CME Certified Federal Medical Examiner

Category - Documentation of Ancillary Information

Ancillary tests and/or consultation with a psychiatrist or psychologist, who understands the functions and demands of commercial driving, must be obtained:
  1. For every person undergoing medical examination for CMV driving.
  2. On a case-by-case basis depending on the medical examiner’s own assessment of psychological well-being.
  3. For persons diagnosed with obstructive sleep apnea (OSA).
  4. For female CMV drivers.
Explanation
Answer: B - On a case-by-case basis depending on the medical examiner’s own assessment of psychological well-being.

This is the correct answer because FMCSA’s guidelines do not support automatic exclusion from CMV driving based solely on the diagnosis of psychological disorders. Typically, the more serious the diagnosis, the more likely it is that the driver will be medically disqualified. Based on the medical examiner’s assessment ofeffect, behavior, or interactions with the driver, the medical examiner may decide to obtain further tests and/or consultation with a mental health specialist.
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