FMCSA Mission Statement - ✔✔ To reduce crashes, injuries, fatalities involving large trucks/buses
Medical Examiner - ✔✔ Licensed,
... [Show More] certified, registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test
FMCSA - ✔✔ Federal Motor Carrier Safety Administration
NRCME - ✔✔ National Registry of Certified Medical Examiners
Commerical Motor Vehicle - ✔✔ Weight >1000 lb ; or transports >8 people for compensation ; or >15 people without compensation ; transports hazardous materials requiring placarding
Interstate commerce
vs.
Intrastate commerce - ✔✔ Interstate: multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of substance abuse for drivers? - ✔✔ SAP (Substance Abuse Professional)
Who determines the origin of abnormal drug test results, determining whether the driver has violated drug use regulations? - ✔✔ Medical Review Officer
Title 49 CFR 391.41 - ✔✔ Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
Title 49 CFR 391.43 - ✔✔ Describes responsibilities of Medical Examiner, instructions for exam, and requirements for medical certification
- Supporting information to explain 391.41
When was DOT established? - ✔✔ 1966
Became separate entity on Jan 1, 2000
Motor Carrier Safety Improvement Act of 1999 - ✔✔ Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991 - ✔✔ Required drug testing for drivers
The driver must always keep a copy of ____________________ with them while driving - ✔✔ Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you release their Medical Certification? - ✔✔ No. Certificate is provided to employer.
(Release is required for a copy of medical report form)
How many standards are used to determine driver fitness for duty? - ✔✔ 13
How many standards of "driver fitness for duty" are *discretionary*? - ✔✔ 9
(according to my review course)
- Other sources say 10 and say that T2DM is discretionary
How many standards of "driver fitness for duty" are *NON- discretionary*? - ✔✔ 4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Age requirement for drivers - ✔✔ 21+
Language requirement for drivers - ✔✔ Must be able to read/speak English well enough to read signs, communicate
Height/weight requirement for drivers - ✔✔ There is none
What is tested for in urine? - ✔✔ USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical Certificate? - ✔✔ 3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? - ✔✔ Only every 6 months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
- May certify Q1 year post surgical correction of secondary HTN
Which generation of antihistamines should be used for drivers? - ✔✔ 2nd gen
- Nonsedating
A driver must wait ___ hours after taking a sedating med before driving - ✔✔ 12+ hours
Urine drug testing includes: - ✔✔ MJ
Tobacco
Amphetamines
Cocaine
Opiates
Which type of stroke only requires a 1 year waiting period? - ✔✔ Cerebellar or brainstem, which has low risk for seizures
- And NO hx of seizure
- + Neuro clearance and normal neuro exam
What is the A1C requirement for drivers with T2DM? - ✔✔ There is not one
Vision requirements - ✔✔ 20/40 in each eye and both eyes (or better)
Field >70 degrees
Can see amber, red, green colors
Exam: Fundoscopic, PERRLA, ocular movements
Hearing requirements - ✔✔ Whisper at not less than 5 feet in 1 ear, or average hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
- Can use hearing aids - mark on paperwork
- Only 1 ear required ("the better ear")
Blood pressure requirement for 2-year certification - ✔✔ <140/90 with no HTN therapy
No previous diagnosis of HTN
Blood pressure requirement for 1-year certification - ✔✔ First finding of Stage 1 hypertension (140-159/90-99)
or
History of Hypertension or taking 1+ HTN med and BP is controlled at <140/90
BP requirement for 3-month certification - ✔✔ - Has not yet had antihypertensive therapy
- Previously had a 1-year certificate for uncontrolled Stage 1 BP
- OR: first finding of Stage 2 HTN
Required Echocardiography criteria - ✔✔ - LVEF >40%
- No Pulm HTN (Right heart pressure < 50 mmHg)
When is Echo required? - ✔✔ - Aortic Regurg
- Aortic stenosis (Q1 year moderate, Q5 years mild)
- Mitral stenosis (annual)
- MVP (annual)
One time:
Eval of CHF, CHD
Post CABG, MI
Which conditions require an annual Echo? - ✔✔ - Mitral stenosis
- MVP
- Moderate aortic stenosis [Show Less]