neuroma
- pituitary adenoma
- spinal benign tumors
- benign extra-axial tumors

2 years if:
- benign supratentorial tumors
- spinal tumors

23
Q

CNS Tumors DQ

A
  1. Not completed waiting
  2. Primary or metastatic malignant tumors of the CNS
24
Q

Dementia

A

Do NOT certify

25
Q

Aseptic Meningitis

A

Do not increase risk of seizures

No restrictions for waiting or max cert

26
Q

Bacterial Meningitis w/o Seizure Waiting Period

A

1 year seizure free and off medications

27
Q

Viral Encephalitis w/o Seizures Waiting Period

A

1 year seizure free and off medication

28
Q

Bacterial Meningitis w/ Seizure Waiting Period

A

5 years seizure free and off medication

29
Q

Viral Encephalitis w/ Seizure Waiting Period

A

10 years seizure free and off medication

30
Q

Meningitis/Encephalitis Certification Period & Certification Requirements

A

Max Cert: 2 years

Certify if:
1. Aseptic meningitis
2. Completed waiting

31
Q

AV Malformation/Aneurysm

A

If not repaired then…

Do NOT Certify

32
Q

Parkinson’s Disease

A

Do NOT Certify

33
Q

Cerebellar Ataxia

A

Do NOT Certify

34
Q

Frequent/Severe Headaches

A

Do NOT Certify

35
Q

Narcolepsy

A

Do NOT Certify

36
Q

Idiopathic Hypersomnia

A

Do NOT Certify

DOT Exam (12 decks)

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