FMCSA DOT Physical Medical Examiner Test With Answers

Interstate commerce definition? - Any 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? - It refers to the cargo, tools, vehicle, NOT to the driver.

When is a 12 month (or shorter) certification required? - a) 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? - That is up to the employer.

Can an examiner write schedule/MSK restrictions? - No.

Document every abnormality? - Yes, and then just write in comments, "not likely to interfere."

Whisper test okay for hearing? - Yes

Need to fill out both state and federal? - No, one or the other

Is determination pending okay on both state and federal? - No, only permissible on federal

When to fill out state form? - If 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? - As short as you want. Eg. 30 days, 45 days, 3 months, etc.

2 reasons for not medically qualified? - 1) 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? - "Incomplete exam"

If you do determination pending, what do you put as the expiration date? - The date they come back with whatever documentation you needed.

Is the medical certification limited to their current employer? - No. They are allowed to switch employers that might require more strenuous tasks/different schedule, etc.

What is "acceptable risk?" - 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? - If their condition requires more frequent monitoring by specialist/PCP, etc.

What do you put in the "medical record" box? - Can be blank, employee ID, etc. Up to you.

Okay to examine drivers from Canada and Mexico? - Yes

Driver ID requirements? - 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? - Ask why and address. Review old exams done in your clinic!!!