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55 Cards in this Set

  • Front
  • Back

What is the acronym FMCSA stand for?
1. Federal Motor Carrier Safety Administration
2. Federal Motor Craft Security Afministration
3. Federal Ministry of Current Statuatory Advisaors
4. None of the above

Federal Motor Carrier Safety Administration
What is NOT a mission of the FMCSA?
1. Develop and enforce data driven regulations that balance motor carrier safety with industry efficiency
2. Target educational messages to carriers, commercial drivers and the public
3. Partner with stateholders including federal, stste and local enforcement agencies, the carrier industry, safety groups, and organzed labor on efforts to reduce bus and truck related crashes
4. oversees the prosecution of criminally negligent cases of motor carrier safety breaches
oversees the prosecution of criminally negligent cases of motor carrier safety breaches
Who is NOT eligible to be a Medical Examiner?
APNs, PAs, MDs, PharmDs, DOs, PTs
PharmDs and PTs
What is the role of ther examiners? All that apply
1. Assess the driver for medical fitness to safely perform all driver duties
2. Ensure the driver is properly following up on any potentially dangerous conditions
3. treat the driver for health conditions
4. Council the driver on health conditions and consequences
5. Diagnose new health concerns of the driver

1. Assess the driver for medical fitness to safely perform all driver duties
2. Ensure the driver is properly following up on any potentially dangerous conditions
4. Council the driver on health conditions and consequences

What is ensured as a part of the NRCME's medical oversight mission?
1. Individuals performing medical examinations are qualified to do so and are educationd about occupational issues for drivers
2. a tracking mechanism that ensures that every oprior applicaiton by an individual for medical certification is recorded and reviewed.
3. Medical certification regulations are updated periodically
4. A review process that prevents or identifies and corrects the inapprop[riate issuance of medical certification
5. all of the above
all of the above
1. Individuals performing medical examinations are qualified to do so and are educationd about occupational issues for drivers
2. a tracking mechanism that ensures that every oprior applicaiton by an individual for medical certification is recorded and reviewed.
3. Medical certification regulations are updated periodically
4. A review process that prevents or identifies and corrects the inapprop[riate issuance of medical certification

According to the DOT, the average driver falls into all of these categories EXCEPT
1. male
2. between 25-39 yrs of age
3. sedentary
4. overweight
5. smoker
6. poor eating habits
7. less healthy than the average person
8. more than 2 medical conditions
9. cardiovascular disease prevalent

between 25-39 yrs of age
Which of these abilities id NOT required of a driver to safely perform his/her duties?
1. perceptual skills to monitor sometimes complex driving situation
2. judgment skills to make quick decidsions when necessary
3. manipulativ3e/manual skills to control his vehicle
4. social skills to act kindly in interpesonal activities on the road.
4. social skills to act kindly in interpesonal activities on the road.
Fatigue is a major concern. What do current FMCSA regulations allow from drivers
1. 60 hours on the road over a seven day period or 70 hours over 8 days
2. 15 hours on the road at a stretch if given 8 hours off to rest between
3. 60 hours on the road over a 5 day period or 75 hours over six days
4. there are no current llimitations
60 hours on the road over a seven day period or 70 hours over 8 days
The motor carrier is required to make sure drivers meet certain requirement. EXCEPT which of the following the driver must:
1. must be 21 years old
2.speak and read English well enough to understand highway/traffic signals and coverse
3. have a current medical examiner's certificate on file
4. Provide their full medical examiners report to the motor carrier
5. have provided the motor carrier with required background and violations information
6. have successfull7 completed a driver's road test or equivalent
Provide their full medical examiners report to the motor carrier
vvhat should be done if the driver presents for his/her exam wihtout a government-issued ID?
1. Accept 2 credit cards with his/her name on them as proof of ID
2. Reschedule the appointment and have them return with their ID
3. A witness can attest to the driver's ID
Reschedule the appointment and have them return with their ID
For any affirmative response on the health history section, what are reasonable follow ups?
1. Ask about history, dx, tx, amd response to tc
2. explore underlying cause, precipitating events and other pertinent facts
3. obtain additional tests or consultation, as necessary, to adequately assess medical fitness
4. Review and discuss driver responseto treatment and meds currently and recently used
5. All of the above
All of the above
1. Ask about history, dx, tx, amd response to tc
2. explore underlying cause, precipitating events and other pertinent facts
3. obtain additional tests or consultation, as necessary, to adequately assess medical fitness
4. Review and discuss driver responseto treatment and meds currently and recently used
In addition to asking the driver about any affirmatives in the health history section, which of the following should be asked about every time?
1. any past hospitalizations or surgeries
2. any recent changes in health status
3. any medical conditions or current complaints
4. incidents of disability/physical limitations
5. whether they smoke
6. all of the above
All of the above
1. any past hospitalizations or surgeries
2. any recent changes in health status
3. any medical conditions or current complaints
4. incidents of disability/physical limitations
5. whether they smoke
The driver presents with a previous diagnosis of type 2 diabetes. It is controlled by metformin, but not insulin. What is the maximum time period he should be given for ceritic=cation
1. 2 years
2. 1 year
3. 6 months
4. 3 months
5. should be disqualified.
1` year
Driver presents with type 2 diabetes. He has controlled it for 10 yrs with oral medication. He brings his most recent lab work from 2 months previous. A1c is at 7.3%
What is a normal A1c
1. 2.5-4
2. 4-5.6
3. 5.5-7
4-5.6%
Driver presents with type 2 diabetes. He has controlled it for 10 yrs with oral medication. He brings his most recent lab work from 2 months previous. A1c is at 7.3%
What is the level for Diabetes Dx?
1. >4.77%
2. >6.5%
3. >7.9%
>6.5%
Driver presents with type 2 diabetes. He has controlled it for 10 yrs with oral medication. He brings his most recent lab work from 2 months previous. A1c is at 7.3%
What is the target range for those with a diabetes diagnosis?
1. <7%
2. <85
3. <9%
<7%
Driver presents with type 2 diabetes. He has controlled it for 10 yrs with oral medication. He brings his most recent lab work from 2 months previous. A1c is at 7.3%

In this case, what would be an appropriate actions? Cirlde all that apply
1. certify for 2 years
2. certify for 1 yr and discussglucose control, diet, prognosis etc
3. temporarily defer decision or give 1 month certification. Contact treating physician regarding insulin control before deciding on further action
4. disqualify
2. certify for 1 yr and discussglucose control, diet, prognosis etc
3. temporarily defer decision or give 1 month certification. Contact treating physician regarding insulin control before deciding on further action
A driver presents with an 8 yr history of type 2 diabetes. He repoerts that he has not changed his diet nor activity level He moved 9 months ago and has not found a new treating physician. Wt 325# and ht 72 " BMI: 44.1. There's a significant amount of glucose in his urine. A1c is ordered and found to be 15.4. Driver does not seem concerned. What do you do?
1. certify for 1 year and tell him to find a treating physcian.
2. certify for 6 months Discuss the situation and have him find a doctor and return with provider notes.
3. temporarily disqualify and refer to endocrinologist
4. disqualify for 6months waiting period. Call emplyer. refer directly to an endocrinologist for anew treatment plan. Discuss the seriousness of the situation
4. disqualify for 6months waiting period. Call emplyer. refer directly to an endocrinologist for anew treatment plan. Discuss the seriousness of the situation
Once a diabetic driver has to take insulin to control his blood sugar, how long should his re-certification period be to make sure he is stable and controlling the disease
1. 1 year
2. 6 months
3. 3 months
4. this is an absolute dfisqualifier. he can no longer be certified without a waiver
4. this is an absolute dfisqualifier. he can no longer be certified without a waiver
A driver presents for her first DOT exam. She's 48 and starting truck driving school as a second career. She has no previous diagnosis of HTN but BP today is 176/124. She is obese. What time period is appropriate for certification?
1. 2 yrs
2. 1 yr
3. 6 months
4. 1 time certification for 3 months
5. disqualify- refer for treatment. re-check after 6 month wait
5. disqualify- refer for treatment. re-check after 6 month wait
A driver presents with a BP of 118/72. Pulse is 66. He previouslyl was on HTN medication, but stopped taking it 6 months ago. In the last year, he lost 55 pounds, stopped smoking and begn exercising regularly. Can he be given a 2 year card?
1. yes, he's stable and off his Rx. This is at the discretion of the medical examiner
2. No His past hx requires him to only be certified for 1 year
1. yes, he's stable and off his Rx. This is at the discretion of the medical examiner
Driver has no prevcious dx od HTN. Today his BP is 146/88. All else is clear. What certificate time should be given?
1. 2 yrs
2. 1 yr
3. 6 months
4. defer and refer to tx
2. 1 yr
Drivver has been on HTN Rx for 3 yrs. He's inconsistent about taking his Rx. Today BNP is read at 146/96. WHat should be don?
1. disqualify
2. certify for 6 months and discuss the diagnosis
3. give a 1-time cert for 3 months. Refer him back to his treating MD for immediate consultation on tx options. Discuss the consequences and council on diet, exercise, prognosis etc
4. certify for 1 yr
3. give a 1-time cert for 3 months. Refer him back to his treating MD for immediate consultation on tx options. Discuss the consequences and council on diet, exercise, prognosis etc
Which of the following should be considered for a sleep study (but given a certificate of up to 2 months to get the study done)?
1. driver admits loud snoring and score of 13 on Epwoerth sleepiness scale
2. BMI of 38 and neck circumference of 18 inches
3. BMI of 40 and new diagnosis of HTN
4. Driver falls asleep during exam
5. previous dx and CPAP but non-compliant.
6. all of the above
7. A-C
7 A-C
1. driver admits loud snoring and score of 13 on Epwoerth sleepiness scale
2. BMI of 38 and neck circumference of 18 inches
3. BMI of 40 and new diagnosis of HTN
Driver has been blind in 1 eye since childhood accident. He previously got his certificate from his family docotr and always was certified for 2 yrs. What is the proper time period for certification?
1. 2 yrs
2. 1 yr
3. 6 month
4. monocular vision is disqualifying. Driver may apply for an exemption
monocular vision is disqualifying. Driver may apply for an exemption
Driver presents with a heart attack 1 month previous. He is following up with his MD again in 1 week. He's unsure of his prescriptions but is asymptomatic. Should he be certified today?
1. yes- give 6month cert
2. not until you check his meds then yes
3. no there's a minimum wait period of 2months and specific criteria that must be met thereafter before certification.
4. No he must wait 6months at the minimum before being evaluated further
5. No he is permanently disqualified
no there's a minimum wait period of 2months and specific criteria that must be met thereafter before certification.
Driver had heart surgery 6months ago. He reports recovering well and is asymptomatic. Documentation from his MD shows he is indeed recovering well and tolerating his medication. Surgery included installation of an ICD. Can he be qualified?
1. yes he is stable
2. no more info is needed on his exercise tolerance
3. No ICD is disqualifying
4. no he has not yet met an adequate waiting period.
3. No ICD is disqualifying
Driver claims to be on no illegal drugs, but he looks haggard and has fresh needle sticks on his forearm. Canyou order lab testing for drugs?
1. No drug testing is beyond the scope of the DOT exam
2. yes, you can call the employer and have them do a reasonable suscpicion DOT drug test.
3. yes, this is outside of the standard DOT drug testing, but a non-DOT test can be ordered. Refusal to test is a failure
3. yes, this is outside of the standard DOT drug testing, but a non-DOT test can be ordered. Refusal to test is a failure
Driver hears a forced whisper at 8 feet out of his right ear without an aid. He is deaf in his left ear. Is this adequate?
1. no he must hear out of both ears at >5 feet
2. no he only needs to hear out of one ear, but it must be at 10 feet
3. yes hearing our of one ear at >5 feet is adequate.
3. yes hearing our of one ear at >5 feet is adequate.
Driver is missing the distall half of his 4th and 5th fingers. Dyynometer shows frip strength to be a comparable to the right at 77#. Is this disqualifying?
1. It is up to your clinical judgment on the nature of his specific injury. This case is likely fine as grip strength is WNL
2. loss of a finger always required referral for a SPE (skill performamce evaluation)
3. no fingers are of no concern
1. It is up to your clinical judgment on the nature of his specific injury. This case is likely fine as grip strength is WNL

Driver tells you that he is red/green colorblind. He is unable to pick out the numbers in an Ishihara color blindness test. However, he is able to identify red, green, and amber stoplights. Does he meet vision standards?
1. no he will not be able to properly read traffic signs. Disqualify.
2. yes, red, green and amber are the only colors of concern. He may be fully qualified

2. yes, red, green and amber are the only colors of concern. He may be fully qualified

Which of the following is NOT a non-discretionary disqualifier?


1. Epilepsy


2. Insulin dependent diabetes


3. medical marijuana use


4. HTN

HTN

Drive has no glasses. Her visuak acuity is 20/20 with her keft eye alone, 20/50 in her right eye and 20/30 with both eyes together. What's the proper course of action?


1. Quailfy without corrective


2. qualify with corrective lenses. Refer to optometrist or ophthalmologist


3. Temporary diqualify Refer for vision correction Retest afterward

3. Temporary diqualify Refer for vision correction Retest afterward

Driver is evasive when asked about alcohol use, but upon further pressing admits to drinking every day of the week burt not on the job. He has never been diagnosed as an alcoholic What's the proper course of action?


1. Check for other signs of alcoholism in exam. IOnquire further using alcohol abuse questionnaire


2. Refer to a substance abuse professional or chemical dependency center for evaluation Temporarily disqualify- possibly longer depending on outsomes


3. disqualify


4. qualify Drinking is not affecting his job and safety


5. A&B

Both 1& 2


1. Check for other signs of alcoholism in exam. IOnquire further using alcohol abuse questionnaire


2. Refer to a substance abuse professional or chemical dependency center for evaluation Temporarily disqualify- possibly longer depending on outsomes

Driver has been trying to stop smoking for 10 yrs without success. 1 month ago she began taking Chantix. She reports no blackout, suicidal thoughts or change in mood. The rest of the exam is normal. Can she be qualified.


1. yes, for full 2 yrs


2. only for 3 months aas the prescription has potentially dangerous side effects and must be monitored


3. Yes- 1 year


4. No Chantix is disqualifying

3. Yes- 1 year

A morbiddly obses driver comes for a DOT physical. H eweighs 385# and stands 5'10" tall. His BMI is 55.2


What BMI isd considered "overweight"? "obese"?


1. 25-29.9 is overweight 30+ is obese


2 30-39.9 is overweight 40+ is obese


3. 35-44.9 is overweight 45+ is obese

3. 35-44.9 is overweight 45+ is obese

A morbidly obses driver comes for a DOT physical. H eweighs 385# and stands 5'10" tall. His BMI is 55.2. What is the maximum allowable BMI to qualify


1. 40


2. 50


3. 55


4. there's no standard

4. there's no standard

BMI is a simple calculation for determining a person's thinness or thickness. It can be useful in discussing weight with patients. The DOT uses it as a screening tool for sleep apnea. In which case is the measurement most likely to be INaccurate


1. a driver is generally sedentary BMI 29


2. Driver is also a body-builer BMI 36

2. Driver is also a body-builer BMI 36

Driver has along history of major depression. His only current Rx is Paxil. and he reportsno side effects. Three months ago, he attemtpted suicide by hanging but was unsuccessful. Physically, all is within standards. Can he be qualified?


1. no Paxil is DQ


2. not until consultation with his mental health provider


3. yes this is not a DQ


4. yes the waiting period following a suicide attemt is 2 months minimum


5. no the waiting period following a suicide attemt is 1 year minimum

2. not until consultation with his mental health provider


5. no the waiting period following a suicide attemt is 1 year minimum

Driver's exam is unremarkable except for a history of panic attacks. These are under control with Xanax and she reports no side effects What's the certification?


1. 2 yrs


2. xanax require annual recertification- cert for 1 yr


3. xanax is potentially dangerous 6 months is appropriate


4. Xanax is now considered a DQ by FMCSA do not certify

4. Xanax is now considered a DQ by FMCSA do not certify

What's NOT a standard part if the thoracic exam portion?


1. heart and lungs


2. inspection of asymmetry and scars


3. breast exam


4. palpation of spine for tenderness

3. breast exam

A 70 yr old with emphysema for hi exam. He reports SOB but controls it with an O2 tank. ild cyanosis isnoted in his lips. SpO2 reads 85% while resting and using his O2 tx. Given this, should the gentleman be qualified?


1. yes this is not a concern to safely drive


2. no the tank is an explosive risk and may malfunction hile on the road


3. no low O2 lvels will impair function in an emergency


4. it may be considered if he can pas a PFT but lkely not


5. B & C

2. no the tank is an explosive risk and may malfunction hile on the road


3. no low O2 lvels will impair function in an emergency

What's the minimum gross vwehicle weight that wil require a DOT medical exam for the driver?


1. 16501 #


2. 10001#


3. 26001 #


4. 22501 #

2. 10001#

Drugs with no known medical use and high potential for abuse fall into what category?


1. Class C


2. schedule I


3. Class F


4. Schedule II

2. schedule I

What class ofdrugs should always disqualify the driver due to the increased risk of MVA?

1. benzo's


2. beta-blockers


3. ACE inhibitors


4. corticosteroids

benzo's

Which of these prescribed meds is NOT typically disqualifying?


1. xanax


methadone


tagamet


fentanyl

tagamet

Driver is on only Rx tenormin (atenolol) It's tolerated without side effects. How often should she be recertified?


1. no rescriction- 2 yrs


2. every year


4. every 6 months


4. this med disqualifies

2. every year

TIAs are a major concern. They can be one of the earliest signs of Cerebrovascular disease. Symtpoms usually only last 10-20 min


All of the following are symptoms that may present in the history except:


1. suddent temporary tiongling, numbness,k or weakness


2. confusion


3. sudden visual changes


4. severe headache- described as different that any past headache\


5. s

sciatica

TIAs are a major concern. They can be one of the earliest signs of Cerebrovascular disease. Symtpoms usually only last 10-20 min


A driver with a history of TIA's should be removed from the road for what minimum waiting period?


1. 2 months


2. 6 months


3. 1 year


4. 2 yrs

1 year

During his hx, driver states that he has had a severe infection 2 months ago that required hospitalization. While there his fever spiked and he experienced a seizure. He had never had a seizure before or since. He has recovered well and the infection is gone. His MD told him that the siezure was a result of the illness and fever. He is on no Rx. What's the appropriate course of action if all else is clear in the exam?


1. 2 yr certificate


2. DQ 6 month waiting period


3. seizures DQ for 5 years


 

2 yr certificate

Epiliepsy is a major concern due to risk of seizure or loss of consciousness


How may unprovoked seizures for a dx of epiliepsy?


1. 1


2. 2


3. there's no single definition Dx is made on a case by case basis

2

Once there is a dx of epilepsy, howlong must an individual bve off antseizure meds and seizure free before they may potentially be qualified to drive a CMV again?


1. 5 year with extensive documentation and consultation with treating MD


2. 10 yrs with extensive documentation and consultation with treating MD


3. never

2. 10 yrs with extensive documentation and consultation with treating MD

a 35 yo man was in a MVA 7 yrs ago with trauma to his brain. In the first week thereafter, he had a single seizure. For 1 yr, he took anticonvulsive meds. He has been off all scripts and seizure free for 6 yrs Can he be certified?


1. no he has a hx of seizures


2. no the wiating period after the end of anticonvulsants is 10 yrs


3. yes he's been off his meds for over 5 yrs There was a seizure but no wpilipesy dx

3. yes he's been off his meds for over 5 yrs There was a seizure but no epilepesy dx

After dx of Meinere's disease, what's the recommendation for certification of a driver?


1. they may be certified if they report no dizziness or vertigo


2. they may certify after 1 yr waiting period if they meet hearing standards and have no symptoms


3. Meniere's disease is progressive and considered completely disabling- DQ

3. Meniere's disease is progressive and considered completely disabling- DQ

Which of these is intrasate (as oppose to interstatte) commerce?


1. a landscaper drives a pickup and trailer for jobs within 5 counties in central Minnesota. All his od and supplies are bought locally


2. a UPS driver p[ackages from far and wide within a single city


3. A semi driver drives a long haul route from Florida to Texas

1. a landscaper drives a pickup and trailer for jobs within 5 counties in central Minnesota. All his od and supplies are bought locally