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Latest 2025/2026 Update.
What is the role of the medical examiner?
i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- to determine
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medical fitness for duty.
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What are the differences between the medical standards and the
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medical guidelines Medical Standards - regulations that are
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non-discretionary - the medical examiner cannot use judgment to i,- i,- i,- i,- i,- i,- i,- i,- i,-
certify a driver who does not meet a regulatory standard
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Medical Guidelines are discretionary - Medical Examiners may
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decide to certify drivers who do not meet medical guidelines.
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Most recommendations related to certification of specific medical
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conditions are guidance i,- i,-
What are some medical standards for certifications that need to
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be done?
i,- Vision requirements, including distant visual acuity,
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horizontal vision, and color vision. Drivers who do not meet
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standards cannot be certified unless accompanied by a vision
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exemption/waiver.
Diabetes requirements: drivers using insulin cannot be certified
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unless special procedures for evaluation and certification of such
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drivers are followed.
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,Epilepsy: drivers with a diagnosis of epilepsy cannot be certified
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unless accompanied by an epilepsy waiver/exemption.
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Hearing: drivers who cannot meet whisper test or audiometric
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test requirements cannot be certified unless accompanied by a
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hearing waiver/exemption. i,-
What are Turn around or short relay drivers?
i,- i,- i,- i,- i,- i,- i,- i,-i,- i,- drivers return to i,- i,- i,-
their home base each evening
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what are Long relay drivers?
i,- drivers drive 9 to 11 hours and
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then have at least a 10-hour off duty period)
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What are Straight through haul drivers?
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What are Team drivers?
i,- drivers share the driving by
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alternating their 5-hour driving periods and 5-hour rest periods
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What are regulations?
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What are disqualifying medical conditions?
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hearing loss i,-
,What are guidelines?i,- Recommendation to follow but can
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have raptor ale for variation
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FMCSA medical program responsibilities include:
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Oversee the Department of Transportation.
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Regulation of intrastate commercial motor vehicle operations.
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Conduct and oversee the agency's medical exemption and
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certificate programs. i,-
Provide commercial motor vehicle driver examinations.
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Conduct and oversee the agency's medical exemption and
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certificate programs. i,-
Which of the following is true?
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The FMCSA does not consider feasibility or impact in the rule-
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making process. i,-
Only the Medical Review Board can provide advice and opinions
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on FMCSA rulemaking.
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FMCSA medical standards and guidelines are subject to public
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notice and comment rulemaking.
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The Code of Federal Regulations provide guidance that the
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medical examiner may or may not follow.examiner may or may
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, not follow.
i,- FMCSA medical standards and guidelines are
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subject to public notice and comment rulemaking.
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FMCSA content sources rules and regulations include
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49 CFR Part 16 DOT Procedures for Drug and Alcohol Testing.
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49 CFR 391.41 Physical Qualifications for Drivers.
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49 CFR 391.82 Medical examination; certificate of physical
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qualification.
49 CFR Part 73: Medical Review Board procedures.
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391.41 Physical Qualifications for Drivers.
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Which of the following is true regarding why regulation is needed
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to protect public safety?
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There is little environmental risk from crashes involving
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hazardous materials. i,-
There is greater risk of injury and fatalities to individuals in
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smaller vehicles from crashes involving commercial motor
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vehicles.
The economic cost of crashes involving commercial vehicles is
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relatively low. i,-
Commercial vehicles do not carry members of the public. i,- i,- i,- i,- i,- i,- i,- i,- i,-i,- i,-
There is greater risk of injury and fatalities to individuals in
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