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To promote the safety of America's roadways through the promulgation and implementation of
medical regulations, guidelines and policies that ensure commercial motor vehicle drivers engaged in
interstate commerce are physically qualified to do so. Whose mission is this? ✔Correct Answer--
The mission of the Office of Medical Programs
To improve highway safety by producing trained, certified medical examiners who can effectively
determine if a commercial motor vehicle driver's health meets Federal Motor Carrier Safety
Administration Standards. Whose mission is this? ✔Correct Answer--National Registry of Certified
Medical Examiners
Who can be a medical examiner? ✔Correct Answer--PAs, NPs, physicians and chiropractors.
T/F...When a driver returns from an illness or injury that interferes with driving ability, the driver
must undergo a medical examination if the medical examiner's certificate has not expired
✔Correct Answer--True
What is title 49? ✔Correct Answer--Transportation
What is part 391? ✔Correct Answer--Qualifications of Drivers and Longer Combination Vehicle
What is subpart E of Part 391? ✔Correct Answer--Physical Qualifications and Examninations
What are the four non-discretionary (disqualifying) standards? ✔Correct Answer--1. Vision
2. Hearing
3. Epilepsy
4. Diabetes Mellitus
What is 49 CFR 391.41? ✔Correct Answer--Describes the physical qualification requirements for
drivers. The 13 standards are used to determine medical fitness for duty. (9 discretionary and 4 non-
discretionary)
What is 49 CFR 391.49? ✔Correct Answer--Describes the skill performance evaluation certification
program, which is an alternative physical qualification standard for the driver with a fixed
musculoskeletal deficit of an extremity who cannot physically qualify to drive under 391.41 (b)(1) or
(b)(2).
What is 49 CFR 391.62? ✔Correct Answer--Describes limited exemptions for intra-city zone drivers.
What is 49 CFR 391.64? ✔Correct Answer--Describes grandfathering for certain drivers who
participated in vision and diabetes waiver study programs.
What is an exemption? ✔Correct Answer--An exemption provides temporary relief from one or
more of the FMCSRs for commercial drivers. Relief from a regulation is for 2 years and may be
renewed.
, Currently the FMSCA has two medical Driver Exemption Programs. What are they? ✔Correct
Answer--1. Federal Vision Exemption Program (1998)
2. Diabetes Exemption Program (September 2003)
T/F The medical examiner cannot issue an exemption ✔Correct Answer--True
T/F Both federal exemptions require the driver to have an annual medical examination for
maintenance and renewal of the exemption. ✔Correct Answer--True
What is 49 CFR 391.43? ✔Correct Answer--Certificate of physical examination. Describes your
responsibilities as a FMCSA medical examiner.
What is the purpose of Interstate Commercial Driver Physical Examination? ✔Correct Answer--As a
medical examiner, your fundamental obligation is to establish whether a driver has a disease,
disorder, or injury resulting in a higher than acceptable likelihood for gradual or sudden
incapacitation or sudden death, thus endangering public safety.
When conducting a physical examination to determine if the driver is medically fit to perform the job
of commercial driving, you must consider what 3 things? ✔Correct Answer--1. Physical condition
2. Mental condition
3. Medical treatment
How do you distinguish between medical standards (49 CFR 391.41) and medical guidelines?
✔Correct Answer--Regulations/standards are laws and must be followed. Whereas guidelines, such
as advisory criteria and medical conference reports are recommendations.
T/F A complete physical examination is required for new certification and recertification ✔Correct
Answer--True
If a driver is on dialysis can they be certified? ✔Correct Answer--No
What is the maximum amount of time you can certify a driver? ✔Correct Answer--2 years
How long do you retain the driver medical records for? ✔Correct Answer--3 years
What is 49 CFR 391.41 (b) (10)? ✔Correct Answer--Vision
What qualifies for vision? ✔Correct Answer--Has distant visual acuity of at least 20/40 (Snellen) in
each eye without corrective lenses or visual acuity separately corrected to 20/40 (Snellen) or better
with corrective lenses, distant binocular acuity of at least 20/40 (Snellen) in both eyes with or
without corrective lenses, field of vision of at least 70 degrees in the horizontal median in each eye,
and the ability to recognize the colors of traffic signals and devices showing standard red, green, and
amber.
T/F Monocular vision is disqualifying ✔Correct Answer--True
What is the requirement for central distant visual acuity and distant binocular visual acuity?
✔Correct Answer--At least 20/40 in each eye