FMCSA/DOT ME certification Questions and Answers with complete solution

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 391.45 regulation of what to do if there is disagreement between PCP and medical examiner - 49 CFR 391.47 regulation of how to perform medical evaluation of driver with permanent MSK disability (SPE) - 49 CFR 391.49 regulation that spells out limited exemptions for INTRA-CITY drivers - 49 CFR 391.62 regulation pertaining to grandfathering in certain drivers from vision and DM exception - 49 CFR 391.64 general information and definitions - 49 CFR 390 regulations for medical REVIEW OFFICERS and substance abuse professionals and drug/alcohol testing procedures - 49 CFR 40 general qualifications to be a driver - 21 years old or more, be able to communicate and read in English, capable of safely operating the CMV, have DL, and medical exam certificate which regulation lists the physical qualification requirements to be a driver - 49 CFR 391 Subpart E (41)objective standards that determine medical fitness for driving; non-discretionary - vision, hearing, diabetes, seizures/epilepsy waiting period before certifying driver on Provigil, recertification interval - min 6 weeks; annual certification criteria after CABG - min 3 months, asymptomatic w/o angina, clearance from cardio, LVEF >40% disqualifying conditions - sustained Vtach, seizure within 5 years, Meniere's, BP>180/110, dialysis, monocular vision, dementia what is suggested recertification interval for NIDDM -1 year disqualifying medications - controlled meds, methadone, habit forming drugs including narcotics and amphetamines, anti-seizure meds, medical marijuana, benzos, phenothiazines rules that establish national registry of certified MEs -49 CFR 390 Subpart D (101-115) required components of urinalysis - spec gravity, protein, blood, glucose disqualifying neuromuscular diseases - myotonia, isaac's syndr (neuromyotonia), stiff man syndr myotonia - inability to relax muscle after vigorous activity stiff man syndrome - truncal rigidity, spasms resulting in postural deformities who can grant the SPE certificate - FMCSA