FMCSA Mission Statement
(Ans- To reduce crashes, injuries, fatalities involving large trucks/buses
Medical Examiner
(Ans- Licensed, certified,
... [Show More] registered provider who can perform PEs in accordance with laws and regulations ; registered through NRS ; has unique identifier ; passes MEC test
FMCSA
(Ans- Federal Motor Carrier Safety Administration
NRCME
(Ans- National Registry of Certified Medical Examiners
Commerical Motor Vehicle
(Ans- Weight >1000 lb ; or transports >8 people for compensation ; or >15 people without compensation ; transports hazardous materials requiring placarding
Interstate commerce
vs.
Intrastate commerce
(Ans- Interstate: multiple states or international
Intrastate: within 1 state
Who regulates treatment/management and aftercare of substance abuse for drivers?
(Ans- SAP (Substance Abuse Professional)
Who determines the origin of abnormal drug test results, determining whether the driver has violated drug use regulations?
(Ans- Medical Review Officer
Title 49 CFR 391.41 (Ans- Medical Examiner Report Form
- Paperwork completed during DOT physical
- Physical exam requirements for driver
- Determines if Certificate is granted
Title 49 CFR 391.43
(Ans- Describes responsibilities of Medical Examiner, instructions for exam, and requirements for medical certification
- Supporting information to explain 391.41
When was DOT established?
(Ans- 1966
Became separate entity on Jan 1, 2000
Motor Carrier Safety Improvement Act of 1999
(Ans- Established DOT as separate federal entity
Omnibus Transportation Employee Testing Act of 1991
(Ans- Required drug testing for drivers
The driver must always keep a copy of ____________________ with them while driving
(Ans- Medical Certificate
SPE if applicable
Does the driver need to sign a medical release before you release their Medical Certification?
(Ans- 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?
(Ans- 13
How many standards of "driver fitness for duty" are *discretionary*?
(Ans- 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*? (Ans-
4
- Vision
- Hearing
- Epilepsy
- T2DM
(Some sources say 3 and do not include T2DM)
Age requirement for drivers
(Ans- 21+
Language requirement for drivers
(Ans- Must be able to read/speak English well enough to read signs, communicate
Height/weight requirement for drivers
(Ans- There is none
What is tested for in urine?
(Ans-
USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical Certificate?
(Ans- 3 years
After a reading of Stage 3 hypertension, how often can a driver be certified?
(Ans- 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?
(Ans-
2nd gen
- Nonsedating
A driver must wait ___ hours after taking a sedating med before driving (Ans- 12+ hours
Urine drug testing includes:
(Ans-
MJ
Tobacco
Amphetamines
Cocaine
Opiates
Which type of stroke only requires a 1 year waiting period?
(Ans- 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?
(Ans- There is n [Show Less]