Exam Fundamentals Flashcards

1
Q

How often do you need exam?

A

2 years

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2
Q

How long for PMHx/PMSx

A

5 years

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3
Q

391.41

A

physical qualifications for drivers

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4
Q

FMCSA oversees

A

medical excemption and certification programs

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5
Q

FMCSA goal

A

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

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6
Q

FMCSA produces guidelines or requirements

A

guidelines

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7
Q

Who gets CDL

A
  • 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
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8
Q

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

A

need medical card and driver qualification file, not CDL

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9
Q

Medical examiner responsibility

A

determine fitness for duty

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10
Q

what if the medical examiner decides not to follow guidelines

A

need medical rationale and to document it

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11
Q

4 required tests

A

vision
hearing
BP/pulse
UA

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12
Q

What is included in UA

A

specific gravity, protein, blood, glucose

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13
Q

Who gets max 1 yr certificates

A
HTN
Heart disease
CHD risk
T2D
Vision excemption
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14
Q

are drug and alcohol test required

A

no not unless finding indicate need

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15
Q

How long are exam records retained

A

3 years

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16
Q

when does the ME certificate expire

A

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

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17
Q

who gets a medical examiner certificate?

A

ME, driver and employer

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18
Q

who issues excemptions

A

FMCSA

19
Q

What are the 2 exceptions

A

vision and diabetes

20
Q

Are there any restrictions when driving?

A

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

21
Q

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

A

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

22
Q

How old to drive

A

21

23
Q

Is the exam the same for everyone

A

YES

24
Q

if the exam is focused, when are they certified

A

1 year from full exam

25
Q

how do you know someone has an exception

A

they have a FMCSA letter

26
Q

recert for vision and diabetes exception

A

1 year

27
Q

recert for SPE

A

2 years

28
Q

who can a ME disqualify

A

anyone as long as a reason is documented

29
Q

which exams are reported the FMCSA

A

all

30
Q

Qualified

A

2 year cert

31
Q

Temporary qualified

A

45d-1y cert

32
Q

not qualified

A

no certificate given

33
Q

drugs DQ

A

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

34
Q

Exception for DQ drugs

A

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

35
Q

2 ways to determine if meds will affect driver

A

review each med, including prescription, non and OTC

request a letter from prescribing doctor

36
Q

391.43

A

Medical examiner responsibilities

37
Q

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

A

no because it is a habitual drug and not allowed

38
Q

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

A

admits to abuse

39
Q

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

A

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

40
Q

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

A

the economic cost of CMV crashes is extremely high.

41
Q

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

A

monthly

42
Q

Can ME choose not to follow regulations?

A

NO, only guidelines

43
Q

FMCSA medical program responsibilities include

A

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