FMCSA DOT Physical Medical Examiner Test with all
Correct & 100% Verified Answers |Latest Update |
Already Graded A+
Interstate commerce definition? ✔Correct Answer-Any material transported from 1 state to
another state, even if the individual driver never leaves 1 state, that:
a) weighs >10,001 lbs (if >26,001 lbs, they also need a drug test)
b) 9-15 passengers for compensation
c) 16+ passengers regardless of compensation
d) that requires placarding for hazardous materials
Does interstate commerce refer to the cargo or to the driver? ✔Correct Answer-It refers to the
cargo, tools, vehicle, NOT to the driver.
When is a 12 month (or shorter) certification required? ✔Correct Answer-a) intracity zone exempt
drivers
b) waiver program drivers
c) insulin
d) any driver whose job duties have been impaired by mental/physical injury
Does the driver need a new exam after sustaining an injury? ✔Correct Answer-That is up to the
employer.
Can an examiner write schedule/MSK restrictions? ✔Correct Answer-No.
Document every abnormality? ✔Correct Answer-Yes, and then just write in comments, "not likely
to interfere."
Whisper test okay for hearing? ✔Correct Answer-Yes
Need to fill out both state and federal? ✔Correct Answer-No, one or the other
Is determination pending okay on both state and federal? ✔Correct Answer-No, only permissible
on federal
When to fill out state form? ✔Correct Answer-If truly intrastate. Need to know the state variances
for the state in which the driver operates.
How short a period can you put on the card? ✔Correct Answer-As short as you want. Eg. 30 days,
45 days, 3 months, etc.
2 reasons for not medically qualified? ✔Correct Answer-1) Disease/condition that temporarily or
permanently DQs them OR 2) Haven't fulfilled appropriate waiting period, eg. 1 year
What do you document if driver stops exam? ✔Correct Answer-"Incomplete exam"
If you do determination pending, what do you put as the expiration date? ✔Correct Answer-The
date they come back with whatever documentation you needed.
,Is the medical certification limited to their current employer? ✔Correct Answer-No. They are
allowed to switch employers that might require more strenuous tasks/different schedule, etc.
What is "acceptable risk?" ✔Correct Answer-1% annual risk of sudden incapacitation. If the driver
is at increased risk compared to the general population, than they shouldn't be operating a CMV.
When to certify for less than 2 years? ✔Correct Answer-If their condition requires more frequent
monitoring by specialist/PCP, etc.
What do you put in the "medical record" box? ✔Correct Answer-Can be blank, employee ID, etc.
Up to you.
Okay to examine drivers from Canada and Mexico? ✔Correct Answer-Yes
Driver ID requirements? ✔Correct Answer-You must see some sort of government issued ID to
make sure they're not having a friend/family member take the medical exam for them.
If they leave blank, check yes, or not sure under "medical certificate issued for less than 2 years,"
then what? ✔Correct Answer-Ask why and address. Review old exams done in your clinic!!!
If driver wrote "not sure" to any answer... ✔Correct Answer-Ask about and address. Never cross
out what driver wrote but you can put additional comments below.
Does determination pending require a new exam? ✔Correct Answer-No. A short medical
certificate does, but a DP does not.
What to do if current med certificate expires tomorrow, but you need their HgbA1C, etc? ✔Correct
Answer-1) You can issue a short term certificate AND do determination pending but will need to
repeat exam
2) DQ and do determination pending if you do not think driver is safe to be on the road in the
meantime before you get the info
How long do you have to submit driver determination online after doing exam? ✔Correct Answer-
Close of next calendar business day.
Whose responsibility is it to address driver's age and language? ✔Correct Answer-Employer
What do you do after you make your determination? ✔Correct Answer-Required to discuss with
the driver and what they need to do. Must be clear that you are making your decision based on best
practice/guidelines and NOT on regulation.
What if a driver from another country has a variance/waiver? ✔Correct Answer-They are not
qualified in the US.
What are the 13 physical qualifications for drivers? ✔Correct Answer-1 + 2. No loss/impairment of
foot/leg/hand/arm.
3. No IDDM (new waiver)
4. No dx of heart dz that might cause syncope, SOB, collapse, or CHF
5. No respiratory dysfunction likely to interfere
6. No HTN likely to interfere
7. No hx or dx of MSK dz likely to interfere
, 8. No hx of epilepsy or dz causing LOC
9. No mental/psych dz likely to interfere
10. Distance vision of 20/40 in each eye and together, 70 degrees horizontal field, and ability to
recognize red/green/yellow
11. Whisper at 5 feet in BETTER ear or no average HL in better ear>40 DBs at 500,1000,and 2000 hz
12. No schedule 1, amphetamine, narcotic, habit forming drugs except when prescribed by someone
who says it will not affect ability to operate CMV
13. No dx of alcoholism
Can a medical examiner grant a waiver? ✔Correct Answer-No. They have to go through the online
FMCSA processes.
Don't certify until etiology is _______, and _____ is shown to be _____, ______, and _____.
✔Correct Answer-Confirmed, treatment, safe, effective, stable.
What if multiple waiting periods for multiple comorbidities? ✔Correct Answer-Wait until longest
one is done.
When to get additional tests/consults? ✔Correct Answer-Case by case basis to adequately address
fitness for duty. No required to accept the consult/testing.
What are the only required regulations? ✔Correct Answer-Vision, hearing, epilepsy, IDDM.
What to do if choose not to follow a guideline? ✔Correct Answer-Document extensively why you
did not.
What testing MUST be done for the exam? ✔Correct Answer-Height, weight, vision, hearing, BP,
pulse, urinalysis.
What optional testing may be done? ✔Correct Answer-BMI, audiometry, PFTs, ECHO, EKG, sleep
study, CT scan, etc, based on H&P and your determination. CAUTION: If you require these, you
CANNOT be the one ordering or paying. Must be employer or driver's private health insurance or
private pay.
4 possible options for determinations for medical exam? ✔Correct Answer-1) Qualified
2) Not qualified
3) Determination pending
4) Incomplete
What is the date for the certificate expiration? ✔Correct Answer-The date of determination, NOT
necessarily of the exam.
Is dialysis disqualifying? ✔Correct Answer-Yes
Is monocular vision okay? ✔Correct Answer-No. Need to have 20/40 in BOTH eyes. No corrective
contacts that make one eye see far/one near. No telescopic lenses.
Meniere's disease - DQ? ✔Correct Answer-Yes, if active dx due to risk of incapacitation from
vertigo spells. If in remission, no episodes for 10 years, probably fine.
What to do if proteinuria? ✔Correct Answer-Nephrologist consult
Correct & 100% Verified Answers |Latest Update |
Already Graded A+
Interstate commerce definition? ✔Correct Answer-Any material transported from 1 state to
another state, even if the individual driver never leaves 1 state, that:
a) weighs >10,001 lbs (if >26,001 lbs, they also need a drug test)
b) 9-15 passengers for compensation
c) 16+ passengers regardless of compensation
d) that requires placarding for hazardous materials
Does interstate commerce refer to the cargo or to the driver? ✔Correct Answer-It refers to the
cargo, tools, vehicle, NOT to the driver.
When is a 12 month (or shorter) certification required? ✔Correct Answer-a) intracity zone exempt
drivers
b) waiver program drivers
c) insulin
d) any driver whose job duties have been impaired by mental/physical injury
Does the driver need a new exam after sustaining an injury? ✔Correct Answer-That is up to the
employer.
Can an examiner write schedule/MSK restrictions? ✔Correct Answer-No.
Document every abnormality? ✔Correct Answer-Yes, and then just write in comments, "not likely
to interfere."
Whisper test okay for hearing? ✔Correct Answer-Yes
Need to fill out both state and federal? ✔Correct Answer-No, one or the other
Is determination pending okay on both state and federal? ✔Correct Answer-No, only permissible
on federal
When to fill out state form? ✔Correct Answer-If truly intrastate. Need to know the state variances
for the state in which the driver operates.
How short a period can you put on the card? ✔Correct Answer-As short as you want. Eg. 30 days,
45 days, 3 months, etc.
2 reasons for not medically qualified? ✔Correct Answer-1) Disease/condition that temporarily or
permanently DQs them OR 2) Haven't fulfilled appropriate waiting period, eg. 1 year
What do you document if driver stops exam? ✔Correct Answer-"Incomplete exam"
If you do determination pending, what do you put as the expiration date? ✔Correct Answer-The
date they come back with whatever documentation you needed.
,Is the medical certification limited to their current employer? ✔Correct Answer-No. They are
allowed to switch employers that might require more strenuous tasks/different schedule, etc.
What is "acceptable risk?" ✔Correct Answer-1% annual risk of sudden incapacitation. If the driver
is at increased risk compared to the general population, than they shouldn't be operating a CMV.
When to certify for less than 2 years? ✔Correct Answer-If their condition requires more frequent
monitoring by specialist/PCP, etc.
What do you put in the "medical record" box? ✔Correct Answer-Can be blank, employee ID, etc.
Up to you.
Okay to examine drivers from Canada and Mexico? ✔Correct Answer-Yes
Driver ID requirements? ✔Correct Answer-You must see some sort of government issued ID to
make sure they're not having a friend/family member take the medical exam for them.
If they leave blank, check yes, or not sure under "medical certificate issued for less than 2 years,"
then what? ✔Correct Answer-Ask why and address. Review old exams done in your clinic!!!
If driver wrote "not sure" to any answer... ✔Correct Answer-Ask about and address. Never cross
out what driver wrote but you can put additional comments below.
Does determination pending require a new exam? ✔Correct Answer-No. A short medical
certificate does, but a DP does not.
What to do if current med certificate expires tomorrow, but you need their HgbA1C, etc? ✔Correct
Answer-1) You can issue a short term certificate AND do determination pending but will need to
repeat exam
2) DQ and do determination pending if you do not think driver is safe to be on the road in the
meantime before you get the info
How long do you have to submit driver determination online after doing exam? ✔Correct Answer-
Close of next calendar business day.
Whose responsibility is it to address driver's age and language? ✔Correct Answer-Employer
What do you do after you make your determination? ✔Correct Answer-Required to discuss with
the driver and what they need to do. Must be clear that you are making your decision based on best
practice/guidelines and NOT on regulation.
What if a driver from another country has a variance/waiver? ✔Correct Answer-They are not
qualified in the US.
What are the 13 physical qualifications for drivers? ✔Correct Answer-1 + 2. No loss/impairment of
foot/leg/hand/arm.
3. No IDDM (new waiver)
4. No dx of heart dz that might cause syncope, SOB, collapse, or CHF
5. No respiratory dysfunction likely to interfere
6. No HTN likely to interfere
7. No hx or dx of MSK dz likely to interfere
, 8. No hx of epilepsy or dz causing LOC
9. No mental/psych dz likely to interfere
10. Distance vision of 20/40 in each eye and together, 70 degrees horizontal field, and ability to
recognize red/green/yellow
11. Whisper at 5 feet in BETTER ear or no average HL in better ear>40 DBs at 500,1000,and 2000 hz
12. No schedule 1, amphetamine, narcotic, habit forming drugs except when prescribed by someone
who says it will not affect ability to operate CMV
13. No dx of alcoholism
Can a medical examiner grant a waiver? ✔Correct Answer-No. They have to go through the online
FMCSA processes.
Don't certify until etiology is _______, and _____ is shown to be _____, ______, and _____.
✔Correct Answer-Confirmed, treatment, safe, effective, stable.
What if multiple waiting periods for multiple comorbidities? ✔Correct Answer-Wait until longest
one is done.
When to get additional tests/consults? ✔Correct Answer-Case by case basis to adequately address
fitness for duty. No required to accept the consult/testing.
What are the only required regulations? ✔Correct Answer-Vision, hearing, epilepsy, IDDM.
What to do if choose not to follow a guideline? ✔Correct Answer-Document extensively why you
did not.
What testing MUST be done for the exam? ✔Correct Answer-Height, weight, vision, hearing, BP,
pulse, urinalysis.
What optional testing may be done? ✔Correct Answer-BMI, audiometry, PFTs, ECHO, EKG, sleep
study, CT scan, etc, based on H&P and your determination. CAUTION: If you require these, you
CANNOT be the one ordering or paying. Must be employer or driver's private health insurance or
private pay.
4 possible options for determinations for medical exam? ✔Correct Answer-1) Qualified
2) Not qualified
3) Determination pending
4) Incomplete
What is the date for the certificate expiration? ✔Correct Answer-The date of determination, NOT
necessarily of the exam.
Is dialysis disqualifying? ✔Correct Answer-Yes
Is monocular vision okay? ✔Correct Answer-No. Need to have 20/40 in BOTH eyes. No corrective
contacts that make one eye see far/one near. No telescopic lenses.
Meniere's disease - DQ? ✔Correct Answer-Yes, if active dx due to risk of incapacitation from
vertigo spells. If in remission, no episodes for 10 years, probably fine.
What to do if proteinuria? ✔Correct Answer-Nephrologist consult
