FMCSA Guidelines and Certification Test Questions and answers. 100% Accurate. Rated A

FMCSA Guidelines and Certification Test Questions and answers. 100% Accurate. Rated A What are the differences between intra and inter state driving? - ✔✔Intra: Driving within the state without crossing borders. Dr ...

FMCSA Guidelines and Certification Test Questions and answers. 100% Accurate. Rated A What are the differences between intra and inter state driving? - ✔✔Intra: Driving within the state without crossing borders. Driver is only required to have a state certification. Inter: Driving across borders or delivering cargo that has crossed borders. Drivers are required to have federal certification. What is form MCSA5875? - ✔✔Medical Examination Report Form True or False: Determination pending is only for interstate. - ✔✔True How often does the ME need to report to the national registry when you have consistently been doing exams? and when you have not been doing exams? - ✔✔either way you must report monthly When are the completed exams due? - ✔✔Midnight of the same date What is required in an urinalysis exam? - ✔✔specific gravity, protein, glucose, and blood When does the Federal Clinical Lab Improvement Amendment consider and urinalysis a lab test? - ✔✔when performed in office When was the FMCSA established? - ✔✔Jan 1, 2000 What is the FMCSA mission statement focused on? - ✔✔reducing crashes, injuries, fatalities involving large trucks and buses. What is the FMCSA mission statement? - ✔✔to promote safety of americas highways through promulgation and implementation of medical regulations, guidelines, and policies that ensure CMV drivers engaged in interstate commerce are physically qualified to do so. What are 2 important programs from FMCSA? - ✔✔*Development and implementation of national registry program *overseeing of medical exemption and certificate programs What is the National Registry Statement? - ✔✔To improve Highway safety by producing trained certified ME's who can effectively determine if a CMV drivers health meets the FMCSA's standards. Which office uses economic stats and environmental analysis for rule making? - ✔✔Analysis Research and Technology AKA ART What is the formula for the risk of death between vehicles? - ✔✔a Vehicle with 2x weight = 6 Fold risk of death Who must comply with drivers hours of service? - ✔✔1. Drivers operation Commercial Motor Vehicle 2. Persons engaging in interstate commerce 3. Persons engaging in intrastate commerce where that state adopted and enforces the new HOS regulations. True or false: Work that is not driving is considered off duty. - ✔✔False. Work that is not driving must be included in duty hours. How much sleep is required for Property Carrying Drivers using a sleeper berth provision? - ✔✔at least 8 consecutive hours in sleeper berth plus 2 consecutive hours in off duty or in sleeper berth. How much sleep is required for Passenger Carrying Drivers using a sleeping berths provision? - ✔✔must take at least 8 hours in sleeper berth but may split the time into 2 periods, neither being less than 2 hours. What is the definition of an ME under code 49CFR390.5? - ✔✔A person who is licensed, certified, or registered to perform physical exams. Term includes but is not limited to: Drs. of Med, D.O.'s, Advanced Practice Nurses, PA's, and Chiropractors Definition of For Hire or Private Motor Carrier. - ✔✔includes motor carriers agents, officers, and reps, as well as employees for hiring/supervising/training/assigning/dispatching of drivers and employees concerned with installation, inspection, and maintenance of Motor Vehicle equipment and accessories. Definition of Owner/Operator. - ✔✔Independent Driver of a commercial vehicle Definition of a commercial motor vehicle under code 49CFR390.5. - ✔✔1. Weighs 10,001 lbs or more 2. Can transport more than 9 passengers, including the driver, for compensation. 3. Can transport more than 16 passengers, including the driver, not for compensation. 4. Transport requiring placard for hazardous waste. Definition of Class A license under section 383.5. - ✔✔Combo of vehicles weighing 26,001 lbs or more provided the weight of the vehicle being towed is in excess of 10k lbs. Definition of Class B license under section 383.5. - ✔✔Single vehicle with weight of 26,001 or more lbs or any such vehicle, towing a vehicle, not in excess of 10k lbs. Defintion of Class C license under section 383.5. - ✔✔Any single or combo of vehicles that does not meet the definition of class A or B. When is a medical certificate required to begin driving? - ✔✔before operating a commercial vehicle When is a new medical certificate required after the initial certificate was issued? - ✔✔At least every 2 years or when a drivers ability to drive has been impaired. Which interstate drivers do not need a medical exam? - ✔✔*bus drivers transporting between home and school *federal/state/local government employees *transporters of human corpses/sick/injured persons *fire truck/rescue vehicle drivers when there is an emergency *transportation of propane/winter heating fuel *responders to pipeline emergencies *farmers transporting harvest to storage or market *bee keepers in seasonal transportation of bees *private motor carries *transport for migrant workers Which intrastate drivers do not need a medical exam? - ✔✔*state workers Which school bus drivers are exempt from federal medical exam requirement? - ✔✔*drivers taking students/staff to home or school - regardless of crossing state lines *drivers who are employees of a school district/city/county/state government. True or False: A foreign driver from a Canadian Provence or Mexican Licencia is not required to have a U.S. Medical Certificate. - ✔✔True True or False: Canadian or Mexican drivers who use insulin, have epilepsy, or who are vision or hearing impaired are still qualified to drive int he U.S. - ✔✔False True or False: CFR's or codified federal regulations are laws that must be followed. - ✔✔True What is covered under Title 49? - ✔✔Transportation What is part 391? - ✔✔Qualifications of drivers What is section 41? - ✔✔Physical Qualifications for drivers How many discretionary and non-discretionary physical qualifications are there? - ✔✔discretionary - 10 non-discretionary - 3 What are the non discretionary physical qualifications? - ✔✔1. vision 2. hearing 3. epilepsy In what citation are the drivers tasks listed? - ✔✔49CF391.43 What citation notes the skills performance evaluation? - ✔✔49CF391.49 Which citation include intra city zone drivers? - ✔✔49CFR391.62 What is the difference between CF and CFR in citations? - ✔✔CF- rules CFR - laws What citation includes a grandfather clause for an old vision waiver? - ✔✔49CFR391.64 Under which citation is the cardiovascular standard and explain what it that standard is. - ✔✔49CFR391.41 (B) (4) (6) Standard is: The driver must not have a ddx of a heart problem. Why are truck drivers at a more increased risk of cardiovascular dx? - ✔✔1. obesity 2. sedentary lifestyle 3. driving stress 4. erratic shifts 5. emotional stress What is the most common cause of sudden driver incapacitation? - ✔✔Arrythmia What is the most common etiology of sudden driver incapacitation? - ✔✔Coronary Heart Disease What are the cardiac related questions that should be asked by an ME? - ✔✔1. Do you have a hx of myocardial infarction/angina/coronary insufficiency/thrombosis/surgery? 2. Do you have chest pain/pressure/ache at rest/with exertion? 3. Do you have shortness of breath? 4. Do you have difficulty laying flat at night? 5. Do you have episodes of dizziness? 6. Do you have severe palpitations? 7. Do you have diaphoresis? 8. Do you ever have loss of consciousness? 9. Are you currently under treatment for any cardiac condition? If a driver reports positive cardiac symptoms, what is the ME's next step? - ✔✔refer to specialist for further eval prior to certification. What must be obtained before certifying a driver regarding a heart surgery or procedure? - ✔✔Documentation from the cardiologist, including: stress test/worksheets/original tracing. Whats included in the cardiac examination? - ✔✔1. heart sounds 2. arrhythmia 3. enlargement 4. pace maker 5. implantable cardioverter defibrillator 6. edema and cyanosis 7. abnormal arterial pulse and amplitude 8. carotid or arterial bruits What abnormal findings on the cardiac exam would indicated enlarged heart? - ✔✔measurement larger than 1-2cm What is the physiology of the first heart sound? - ✔✔it is caused by the closure of the mitral and tricuspid valves and it is also the beginning of systole and corresponds with carotid pulse. What is the physiology of the second heart sound? - ✔✔caused by closure of the aortic and pulmonary valve, beginning of diastole. When is it normal to hear the S3 heart sound? - ✔✔in people under 40 and trained athletes. What is the indication of an S3 heart sound late in life? - ✔✔may indicate heart failure What is the indication of S4 in elderly? - ✔✔failing left ventricle When is S2 splitting normal? - ✔✔during inspiration in young drivers what pathology is indicated by reverse splitting of the S2 heart sound during expiration? - ✔✔ventricular pacemaker What pathology is indicated by a fixed split S2 heart sound during inspiration and expiration? - ✔✔it is a septal defect What pathology is indicated by a pericardial knock? - ✔✔pericarditis What pathology is indicated by pericardial rub? - ✔✔pericarditis What pathology is indicated by a whoosing or swishing sound on auscultation? - ✔✔murmur How are murmurs classified? - ✔✔1. early, mid, and late systolic 2. HOLOSYSTOLIC 3. Diastolic 4. Continuous What is the murmur classification scale from 1-6? - ✔✔Grade 1 - strained to hear murmur Grade 2 - faint murmur w/o straining Grade 3 - moderately loud murmur Grade 4 - moderately loud murmur with a thrill Grade 5 - hear a murmur when stethoscope is in contact with the skin Grade 6 - hear murmur when stethoscope is not in contact with the skin With which murmur classifications is no further eval required? - ✔✔1. early systolic 2. mid systolic 3. grade 1 4. grade 2 What are 4 common cardiovascular tests? - ✔✔1. EKG 2. Echo cardiography 3. Echo/cardiac catheterization 4. Excercise tolerance test - ETT When is an echo indicated? - ✔✔in cases of abnormal resting EKG or non-diagnostic standard ETT. What is being measured by an Echo? - ✔✔left ventricular ejection fraction (LVEF) What is considered a normal ETT? - ✔✔1. exceed 6 METS 2. no angina 3. less than 1mm ST Depression in 2 or more leads 4. ability to exceed 85% of age predicted max heart rate 5. 20 mmHg or more rise in systolic BP What is often required by FMCSA for cardiovascular testing? - ✔✔1. Annual CV exam and clearance from a CV specialist 2. LVEF>= 40% 3. No pulmonary hypertension 4. Annual MEC 5. Mandatory waiting period (3months, 2 months. or 1 week) What is considered to be a Stable Angina? - ✔✔At least one artery has narrowing When can you certify a Stable Angina and what is the interval period? - ✔✔- Stable -Aysmptomatic -Tolerates medication - Has satisfactory ETT -Annual CV specialist exam Cert Interval for 1 yr What characterizes an unstable angina? - ✔✔1. pain at rest 2. change in pattern 3. decreased response to medication What is the waiting period and max certification for an unstable angina? - ✔✔waiting period is 3 mos symptom free certification is 1 year True or False: Drivers must be counseled for coronary heart disease risk factors. - ✔✔True If a driver has diabetes melitus, peripheral vascular disease, framingham risk predicting 20%, or is over 45 yrs old, can you certify the driver? - ✔✔This is insufficient to not certify a driver. What is the waiting period and certification interval for coronary heart disease? - ✔✔no recommended waiting period and cert interval is 1 yr.