answers solved correctly
what type of driver is required to take exam ✔✔all interstate comercial drivers who:
-have a vehcile weight of 10,000 pounds
-drivers using vehicle carrying 9 to 15 people if for compensation
-drivers transporting 16 passangers or more even if not for compensation
-drivers transporting hazardous material
non discretionary standards that immediately disqualify driver ✔✔1. use of insulin for diabete
2. seizure disorder or epilepsy
3. failure of hearing or vision
discretionar standards` ✔✔loss of foot, leg hand or arm
-no current diagnosis of mi, angia thrombosis, coronary insufeciency or other disease that can
results in syncope, dyspnea, collapse or chf
-no respiratory conditoin or htn
-no arhtritis or ortho pissues
no psych issues
-no amphetamine, or narcotic or alcoholism
temporary 2 year relief fromon or more of the fmcsa regulations. two medical expmptions
✔✔vision exemption and diabetes but must be made by fmcsa not yoU!!
,must the driver have a ua ✔✔yes
what is the most critical issue for a driver with diabetes ✔✔preventing hypoglycemia
factors that could affect glucose ✔✔fatigue, emotional , sleep deprivation, stress, poor diet,
missed meals
reason to disqualify a diabetic ✔✔insulin
prolonged periods of hyperglycermia can lead to what disqualifying conditions ✔✔neuropathy
retinopathy
nephropathy
atheroscelerosis
fmcsa definition of severe hypoglycemic reaction is one that results in ✔✔seizure, loss of
conciousness, needs assistance from another person period of impaired cognitive fuciton
occuring without warning
if a driver has had a severe hypoglycemic reaction in the last months, what should you do
✔✔12, disqualify
,if the driver has had two or more severe hypogylcemic episodes in the past yers, do what
✔✔five years, disqualify
what medication do you only certify the driver for one year if taking ✔✔injectable non insulin
what diabetes complications are severe enough they can be disqualifying ✔✔1. renal :
insufficiency, proteinuria, nephrotic syndrome
2. cardio: coronary artery disease, htn, tsa, stroke, pvd
3. neuro: peripheral neuopath, decrease seasation, and autonomic lneuroathy, cardia, gi , fu
what is periphereal neuropathy ✔✔weakness, numbness, pain in extremities, in hands makes it
hard to steer, in feet makes hard for balance and to press gas
recommended to disqualify driver if he has perifpheral neuropathy unless ✔✔neurologist or
physiologist who understands demands and skillls needed conducats a simulated driving skills
test to verify he meets standards,
must be reevaluated annually
diabetic retinopathy must ✔✔be examined by opthamologist
blood pressure ✔✔orthostatic hypotension disqualify
, heart rate ✔✔resting tachycardia, disqualify
if a driver does not know they have dm, and have glucosuria on ua then what ✔✔finger stick, if
probable dm they should see a pcp before certifying,
what hemoglobin a1c is considered poro control ✔✔over 10, don't certify until under tht
disqualifying eye conditions ✔✔unstable proliferative retinopathy (diagnosed by opthamoligist),
diagnosis of macular degeneration even with telescopic lenses
federal diabetes exception program allows some driers wtih dm that require insulin to operate a
cmv for ✔✔2 years but it is granted by fmcsa not me
requirements to be except by fmcsa ✔✔deemed medically fit to drive by me otherwise, annual
exam by board certifed endocrinologist. annual eval by opthamologist or optometrist with vision
checklist, d. retionpathy must be by opthamologist, must have yearly medical re certs, must
participation in diabetes education annually, must possess a rapidly absorble form of glucose will
driving (ic 20 g glucose tablerts, blood glucose monioring, finger stic one hour bfore and every
four hours while driving, submit blood glucose moniotring logs at annual, must have a copy of
exception letter while on duty