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COPD and lung function — the spirometry guideposts

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Federal source: FMCSA Medical Examiner's Handbook 2024, Respiratory; 49 CFR 391.41(b)(5) · Rules checked October 2026

What the federal text says

The regulation (49 CFR 391.41(b)(5)) requires no respiratory ailment likely to interfere with safe operation. The Handbook publishes guideposts examiners use — spirometry values (FEV1, FVC, and the FEV1/FVC ratio, in the roughly 65%-of-predicted class) and oxygen levels (PaO2 about 65 mmHg below 5,000 ft, 60 above) — but they are guideposts for the examiner's judgment, not pass/fail lines in the rule.

What that means for you

Your lung numbers inform the examiner; they do not mechanically decide. A driver can be below a guidepost and certified with the right specialist picture — or above one and not, if symptoms say otherwise.

What moves the outcome

Bring recent spirometry and any pulmonology notes, your oxygen saturation history, and a medication list. If you use supplemental oxygen, expect the conversation to be about the numbers at altitude and rest.

Which mode is this?

This question is decided by the federal text together with its published advisory criteria — clocks, thresholds, and specialist files. The verdict above follows the cited criteria; your documentation is what proves you meet them.

Only a certified medical examiner on the National Registry can certify you. FreightVerdict reads the published federal standards — it does not certify, diagnose, or treat, and nothing here is medical advice.

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