Def CMV - ✔✔ Wt =/> 10,001
> 8 passengers if for hire
> 15 passengers (any)
Non-discretionary conditions - ✔✔ MUST follow regulation
... [Show More] standards and disqualify:
Hearing
Vision
Epilepsy
Form MCSA-5850 - ✔✔ To maintain certification, the examiner must submit monthly with the following for all drivers examined for the month
- CMV driver's Name
- Date of birth
- Driver's license number and state
- Date of examination
- Indication of examination outcome
- Whether intrastate driver only
Recert/refresher how often? - ✔✔ Refresher every 5 years
Recertifcation test every 10
Who publishes guidelines? - ✔✔ FMCSA
Parameters tested in UA - ✔✔ SG, glucose, pro, blood
What's being determined by examination? - ✔✔ Whether the CMV driver has a fixed deficit that interferes with safe driving or a condition that may cause sudden death or incapacitation.
When is fitness for duty exam performed outside of expiration of current certification and who decides it needs to be done? - ✔✔ A driver whose ability to perform his/her normal duties has been impaired by a physical or mental injury or disease (391.45). The carrier decides if the driver's illness was severe enough to require recertification
The only condition for which formal medical exemption is available - ✔✔ Monocular vision
How long must the examiner retain copies of the examination form and card. - ✔✔ 3 years
When can Medical Examination Report form be revised - ✔✔ CANNOT be revised after final determination or after the examination has been in "determination pending" status for more than 45 days.
Medical conditions for which a certification interval has been recommended - ✔✔ Hypertension
Heart disease
(both one year-considered best practice)
MAY disqualify drive if: - ✔✔ Does not meet medical guideline recommendation
Does not meet FMCSA Medical Advisory Criteria Recommendations
Uncertain or unknown clinical course (Disqualify or limit certification until information obtained)
Unable to follow up and condition may disqualify
Until additional evaluation is completed
Can the examiner give the driver's medical examination report to the employer - ✔✔ Yes, with the driver's consent
What should the examiner comment on? - ✔✔ All findings, even if not disqualifying
Vision standard - ✔✔ At least 20/40 (Snellen) in each eye and together
Field of vision of 70 degrees in horizontal meridian
Eye exam should include - ✔✔ -Pupillary equality
-Reaction to light and accommodation
-Ocular motility
-Ocular muscle imbalance
-Extraocular movements
-Nystagmus
-Exophthalmos
Conditions that could require ophthalmology evaluation - ✔✔ Retinopathy
Cataracts
Aphakia
Glaucoma
Macular degeneration
Disqualifying forms of vision correction - ✔✔ Monovision contacts (one eye corrected for near, one eye for far)
Telescopic lenses to compensate for loss of central vision
Monocular vision WAIVER - ✔✔ Drivers who participated in study grandfathered, as long as they meet other medical requirements. Must be seen by opthalmologist annually and present waiver letter
Federal Vision Exemption Program - ✔✔ Driver sees medical examiner first and is cleared for other medical conditions, then takes examination form and certificate to ophthalmologist. After eye exam, driver sends paperwork including ophthalmologists report to FMCSA, who grants exemption. Driver must carry vision exemption and certificate card.
Vision exemption maximum recertification - ✔✔ 1 year
Hearing standards - ✔✔ Forced whisper at 5 feet, or
Average hearing loss not greater than 40 dB at 500, 1000 and 2000 Hz
Health history questions related to hearing loss - ✔✔ Ear disorders
Loss of hearing
Loss of balance
Dizziness
Tinnitus
Menieres
Cochlear implant
Standard used for audiometry - ✔✔ ANSI
Exemption for hearing impairment - ✔✔ Issued by FMCSA on defacto basis
Mark "Valid only with exemption" and write "hearing" in the space
Certification recommendation for acute/chronic peripheral vestibulopathy or benign positional vertigo - ✔✔ 2 month symptom free waiting period
Certification recommendation for uncontrolled vertigo, meniere's disease, labyrinthine fistula or nonfunctioning labyrinthes - ✔✔ do not certify
Ear exam findings that should be documented - ✔✔ Scarring of the tympanic membrane
Occlusion of the external canal
Perforated eardrums
How forced whisper test is performed - ✔✔ Examiner stands at examinee's side five feet away. Examinee covers other ear. EAt the end of exhalation, whispers a series of words, numbers or colors.
Examiner determines how many times test is attempted or what percentage of correct responses is adequate.
Audiometry requirement - ✔✔ Average loss of equal to/less than 40 dB at 500, 1000 and 2000 Hz
Audiometry requirement - ✔✔ Average loss of equal to/less than 40 dB at 500, 1000 and 2000 Hz
Cochlear implants - ✔✔ No specific recommendation from MEP. Do not certify if experiencing vestibular sx.
Vertigo or dizziness: do not certify if sx interfere with: - ✔✔ Cognitive abilities
Judgment
Attention
Concentration
Sensory or motor function
Cardiovascular physical exam should include - ✔✔ - Heart murmurs, extra sounds,
- Enlarged heart
- Pacemaker, implantable cardiac defibrillator
- Blood pressure and pulse (rate and rhythm) ---- Abnormal pulse and amplitude,
- Carotid or arterial bruits, varicose veins
- Additional signs of disease (e.g., edema)
- Abnormal respiratory breath sounds including wheezes and rales
Most important prognostic factor in patients with CAD - ✔✔ Left ventricular function
(ejection fraction 40 percent or more is the major predictor of health).
Indicators which suggest increased risk in CAD - ✔✔ - Severity of coronary disease
- Arrhythmias (four to six fold increased risk of
fatal ventricular arrhythmias) ]
- General health
- Age
- Angina pectoris
- Vascular disease [Show Less]