Which condition requires a full examination for new certification?

A full examination for new certification is necessary for all the conditions listed because they each present unique and significant considerations that must be thoroughly evaluated in a medical context.

Hypertension requires monitoring and assessment of cardiovascular health, as the potential for complications like heart disease or stroke must be addressed. A comprehensive physical exam helps determine the current state of the condition and whether it is under control.

Diabetes involves not just blood sugar control but also potential complications affecting various systems in the body, such as the eyes, kidneys, and nerves. A detailed examination can help identify any complications and assess whether the individual can safely operate a commercial vehicle.

Epilepsy, due to its risk of seizures, demands a complete evaluation to establish the frequency and control of seizures. Considerations include assessing medication effectiveness, seizure history, and potential impacts on the driver's ability to perform safely.

In summary, requiring a full examination for each of these conditions ensures that the medical examiner can make an informed decision on the individual's ability to maintain safety standards while driving. Each condition has its implications that necessitate a thorough and individualized assessment.