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What are the differences between the medical standards and the medical guidelines? - Standards/regulations are law. Guidelines are best practices. In which regulation(s) are the driver physical qualification standards cited? - 49 CFR 391.41 In which regulation(s) are the medical examiners respo...

When do patients require a Skilled Performance Exam? - IF they have a FIXED motor deficit of an extremity who cannot physically qualify to drive that needs a full evaluation by a specialist (Not for patients with a progressive motor deficit) **These patients must provide proof of the exam by the ...

A 62 y/o woman is seen for a recertification. She is a smoker and has osteoarthritis, treated with Mobic, 15mg/day. On exam she has cervical ROM limited to 15o. She has a note from her doctor that she may drive a truck but may not climb nor flex her knees beyond 90o - She is disqualified due to i...

Upon examination of a 46 y/o male smoker, you detect an irregularly irregular heart rythm. The rate is 140 bpm. This is unknown to the driver and he denies any symptoms of lightheadedness, shortness of breath, dizziness, palpitations, nor any cardiac history. You would: - Disqualify and refer to ...

Who sets the qualification standards for DOT exam? - Federal Motor Carrier Safety Administration (FMCSA) What is required for drivers? - MUST undergo a history and physical by a licensed Physician, Physician Assistant, Advanced Nurse Practitioner, DO, or Chiropractor What liability do we have? -...

According to their mission statement, the FMCSA is focused on all except: A. Reducing Crashes B. Reducing Injuries C. Reducing Fatalities involving large trucks & buses D. Reducing the number of potential CDL candidates - D. Reducing the number of potential CDL candidates The organization resp...

Fatigue is a major concern. What do current FMCSA regulations allow from drivers? - 60 hours on the road over a 7 day period, or 70 hours over 8 days (also 14 hours on the road at a stretch if given 8 hours off to rest between) driver presents with a heart attack 1 month previous. He is following...

regulation that describes the physical requirements for drivers - 49 CFR 391.41 regulation that describes the responsibilities of the medical examiner, how to do the exam, description of driver risks, and medical exam form - 49 CFR 391.43 regulation of who has to have CMV examination - 49 CFR 391...

A driver is taking Celexa for the treatment of what he calls a "mild depression." He reports he has not considered or attempted suicide. The examiner should: - Temporarily disqualify the driver until he obtains written clearance for the depression and the medication from the treating provider. ...

What should be gathered in the history of the driver? - Any affirmative responses in history Illness/Sx/Injury within last 5 years Any other hospitalizations/sx Recent changes in health status Medical conditions/ current complaints Incidents of disability/physical limitations Limitations place...

Patient takes 'Celexa' (an SSRI) for mild depression as he describes it. No suicidal thoughts, what should examiner do? - Temporary disqualification until clearance from specialist (medical for depression and taking Celexa) What is True about Hearing - Either whisper or auditory exam done first...