Elevation of Twin Falls and required minimum PaO2? -
...ANSWER...3,745 ft and >65 mmHg
What happens to PaO2 at high altitudes? - ...ANSWER...It
decreases. Make adjustments for drivers traveling to and from
varying elevations.
Purpose of the SPE (Skill Performance Evaluation)? -
...ANSWER...Certify a driver with a fixed deficit of lost
extremity
Can a medical examiner grant an SPE? - ...ANSWER...No.
There are four FMCSA regional centers.
Certification period for a SPE certificate? - ...ANSWER...2
years
Is medicinal marijuana allowed? - ...ANSWER...No
Who reviews a positive drug screen? - ...ANSWER...MRO
(Medical Review Officer)
Max certification period if on anticoagulation? -
...ANSWER...1 year for heart, disqualified for brain.
Maximum allowed hypoglycemia episodes in 12 months and
5 years, respectively? - ...ANSWER...1 and 2
Are lithium levels required? - ...ANSWER...Yes, by my
interpretation.
Are suboxone and Chantix allowed? -
...ANSWER...Technically, though not recommended.
Maximum certification period for DM? - ...ANSWER...1 year
unless insulin controlled then disqualified.
Duration of DM exemption? - ...ANSWER...2 years but must
present with quarterly reports and have annual recertification.
Waiting period for initial unprovoked seizure? -
...ANSWER...5 years
Waiting period for multiple seizures (no Dx of epilipsy)? -
...ANSWER...10 years
Maximum AHI for untreated OSA? - ...ANSWER...20
Waiting period after starting CPAP? - ...ANSWER...1 month
Length of condition certification for OSA pending
eval/treatment? - ...ANSWER...60 days. May have 1
additional 90 day period for compliance.
Maximum re-certification for drivers with OSA? -
...ANSWER...1 year
Minimum compliance with CPAP? - ...ANSWER...4 hours a
day on 70% of days
What are the differences between the
medical standards and the medical
guidelines? - ...ANSWER...Standards/regulations are law.
Guidelines are best practices.
In which regulation(s) are the driver
physical qualification standards cited? - ...ANSWER...49 CFR
391.41
In which regulation(s) are the medical examiners
responsibilities cited? - ...ANSWER...49 CFR 391.43
What objective tests and measurements are
required as part of the driver physical
examination? - ...ANSWER...- Height and weight
- Vision
- Hearing
- Blood pressure and pulse
- Urine dipstick for specific gravity, protein,
blood, and glucose
What are the possible outcomes of the driver
physical examination? - ...ANSWER...Certification or
disqualification
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