Musculoskeletal Flashcards
391.49
SPE
SPE only applies to
fixed deficits of extremities
all initial and recert require
summary by ortho or physiatry
Who determines if driver eligible for SPE
ME
What must followup exams indicate if SPE current
no changes in driver status since SPE issued
what 2 disease require special clearance
rheumatism or arthritis
are there specific grip strength requirments
no
where to refer drivers with extremity limitations for on road/skill eval
FMCSA Field center
is autonomic neuropathy, congenital myopathy and neuromuscular d/o DQ
no, case by case decision
can driver have carpal tunnel
yes as long as it doesn’t interfere; if surgery required need to be cleared by surgeon post surgery
DQ
loss of hand/foot, peripheral neuroapthy
what medical examiner documentation is required when a driver applies for a SPE certificate
driver must include copies of the Medical Examination Report, status section, and the medical examiner’s certificate, indicating that medical certification must be “accompanied by a SPE certificate”
Does Missing fourth and fifth fingers of right hand; has strong hand grasp require obtaining SPE to drive?
Yes need SPE because need to demonstrate that the can do all activities of CMV for certification
Does Missing right foot since age two; uses prosthesis and runs marathons require obtaining SPE to drive?
Does not require SPE for certification.
Does Status post-crush injury to left arm; has atrophy and weakness in ulnar distribution require obtaining SPE to drive?
Yes need SPE because need to demonstrate that the can do all activities of CMV for certification
