QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ BRAND NEW!!
who oversees medical certification process? - ANSWER >>>>office of
medical programs
how many X more is mortality rate for passenger vehicle vs large
truck, in a crash between the two? - ANSWER >>>>passenger vehicle
5X more likely to die
where are physical standards for drivers listed? - ANSWER >>>>49
CFR 391.41
define CMV - ANSWER >>>>commercial motor vehicle: any self
propelled or towed MV used on a highway in interstate commerce to
transport passengers or property...10k lbs or more, 8+ passengers for
$$, 15+ passengers not for $$, hazardous materials
where is CMV defined? - ANSWER >>>>40 CFR 390.5
where are medical examiner qualifications found? - ANSWER >>>>49
CFR 391.43
Where are general qualifications for CMV drivers found? - ANSWER
>>>>49 CFR 391.11
list non-discretionary standards - ANSWER >>>>loss of limb, limb
impairment, CV condition, respiratory dysfunction, HTN,
RA/OA/orthopedic/muscular, mental disorder, drug use, alcoholism
"average" driver demographics - ANSWER >>>>male, 40+, sedentary,
obese, smoker, poor eating habits
,"average" driver medical health - ANSWER >>>>less healthy than
average citizen, 2+ medical conditions, CV disease
list 9 occupational stressors for CMV drivers - ANSWER >>>>type of
route, schedule, finances, vehicle, road conditions, environmental,
type of cargo
when can a driver on insulin be certified? - ANSWER >>>>if he/she
has FMCSA waiver - 49 CFR 391.64 OR federal exemption program
FMCSA definition of "severe hypoglycemia" - ANSWER >>>>seizure,
LOC, need assistance from others, impaired cog fxn
if severe hypoglycemia, ask if driver has had reactions how
frequently? - ANSWER >>>>1+ in last 12 months
2+ in last 5 years
what happens if driver has loss of proprioception? what about
peripheral neuropathy? - ANSWER >>>>DQ and DQ
what if DM patient has resting tachycardia or orthostatic HOTN? -
ANSWER >>>>DQ
what if driver has silver wire, cotton patches? - ANSWER >>>>qualify
but recommend ophthalmologist yearly
what if driver has unstable retinopathy where neovascularization
extends into vitreous? - ANSWER >>>>DQ
driver uses telescopic lenses? - ANSWER >>>>DQ
what if driver on incretin mimetics? what about other oral
hypoglycemics? - ANSWER >>>>certify for one year
DM exemption requires a driver to: - ANSWER >>>>annual
endocrinology visit, annual optho visit, DM education, glucose
monitoring
, forced whisper test - ANSWER >>>>hear a forced whisper at no less
than 5ft
audiometric testing limits - ANSWER >>>>average hearing loss no
greater than 40 decibels
can driver wear hearing aids during forced whisper test? - ANSWER
>>>>yes
audiometer should be calibrated to what standard? - ANSWER
>>>>American National Standards Institute (ANSI) Z24.5-1951
driver wears a hearing aid. can you do in office whisper test? what
about audiometry test? - ANSWER >>>>yes for whisper, no for
audiometry
how to calculate hearing loss? - ANSWER >>>>determine what
decibels heard at 500Hz, 1000Hz, 2000Hz in one ear. Add the results
and divide by three. Result = average hearing loss.
Audiometric testing - results? - ANSWER >>>>qualify driver if less
than 40dB hearing loss in good ear. both ears more than 40=DQ
how to convert from International Organization for Standardization to
ANSI? - ANSWER >>>>minus 14 from 500
minus 10 from 1000
minus 8.5 from 2000
which test to do first, whisper or audiometric? - ANSWER >>>>doesn't
matter as long as one is passed, driver is qualified
which otic diseases disqualify driver? - ANSWER >>>>BPPV w/ Sx in
last 2 months
menieres
labyrinthine fistula
nonfunctioning labyrinths