(Answered)FMCSA DOT Physical Medical Examiner Test
2023
Interstate commerce definition? - CORRECT ANSWERAny material
transported from 1 state to another state, even if the individual driver
never leaves 1 state, that:
a) weighs >10,001 lbs (if >26,001 lbs, they also need a drug test)
b) 9-15 passengers for compensation
c) 16+ passengers regardless of compensation
d) that requires placarding for hazardous materials
Does interstate commerce refer to the cargo or to the driver? -
CORRECT ANSWERIt refers to the cargo, tools, vehicle, NOT to the
driver.
When is a 12 month (or shorter) certification required? - CORRECT
ANSWERa) intracity zone exempt drivers
b) waiver program drivers
c) insulin
d) any driver whose job duties have been impaired by mental/physical
injury
Does the driver need a new exam after sustaining an injury? -
CORRECT ANSWERThat is up to the employer.
Can an examiner write schedule/MSK restrictions? - CORRECT
ANSWERNo.
Document every abnormality? - CORRECT ANSWERYes, and then
just write in comments, "not likely to interfere."
Whisper test okay for hearing? - CORRECT ANSWERYes
Need to fill out both state and federal? - CORRECT ANSWERNo, one
or the other
,Is determination pending okay on both state and federal? - CORRECT
ANSWERNo, only permissible on federal
When to fill out state form? - CORRECT ANSWERIf truly intrastate.
Need to know the state variances for the state in which the driver
operates.
How short a period can you put on the card? - CORRECT
ANSWERAs short as you want. Eg. 30 days, 45 days, 3 months, etc.
2 reasons for not medically qualified? - CORRECT ANSWER1)
Disease/condition that temporarily or permanently DQs them OR 2)
Haven't fulfilled appropriate waiting period, eg. 1 year
What do you document if driver stops exam? - CORRECT
ANSWER"Incomplete exam"
If you do determination pending, what do you put as the expiration
date? - CORRECT ANSWERThe date they come back with whatever
documentation you needed.
Is the medical certification limited to their current employer? -
CORRECT ANSWERNo. They are allowed to switch employers that
might require more strenuous tasks/different schedule, etc.
What is "acceptable risk?" - CORRECT ANSWER1% annual risk of
sudden incapacitation. If the driver is at increased risk compared to
the general population, than they shouldn't be operating a CMV.
When to certify for less than 2 years? - CORRECT ANSWERIf their
condition requires more frequent monitoring by specialist/PCP, etc.
What do you put in the "medical record" box? - CORRECT
ANSWERCan be blank, employee ID, etc. Up to you.
,Okay to examine drivers from Canada and Mexico? - CORRECT
ANSWERYes
Driver ID requirements? - CORRECT ANSWERYou must see some
sort of government issued ID to make sure they're not having a
friend/family member take the medical exam for them.
If they leave blank, check yes, or not sure under "medical certificate
issued for less than 2 years," then what? - CORRECT ANSWERAsk
why and address. Review old exams done in your clinic!!!
If driver wrote "not sure" to any answer... - CORRECT ANSWERAsk
about and address. Never cross out what driver wrote but you can put
additional comments below.
Does determination pending require a new exam? - CORRECT
ANSWERNo. A short medical certificate does, but a DP does not.
What to do if current med certificate expires tomorrow, but you need
their HgbA1C, etc? - CORRECT ANSWER1) You can issue a short
term certificate AND do determination pending but will need to repeat
exam
2) DQ and do determination pending if you do not think driver is safe
to be on the road in the meantime before you get the info
How long do you have to submit driver determination online after
doing exam? - CORRECT ANSWERClose of next calendar business
day.
Whose responsibility is it to address driver's age and language? -
CORRECT ANSWEREmployer
What do you do after you make your determination? - CORRECT
ANSWERRequired to discuss with the driver and what they need to
do. Must be clear that you are making your decision based on best
practice/guidelines and NOT on regulation.
, What if a driver from another country has a variance/waiver? -
CORRECT ANSWERThey are not qualified in the US.
What are the 13 physical qualifications for drivers? - CORRECT
ANSWER1 + 2. No loss/impairment of foot/leg/hand/arm.
3. No IDDM (new waiver)
4. No dx of heart dz that might cause syncope, SOB, collapse, or CHF
5. No respiratory dysfunction likely to interfere
6. No HTN likely to interfere
7. No hx or dx of MSK dz likely to interfere
8. No hx of epilepsy or dz causing LOC
9. No mental/psych dz likely to interfere
10. Distance vision of 20/40 in each eye and together, 70 degrees
horizontal field, and ability to recognize red/green/yellow
11. Whisper at 5 feet in BETTER ear or no average HL in better
ear>40 DBs at 500,1000,and 2000 hz
12. No schedule 1, amphetamine, narcotic, habit forming drugs except
when prescribed by someone who says it will not affect ability to
operate CMV
13. No dx of alcoholism
Can a medical examiner grant a waiver? - CORRECT ANSWERNo.
They have to go through the online FMCSA processes.
Don't certify until etiology is _______, and _____ is shown to be
_____, ______, and _____. - CORRECT ANSWERConfirmed,
treatment, safe, effective, stable.
What if multiple waiting periods for multiple comorbidities? -
CORRECT ANSWERWait until longest one is done.
When to get additional tests/consults? - CORRECT ANSWERCase by
case basis to adequately address fitness for duty. No required to
accept the consult/testing.
What are the only required regulations? - CORRECT ANSWERVision,
hearing, epilepsy, IDDM.
2023
Interstate commerce definition? - CORRECT ANSWERAny material
transported from 1 state to another state, even if the individual driver
never leaves 1 state, that:
a) weighs >10,001 lbs (if >26,001 lbs, they also need a drug test)
b) 9-15 passengers for compensation
c) 16+ passengers regardless of compensation
d) that requires placarding for hazardous materials
Does interstate commerce refer to the cargo or to the driver? -
CORRECT ANSWERIt refers to the cargo, tools, vehicle, NOT to the
driver.
When is a 12 month (or shorter) certification required? - CORRECT
ANSWERa) intracity zone exempt drivers
b) waiver program drivers
c) insulin
d) any driver whose job duties have been impaired by mental/physical
injury
Does the driver need a new exam after sustaining an injury? -
CORRECT ANSWERThat is up to the employer.
Can an examiner write schedule/MSK restrictions? - CORRECT
ANSWERNo.
Document every abnormality? - CORRECT ANSWERYes, and then
just write in comments, "not likely to interfere."
Whisper test okay for hearing? - CORRECT ANSWERYes
Need to fill out both state and federal? - CORRECT ANSWERNo, one
or the other
,Is determination pending okay on both state and federal? - CORRECT
ANSWERNo, only permissible on federal
When to fill out state form? - CORRECT ANSWERIf truly intrastate.
Need to know the state variances for the state in which the driver
operates.
How short a period can you put on the card? - CORRECT
ANSWERAs short as you want. Eg. 30 days, 45 days, 3 months, etc.
2 reasons for not medically qualified? - CORRECT ANSWER1)
Disease/condition that temporarily or permanently DQs them OR 2)
Haven't fulfilled appropriate waiting period, eg. 1 year
What do you document if driver stops exam? - CORRECT
ANSWER"Incomplete exam"
If you do determination pending, what do you put as the expiration
date? - CORRECT ANSWERThe date they come back with whatever
documentation you needed.
Is the medical certification limited to their current employer? -
CORRECT ANSWERNo. They are allowed to switch employers that
might require more strenuous tasks/different schedule, etc.
What is "acceptable risk?" - CORRECT ANSWER1% annual risk of
sudden incapacitation. If the driver is at increased risk compared to
the general population, than they shouldn't be operating a CMV.
When to certify for less than 2 years? - CORRECT ANSWERIf their
condition requires more frequent monitoring by specialist/PCP, etc.
What do you put in the "medical record" box? - CORRECT
ANSWERCan be blank, employee ID, etc. Up to you.
,Okay to examine drivers from Canada and Mexico? - CORRECT
ANSWERYes
Driver ID requirements? - CORRECT ANSWERYou must see some
sort of government issued ID to make sure they're not having a
friend/family member take the medical exam for them.
If they leave blank, check yes, or not sure under "medical certificate
issued for less than 2 years," then what? - CORRECT ANSWERAsk
why and address. Review old exams done in your clinic!!!
If driver wrote "not sure" to any answer... - CORRECT ANSWERAsk
about and address. Never cross out what driver wrote but you can put
additional comments below.
Does determination pending require a new exam? - CORRECT
ANSWERNo. A short medical certificate does, but a DP does not.
What to do if current med certificate expires tomorrow, but you need
their HgbA1C, etc? - CORRECT ANSWER1) You can issue a short
term certificate AND do determination pending but will need to repeat
exam
2) DQ and do determination pending if you do not think driver is safe
to be on the road in the meantime before you get the info
How long do you have to submit driver determination online after
doing exam? - CORRECT ANSWERClose of next calendar business
day.
Whose responsibility is it to address driver's age and language? -
CORRECT ANSWEREmployer
What do you do after you make your determination? - CORRECT
ANSWERRequired to discuss with the driver and what they need to
do. Must be clear that you are making your decision based on best
practice/guidelines and NOT on regulation.
, What if a driver from another country has a variance/waiver? -
CORRECT ANSWERThey are not qualified in the US.
What are the 13 physical qualifications for drivers? - CORRECT
ANSWER1 + 2. No loss/impairment of foot/leg/hand/arm.
3. No IDDM (new waiver)
4. No dx of heart dz that might cause syncope, SOB, collapse, or CHF
5. No respiratory dysfunction likely to interfere
6. No HTN likely to interfere
7. No hx or dx of MSK dz likely to interfere
8. No hx of epilepsy or dz causing LOC
9. No mental/psych dz likely to interfere
10. Distance vision of 20/40 in each eye and together, 70 degrees
horizontal field, and ability to recognize red/green/yellow
11. Whisper at 5 feet in BETTER ear or no average HL in better
ear>40 DBs at 500,1000,and 2000 hz
12. No schedule 1, amphetamine, narcotic, habit forming drugs except
when prescribed by someone who says it will not affect ability to
operate CMV
13. No dx of alcoholism
Can a medical examiner grant a waiver? - CORRECT ANSWERNo.
They have to go through the online FMCSA processes.
Don't certify until etiology is _______, and _____ is shown to be
_____, ______, and _____. - CORRECT ANSWERConfirmed,
treatment, safe, effective, stable.
What if multiple waiting periods for multiple comorbidities? -
CORRECT ANSWERWait until longest one is done.
When to get additional tests/consults? - CORRECT ANSWERCase by
case basis to adequately address fitness for duty. No required to
accept the consult/testing.
What are the only required regulations? - CORRECT ANSWERVision,
hearing, epilepsy, IDDM.
