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The 2009 MRB and MEP panel recommended a driving test for drivers with history of CVA. It does not appear that the FMCSA formally adopted this recommendation. In actual practice, are examiners mandating a driving test to certify a driver with a history of CVA, even if physical exam suggests that the driver is able to perform all CMV tasks?
Driving tests are used as part of the Skill Performance Evaluation process for examinees who have fixed limb deficits, e.g., amputations, or stroke-related functional loss. While the Stroke MEP Recommendations from 01/08/2009 https://www.fmcsa.dot.gov/sites/fmcsa.d ... AL-508.pdf include suggestions of neuropsychological and driving tests for every CMV driver/examinee after a stroke, I'm not aware of either as a current standard of practice.