48 male smokes 2 packs a day with BMI of 38.2 and drives long routes requiring him to eat fast food. BP 132/69, hr 78, rr 18, ow 99%. denies dizziness, dyspnea, abd abguba, exam normal.
a. disqualify for risk of MI
b.certify x 2 years
c. certify x 1 year with close monitoring
d.certify x 3 months