FMCSA/DOT ME certification questions
and answers 100% pass
regulation that describes the physical requirements for drivers ✔✔49 CFR 391.41
regulation that describes the responsibilities of the medical examiner, how to
...
FMCSA/DOT ME certification questions
and answers 100% pass
regulation that describes the physical requirements for drivers ✔✔49 CFR 391.41
regulation that describes the responsibilities of the medical examiner, how to do the exam,
description of driver risks, and medical exam form ✔✔49 CFR 391.43
regulation of who has to have CMV examination ✔✔49 CFR 391.45
regulation of what to do if there is disagreement between PCP and medical examiner ✔✔49 CFR
391.47
regulation of how to perform medical evaluation of driver with permanent MSK disability (SPE)
✔✔49 CFR 391.49
regulation that spells out limited exemptions for INTRA-CITY drivers ✔✔49 CFR 391.62
regulation pertaining to grandfathering in certain drivers from vision and DM exception ✔✔49
CFR 391.64
general information and definitions ✔✔49 CFR 390
regulations for medical REVIEW OFFICERS and substance abuse professionals and drug/alcohol
testing procedures ✔✔49 CFR 40
general qualifications to be a driver ✔✔21 years old or more, be able to communicate and read in
English, capable of safely operating the CMV, have DL, and medical exam certificate
which regulation lists the physical qualification requirements to be a driver ✔✔49 CFR 391
Subpart E (41)
objective standards that determine medical fitness for driving; non-discretionary ✔✔vision,
hearing, diabetes, seizures/epilepsy
waiting period before certifying driver on Provigil, recertification interval ✔✔min 6 weeks; annual
certification criteria after CABG ✔✔min 3 months, asymptomatic w/o angina, clearance from
cardio, LVEF >40%
disqualifying conditions ✔✔sustained Vtach, seizure within 5 years, Meniere's, BP>180/110,
dialysis, monocular vision, dementia
what is suggested recertification interval for NIDDM ✔✔1 year
disqualifying medications ✔✔controlled meds, methadone, habit forming drugs including
narcotics and amphetamines, anti-seizure meds, medical marijuana, benzos, phenothiazines
rules that establish national registry of certified MEs ✔✔49 CFR 390 Subpart D (101-115)
required components of urinalysis ✔✔spec gravity, protein, blood, glucose
disqualifying neuromuscular diseases ✔✔myotonia, isaac's syndr (neuromyotonia), stiff man
syndr
myotonia ✔✔inability to relax muscle after vigorous activity
stiff man syndrome ✔✔truncal rigidity, spasms resulting in postural deformities
who can grant the SPE certificate ✔✔FMCSA
what is monocular vision ✔✔meeting the 20/40 requirement in only one eye
symptom free period before driver can be certified if had acute BPV or acute/chronic peripheral
vestibulopathy ✔✔2 months
disqualifying ear problems ✔✔meniere's, nonfunctional labyrinth, labyrinthine fistula,
uncontrolled vertigo
what is the concern about using incretin mimetic in tx of DM? ✔✔in combo with insulin
secretagogue can cause hypoglycemia: can certify if driver stable on tx
waiting period for diabetics who now require insulin ✔✔1 month for previous dx and ongoing tx;
2 mo if new diagnosis and not on any tx
what disqualifies a diabetic driver ✔✔insulin use, severe hypoglycemia in past 12 mo or 2 episodes
in past 5 years, loss of proprioception, peripheral neuropathy, autonomic neuropathy, proliferative
retinopathy, any other disqualifying condition
guidelines for BG monitoring by the driver ✔✔before driving and every 2-4 hrs while driving, 100
to 400 mg/dl range
remember to ask diabetic drivers about what that is not on the form ✔✔other injectable therapies
how often should diabetics be certified ✔✔max 2 years but per RECOMMENDATION: yearly or
more often if HgbA1c >10%
max certification period for DM on insulin ✔✔1 year
what hearing qualification must be met to certify a driver ✔✔hearing loss of less than average 40
dB across all 3 frequencies measured in at least one ear
waiting period and max certification period for warfarin ✔✔1 mo, 1 year
what needs to be reviewed before certifying driver on warfarin ✔✔INR, which must be checked
at least monthly and must be in therapeutic ra
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