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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?
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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.