Quiz week 38

Sorry but this question had to be re-worded after it was answered. Q1. A 38 year old female patient comes to you for commercial vehicle driving permit physical exam. She currently is engaged in working at a local bakery as a saleswoman. Which one of the following does not make her unfit for driving?

1. Visual acuity of 20/40 in her better eye after correction.
2. Angina pectoris
3. Blood pressure 190/90
4. Supervised treatment with methadone
5. Glycosuria inspite of medications

The answer is Choice 5. In a patient who comes for a CDL (Commercial drivers license) all the above conditions will disallow her to drive except Glycosuria while on treatment. Federal regulations may be seen at http://ada.hypermart.net/physexam.html

Q 2. Which of the following pairs are least likely to be associated with one another?

1. ACE inhibitors and hypoglycemia
2. Rifampin and Flu like illness
3. Botulinum toxin and Blepharospasm
4. Obesity and osteoarthritis of the wrist
5. Radiation exposure and CLL

The answer is choice 5. Of all the leukemias, the least associated with radiation is CLL. It is the only leukemia that could not be tied with the Nuclear tragedy in Hiroshima & Nagasaki (Japan). All other pairs are true.. ACE inhibitors can cause hypoglycemia. Rifampin does have a side effect of a flu like illness, especially when taken intermittently. Botulinum toxin is used for treating blepharospasm and obesity causes OA of knees and wrists.