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The driver is unable to flex either hip more than 60 degrees due to right and left hip replacement performed 5 years ago and 7 years ago. He is adamant that he is able to drive a truck. This is his first driver medical exam since the surgery. The rest of his examination is unremarkable. What is the next step?
a) Certify the driver for 2 years.
b) Certify the driver for 1 year.
c) Counsel the driver regarding applying for a SPE.
d) Require an orthopedic evaluation to determine if the driver requires and/or is a candidate for a SPE.

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