Exam Fundamentals

Question 1

How often do you need exam?

Answer 1

2 years

Question 2

How long for PMHx/PMSx

Answer 2

5 years

Question 3

391.41

Answer 3

physical qualifications for drivers

Question 4

FMCSA oversees

Answer 4

medical excemption and certification programs

Question 5

FMCSA goal

Answer 5

reduce crashes, injuries, and fatalities involving large trucks and buses

Question 6

FMCSA produces guidelines or requirements

Answer 6

guidelines

Question 7

Who gets CDL

Answer 7

-vehicle weighing over 26,001lb or 10,001lb with trailer
- transports hazardous materials that require warning placards under DOT regulations
- vehicle designed to transport 16 or more passengers
- vehicle with more than 8 passengers including driver for compensation

Question 8

What if vehicle over 10,001 but less than 26,001and not hazardous?

Answer 8

need medical card and driver qualification file, not CDL

Question 9

Medical examiner responsibility

Answer 9

determine fitness for duty

Question 10

what if the medical examiner decides not to follow guidelines

Answer 10

need medical rationale and to document it

Question 11

4 required tests

Answer 11

vision
hearing
BP/pulse
UA

Question 12

What is included in UA

Answer 12

specific gravity, protein, blood, glucose

Question 13

Who gets max 1 yr certificates

Answer 13

HTN
Heart disease
CHD risk
T2D
Vision excemption

Question 14

are drug and alcohol test required

Answer 14

no not unless finding indicate need

Question 15

How long are exam records retained

Answer 15

3 years

Question 16

when does the ME certificate expire

Answer 16

midnight of day, month and year written on certificate (no grace period)

Question 17

who gets a medical examiner certificate?

Answer 17

ME, driver and employer

Question 18

who issues excemptions

Answer 18

FMCSA

Question 19

What are the 2 exceptions

Answer 19

vision and diabetes

Question 20

Are there any restrictions when driving?

Answer 20

NO! Driver must be able to perform all duties, including lifting, for certification

Question 21

If you find the driver has a health history/physical exam that doens’t meet standards, what next?

Answer 21

Complete the exam to determine if there are more disqualifying issues for they may be reversable and treatable

Question 22

How old to drive

Answer 22

21

Question 23

Is the exam the same for everyone

Answer 23

YES

Question 24

if the exam is focused, when are they certified

Answer 24

1 year from full exam

Question 25

how do you know someone has an exception

Answer 25

they have a FMCSA letter

Question 26

recert for vision and diabetes exception

Answer 26

1 year

Question 27

recert for SPE

Answer 27

2 years

Question 28

who can a ME disqualify

Answer 28

anyone as long as a reason is documented

Question 29

which exams are reported the FMCSA

Answer 29

all

Question 30

Qualified

Answer 30

2 year cert

Question 31

Temporary qualified

Answer 31

45d-1y cert

Question 32

not qualified

Answer 32

no certificate given

Question 33

drugs DQ

Answer 33

schedule 1, narcotics, MJ, methadone, antiseizure, amphetamines

Question 34

Exception for DQ drugs

Answer 34

if there is a prescribing doctor note saying the driver is safe to drive on those meds

Question 35

2 ways to determine if meds will affect driver

Answer 35

review each med, including prescription, non and OTC request a letter from prescribing doctor

Question 36

391.43

Answer 36

Medical examiner responsibilities

Question 37

Can a driver take methadone for pain even if he has a doctor note

Answer 37

no because it is a habitual drug and not allowed

Question 38

The medical examiner may require a driver to be evaluated by an SAP and successfully complete a rehabilitation course if the driver?

Answer 38

admits to abuse

Question 39

Ptn admits to completing 30 days of rehab. On exam everything normal. Can she be certified?

Answer 39

No, not until she sees SAP for evaluation and is cleared by them to work

Question 40

the primary driving force for federal regulation to protect public safety is that

Answer 40

the economic cost of CMV crashes is extremely high.

Question 41

How often must certified Medical Examiners report the details of CMV driver examinations?

Answer 41

monthly

Question 42

Can ME choose not to follow regulations?

Answer 42

NO, only guidelines

Question 43

FMCSA medical program responsibilities include

Answer 43

Develop and implement medical regulations, policies, and procedures Conduct and oversee the agency’s medical exemption and certificate programs.