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A 62 y/o woman is seen for a recertification. She is a smoker and has osteoarthritis, treated with Mobic, 15mg/day. On exam she has cervical ROM limited to 15o. She has a note from her doctor that she may drive a truck but may not climb nor flex her knees beyond 90o correct answers She is disqualified due to inability to climb or flex her knees. A driver comes in for recertification. He has been diagnosed with a cataract in his left eye and will be having surgery in a few months. He has a new eyeglass prescription and his vision is found to be: L - cannot read the chart uncorrected, 20/70 corrected. R - 20/40. You would: correct answers Disqualify the driver. A driver is returning to work from an alcohol rehab program. Who should evaluate the driver and make recommendations on education, treatment, follow up testing, and aftercare? correct answers Substance abuse professional Factors affecting the severity of chronic diseases leading to possible disqualification include all but: correct answers Well tolerated medications may be needed to stabilize the condition. Factors contributing to commercial driving stressors include: correct answers Long relay routes, abrupt schedule changes, responsibility for passenger safety. Four of the 13 Federal Motor Carrier Regulations or Standards are non-discretionary, with objective criteria not requiring decision making by the examiner. Which are the 4 standards? correct answers Vision, Hearing, Diabetes Mellitus and Epilepsy Motor carriers are responsible for ensuring their commercial drivers: correct answers Are at least 21 years old, speak and read English well enough to converse with the general public and have a valid medical examiner's certificate Which of the following is true concerning the Medical Examination Report form? correct answers You should obtain a release from the driver if the employer wishes to obtain a copy of the examination report. Which is true of FMCSA Driver Exemption Programs? correct answers An exemption is valid for 2 years, with an annual medical examination. A 43 y/o male driver has an otherwise normal exam except for amputation of the ring and little fingers of the left hand. The driver: correct answers Can be cleared if his grip strength is normal. Which of the following is false concerning medical standards vs. advisory criteria/guidelines? correct answers There are 4 standards and 9 guidelines for commercial driver medical qualification. Factors resulting in injuries and fatalities in large truck crashes include all except: correct answers Injury severity equals relative velocity change. **The greater the mass, the greater relative velocity change. ** The crash of a vehicle having twice the mass with a lighter vehicle equals a six-fold risk of death to persons in the lighter vehicle.

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