What are being examined when analyzing the driver's urine sample?
Specific gravity
Protein
Blood
Glucose
Which federal regulation covers physical qualifications for drivers?
49 CFR 391.41
Which federal regulation covers medical examination; certificate of physical qualification?
49 CFR 391.43
Which federal regulation covers limited exemptions for intra-city zone drivers?
49 CFR 391.62
Which federal regulation covers grandfathering for certain drivers participating in vision and diabetes waiver study programs?
49 CFR 391.64
Which federal regulation covers DOT Procedures for Drug and Alcohol Testing?
49 CFR Part 40
Which federal regulation covers Waivers / Exemptions / Pilot Programs?
49 CFR Part 381
Which federal regulation covers U.S. Drug Enforcement Administration?
21 USC Sec 812
Which key division of FMCSA that serve as the lead federal agency for the regulation of CMV driver health and safety?
Division of Medical Programs
The FMCSA Medical Programs responsibilities include:
D) All the above.
Define exemption.
Exemption is a temporary regulatory relief from a regulation.
Where is the CFR is are vision requirements cited?
49 CFR 391.41 (b)(10)
List the three (3) vision screening tests cited in 49 CFR 391.41 (b)(10).
1. Distant visual acuity.
2. Horizontal field of vision.
3. Color recognition (Does not have to be true color)
What are the passing parameters for vision tests?
1. Distant visual acuity 20/40 each eye (Snellen) corrected/uncorrected.
2. Binocular visual acuity 20/40 (Snellen) with or without corrective lenses.
3. Visual field of 70° each eye in the horizontal meridian.
4. Recognize the colors of traffic signals and devices showing standard red, green, and amber.
(T/F) Drivers with monocular vision can be considered for the Federal Vision Exemption Program for monocular vision.
FALSE. Monocular vision is disqualifying for operating a CMV
It is worth noting that the Medical Exemption Study Program in 2006 showed that monocular commercial drivers had no significant differences in safe operation.
(T/F) The medical examiner can qualify a driver who wears contact lenses that correct for distant acuity in one eye and for near acuity in the other.
FALSE.
Contact lenses that correct vision in one eye for distant acuity and vision in the other eye for near acuity are not acceptable for meeting commercial driving qualification requirements.
(T/F) Telescopic lenses that redirect peripheral vision to compensate for loss of central vision are not acceptable corrective lenses for meeting commercial driving qualification requirements.
TRUE
(T/F) For the Color Vision Test, true color recognition is required for safe driving.
FALSE.
True color recognition is not required for safe driving as long as the driver can perceive a difference between standard red, amber, and green traffic signals.
Driver with monocular vision who is applying for or has a federal exemption or is qualified by operation of 49 CFR 391.64 must have a(n) _____ physical examination.
A) annual
What are noted when conducting physical examination and evaluation of the driver's ear?
1. Abnormalities of the ear canal and tympanic membrane.
2. Whisper test and/or audiometric results (in American National Standards Institute [ANSI] standard units), as indicated.
3. Presence or absence of a hearing aid and whether required to meet the standard.
What is the physical qualifications standard for drivers (Hearing standard)?
B) 49 CFR 391.41(b)(11)
Driver first perceives a forced, whispered voice in the better ear at not less than ____ feet with or without the use of a hearing aid.
Five (5)
To pass the hearing standard, the driver is tested with an audiometric device and does not have an average hearing loss in the better ear greater than ___ decibels at ___ Hz, ____Hz, and ____ Hz, with or without a hearing aid.
1) 40
2) 500, 1000, 2000
(T/F) The driver meets the hearing qualification requirements if hearing passes both ears.
FALSE.
The driver meets the hearing qualification requirements if hearing passes one test in ONE ear.
Guidance recommends a symptom-free waiting period of ____ months for diagnoses of:
o Acute and chronic peripheral vestibulopathy.
o Benign positional vertigo.
A) 2
Guidance recommends not to certify drivers with diagnoses of:
E) all the above
What are the two things that need to be done when conducting risk assessments?
1) Integrate FMCSA medical advisory criteria and guidelines regarding a driver’s condition into the risk assessment.
2) Consider for documented conditions the rate of progression, degree of control, and likelihood of gradual or sudden incapacitation (e.g., cardiovascular, neurologic, respiratory, musculoskeletal).
What are the cardiovascular standards objectives concerning cardiovascular safety implications?
F) all the above.
What is the maximum period for which a driver with a CVD should be certified?
1 year
Hypertension qualification requirements are cited in:
A) 49 CFR 391.41 (b)(6)
What is the maximum period for which a driver with HTN should be certified?
1 year
Driver with a BP greater than or equal to _______ is at risk for an acute hypertensive event that could occur while operating a CMV, therefore should not be certified.
180/110
What type of certificate can be given to a driver who does not meet the BP standard?
A one-time 3 month certificate
A driver should have had achieved a BP less than or equal to _______ to be certified.
140/90
Respiratory qualification requirements are cited in:
