Corrective lenses that are prohibited by the FMCSA, including: ✔✔ lenses that correct
distance vision in one eye and near vision in the
... [Show More] other.
telescopic lenses
Medical guidelines for the driver with diabetes mellitus include: ✔✔ Annual medical
examination.
Annual ophthalmologist or optometrist eye evaluation.
Disqualification for a diagnosis of unstable proliferative retinopathy.
Monocular Vision ✔✔ Monocular vision is disqualifying.
However, the driver who has monocular vision that with the better eye meets all vision
qualification requirements may be considered for a Federal Vision Exemption if the
Medical Examiner finds the driver otherwise medically fit for duty.
Monocular vision is defined as vision that is at least 20/40 for distance in one eye with
or without correction and vision that is less than 20/40 for distance in one eye with or
without correction.
The driver must meet other vision requirements in each eye, including visual fields
(horizontal field of vision).
Federal Vision Exemption: the driver with monocular vision who is applying for or has a
federal exemption or is qualified by operation of 49 CFR 391.64 must have an annual
physical examination.
Drivers with vision loss who meet standards may be certified for up to two years.
A driver who wears contact lenses which correct farsightedness in one eye and
nearsightedness in the other, but has no other visual impairments can be certified under
what additional conditions?
Only if the driver wears prescription glasses which provide the same correction as the
contact lenses.
FMCSA guidance indicates that a driver should not be certified under these
circumstances.
Only by federal exemption.
The driver is always certifiable under these conditions. ✔✔ FMCSA guidance indicates
that a driver should not be certified under these circumstances.
Explanation: FMCSA guidance indicates that contact lenses that correct one eye for
distance and one eye for near vision are not acceptable.
Guidance recommends not to certify with ear problem diagnoses of: ✔✔ a) Uncontrolled
vertigo.
b) Ménière's disease.
2023 DOT Comprehensive Review for NRCME Exam
Questions and Answers
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.
The medical examiner's role in the exemption process includes _________.
Issuing the exemption.
Issuing the prescription for the driver's contact lenses and/or glasses.
Providing the driver with contact information for the Federal Vision Exemption Program.
Assuring that the driver has peripheral vision of at least 110 degrees in each eye. ✔✔
Providing the driver with contact information for the Federal Vision Exemption Program.
Explanation: The medical examiner's role in the exemption process is limited to
performing the driver examination and providing the driver with contact information for
the FMCSA related to the exemption process.
An audiometric test produces the following results: Left ear: 500 Hz, 35dB Loss; 1,000
Hz, 35 dB loss; 2,000 Hz 45 dB loss. Right ear: 500 Hz, 40 dB loss; 1,000 Hz, 45 dB
loss; 2,000 40 dB loss. What is the certification?
Certify for one year.
Certify for two years.
Do not certify.
Certify only when accompanied by hearing aid. ✔✔ Certify for two years.
Explanation: Drivers with an average hearing loss of < 40 decibels averaged across
500, 1000, and 2000 Hz in the better ear may be certified for two years.
What eye conditions must the medical examiner ask the driver about?
Cataracts, color deficiencies, retinitis pigmentosa, aphakia, glaucoma.
Lazy eye, cataracts, aphakia, floaters, retinopathy.
Glaucoma, macular degeneration, retinitis pigmentosa, color deficiencies.
Retinopathy, cataracts, aphakia, glaucoma, macular degeneration. ✔✔ Retinopathy,
cataracts, aphakia, glaucoma, macular degeneration.
Explanation: These are the "ask about" vision conditions. The medical examiner may
ask the driver about any eye conditions, but should ask the driver about these specified
conditions.
Which of the following drivers' tests meet hearing certification standards?
Whisper test 4 feet right ear, 3 feet left ear.
Whisper test 5 feet right ear with hearing aid, 3 feet left ear without hearing aid. [Show Less]