Practice Quiz

CME Certified Federal Medical Examiner

Category - Driver Identification and History

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A 37-year-male CMV driver presents for examination. He has the fourth finger missing from his right hand. He provides a medical report confirming a strongright-hand grasp. Does this person require a Skill Performance Evaluation (SPE) Certificate by FMCSA to complete the qualifying procedure under CFR 391.41, and why?
  1. No, as long as there is a medical report confirming no interference with hand grasp power a SPE certificate is not required for impairment / loss of a finger.
  2. Yes, a medical report confirming strong right-hand grasp does not exempt from a SPE certificate.
  3. Yes, an impaired or missing finger requires a SPE certificate regardless of whether it affects hand grasp power or not.
  4. No, this person is medically not qualified to be a CMV driver.
Explanation
Answer: A - No, as long as a there is a medical report confirming no interference with hand grasp power a SPE certificate is not required for impairment / loss of a finger.

This is the correct answer because according to CFR 391.41, persons with an impairment of a hand or finger that does not interfere with prehension and grasping power may be qualified. In this case, the presence of a medical report confirming the prehension power is valid evidence for the medical examiner and does not prompt for a SPE certificate.
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