https://www.stuvia.com/user/AcademicACE
FMCSA DOT Physical Medical Examiner
Test
Interstate commerce definition? –
ANSWER-Any material transported from 1 state toanother 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? –
ANSWER-It refers to thecargo, tools, vehicle, NOT to the driver.
When is a 12 month (or shorter) certification required? –
ANSWER-a) intracity zoneexempt 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? –
ANSWER-That is up tothe employer.
Can an examiner write schedule/MSK restrictions? –
ANSWER-No.
Document every abnormality? –
ANSWER-Yes, and then just write in comments, "notlikely to interfere."
Whisper test okay for hearing? –
ANSWER-Yes
Need to fill out both state and federal? –
ANSWER-No, one or the other
Is determination pending okay on both state and federal? –
ANSWER-No, onlypermissible on federal
When to fill out state form? –
ANSWER-If truly intrastate. Need to know the statevariances for the state in which the
driver operates.
How short a period can you put on the card? –
https://www.stuvia.com/user/AcademicACE
,https://www.stuvia.com/user/AcademicACE
ANSWER-As short as you want. Eg. 30days, 45 days, 3 months, etc.
2 reasons for not medically qualified? –
ANSWER-1) Disease/condition that temporarilyor permanently DQs them OR 2)
Haven't fulfilled appropriate waiting period, eg. 1 year
What do you document if driver stops exam? –
ANSWER-"Incomplete exam"
If you do determination pending, what do you put as the expiration date? –
ANSWER-The date they come back with whatever documentation you needed.
Is the medical certification limited to their current employer? –
ANSWER-No. They are allowed to switch employers that might require more strenuous
tasks/different schedule,etc.
What is "acceptable risk?" –
ANSWER-1% 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? –
ANSWER-If their condition requires morefrequent monitoring by specialist/PCP,
etc.
What do you put in the "medical record" box? –
ANSWER-Can be blank, employee ID,etc. Up to you.
Okay to examine drivers from Canada and Mexico? –
ANSWER-Yes
Driver ID requirements? –
ANSWER-You 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? –
ANSWER-Ask why and address. Review old exams done in yourclinic!!!
If driver wrote "not sure" to any answer... –
ANSWER-Ask about and address. Nevercross out what driver wrote but you can
put additional comments below.
Does determination pending require a new exam? –
ANSWER-No. A short medicalcertificate does, but a DP does not.
https://www.stuvia.com/user/AcademicACE
, https://www.stuvia.com/user/AcademicACE
What to do if current med certificate expires tomorrow, but you need their HgbA1C, etc?
- ANSWER-1) 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? -
ANSWER-Close of next calendar business day.
Whose responsibility is it to address driver's age and language?
- ANSWER-Employer
What do you do after you make your determination? –
ANSWER-Required to discusswith 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? –
ANSWER-They are notqualified in the US.
What are the 13 physical qualifications for drivers? –
ANSWER-1 + 2. Noloss/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?
- ANSWER-No. They have to go through theonline FMCSA processes.
Don't certify until etiology is _, and is shown to be , , and
. - ANSWER-Confirmed, treatment, safe, effective, stable.
What if multiple waiting periods for multiple comorbidities? –
ANSWER-Wait until longestone is done.
https://www.stuvia.com/user/AcademicACE
FMCSA DOT Physical Medical Examiner
Test
Interstate commerce definition? –
ANSWER-Any material transported from 1 state toanother 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? –
ANSWER-It refers to thecargo, tools, vehicle, NOT to the driver.
When is a 12 month (or shorter) certification required? –
ANSWER-a) intracity zoneexempt 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? –
ANSWER-That is up tothe employer.
Can an examiner write schedule/MSK restrictions? –
ANSWER-No.
Document every abnormality? –
ANSWER-Yes, and then just write in comments, "notlikely to interfere."
Whisper test okay for hearing? –
ANSWER-Yes
Need to fill out both state and federal? –
ANSWER-No, one or the other
Is determination pending okay on both state and federal? –
ANSWER-No, onlypermissible on federal
When to fill out state form? –
ANSWER-If truly intrastate. Need to know the statevariances for the state in which the
driver operates.
How short a period can you put on the card? –
https://www.stuvia.com/user/AcademicACE
,https://www.stuvia.com/user/AcademicACE
ANSWER-As short as you want. Eg. 30days, 45 days, 3 months, etc.
2 reasons for not medically qualified? –
ANSWER-1) Disease/condition that temporarilyor permanently DQs them OR 2)
Haven't fulfilled appropriate waiting period, eg. 1 year
What do you document if driver stops exam? –
ANSWER-"Incomplete exam"
If you do determination pending, what do you put as the expiration date? –
ANSWER-The date they come back with whatever documentation you needed.
Is the medical certification limited to their current employer? –
ANSWER-No. They are allowed to switch employers that might require more strenuous
tasks/different schedule,etc.
What is "acceptable risk?" –
ANSWER-1% 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? –
ANSWER-If their condition requires morefrequent monitoring by specialist/PCP,
etc.
What do you put in the "medical record" box? –
ANSWER-Can be blank, employee ID,etc. Up to you.
Okay to examine drivers from Canada and Mexico? –
ANSWER-Yes
Driver ID requirements? –
ANSWER-You 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? –
ANSWER-Ask why and address. Review old exams done in yourclinic!!!
If driver wrote "not sure" to any answer... –
ANSWER-Ask about and address. Nevercross out what driver wrote but you can
put additional comments below.
Does determination pending require a new exam? –
ANSWER-No. A short medicalcertificate does, but a DP does not.
https://www.stuvia.com/user/AcademicACE
, https://www.stuvia.com/user/AcademicACE
What to do if current med certificate expires tomorrow, but you need their HgbA1C, etc?
- ANSWER-1) 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? -
ANSWER-Close of next calendar business day.
Whose responsibility is it to address driver's age and language?
- ANSWER-Employer
What do you do after you make your determination? –
ANSWER-Required to discusswith 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? –
ANSWER-They are notqualified in the US.
What are the 13 physical qualifications for drivers? –
ANSWER-1 + 2. Noloss/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?
- ANSWER-No. They have to go through theonline FMCSA processes.
Don't certify until etiology is _, and is shown to be , , and
. - ANSWER-Confirmed, treatment, safe, effective, stable.
What if multiple waiting periods for multiple comorbidities? –
ANSWER-Wait until longestone is done.
https://www.stuvia.com/user/AcademicACE
