Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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Upon examination of a 46 y/o male smoker, you detect an
irregularly irregular heart rythm. The rate is 140 bpm. This
Disqualify and refer to his PMD or cardiologist for further
is unknown to the driver and he denies any symptoms of
evaluation.
lightheadedness, shortness of breath, dizziness, palpita-
tions, nor any cardiac history. You would:
Provide the original to the driver being examined. Retain
a copy for at least 3 years.
Concerning the medical certificate, which is false? You may not provide a copy to the current or prospective
employer, they must get it from the driver. The driver must
carry the original certificate during operation of a CMV.
3 months with clearance by cardiologist, resting echocar-
How soon may a driver be certified after coronary artery
diogram with an LVEF >40% after CABG, and asympto-
bypass grafting (CABG) surgery?
matic status with no angina.
Need of assistance from another person, loss of con-
FMCSA defines a severe hypoglycemic reaction as one that
sciousness, any period of impaired cognitive function that
results in:
occurs without warning, or seizure
Medical fitness for duty includes the ability to perform
strenuous labor and to have good judgment, impulse Problem solving skills
control, and .
A chiropractor
All of the following may perform and certify vision test Ophthalmologist
results except: Optometrist
or Registered Nurse
The grace period for the expiration of a Medical Examin- There is no grace period, the certification expires at mid-
er's Certification is night on the date listed
A 28 year old female presents for her CDL physical exam.
She indicates she has been enrolled in a Methadone
program for three months secondary to a previous sub-
stance abuse issue in the recent past. She presents a
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letter from the administrator of the program documenting
her compliance with the program and absence of any No, since Methadone is a habit-forming narcotic that can
history of prior violations of their agreement. According produce drug dependence. Methadone is not an allow-
to medical guidance, can a driver be certified while taking able drug for CMV operators.
methadone.
Arriving for a recertification exam, a 48 y/o male
non-smoker is 5'4", 275lbs. His supervisor calls you ahead
of time stating he recently went ott the side of the road
crashing into a guard rail. There were no injuries and the
truck sustained only minor damage. When the medical
assistant goes to bring him back, he is found asleep,
snoring in the waiting room and she needs to wake him
by gently shaking him by the shoulder. She reports this
Disqualify and refer to PMD for sleep study.
to you. When you arrive in the exam room the patient
appears to be nodding ott while sitting on the exam
table. Upon further questioning, he admits that his wife
frequently elbows him because of his snoring and that
he gasps and snorts in his sleep. When asked, he denies
nodding ott while driving. His exam is notable for obesity,
Mallampati 4 oropharynx, HTN controlled with 2 medica-
tions, otherwise normal. Appropriate next steps:
Document the ettect that the deficit has on the ability of
the driver to safely operate a CMV Provide a copy of the
You examine a 37 male driver with missing fingers on his Medical Examination Report form and medical examiner's
left hand, you must evaluate and do all of the following, certificate for an SPE initial or renewal application Ensure
that the driver with an existing SPE certificate is complying
with medical requirements
You examine a 37 male driver with missing fingers on his
left hand, you must evaluate and obtained no
Obtain approval from the primary care doctor