2023 DOT: Comprehensive Review for NRCME Exam Already Graded A+
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Course
NRCME
Institution
NRCME
2023 DOT: Comprehensive Review for NRCME Exam Already Graded A+
Corrective lenses that are prohibited by the FMCSA, including: - Answer lenses that correct distance vision in one eye and near vision in the other.
telescopic lenses
Medical guidelines for the driver with diabetes mellitus includ...
2023 DOT: Comprehensive Review for
NRCME Exam Already Graded A+
Corrective lenses that are prohibited by the FMCSA, including: - Answer lenses that
correct distance vision in one eye and near vision in the other.
telescopic lenses
Medical guidelines for the driver with diabetes mellitus include: - Answer Annual
medical examination.
Annual ophthalmologist or optometrist eye evaluation.
Disqualification for a diagnosis of unstable proliferative retinopathy.
Monocular Vision - Answer 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. - Answer 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: - Answer a)
Uncontrolled vertigo.
b) Ménière's disease.
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.
The medical examiner's role in the exemption process includes _________.
,2023 DOT: Comprehensive Review for
NRCME Exam Already Graded A+
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. -
Answer 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. - Answer 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?
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.
Audiogram left 30/500 Hz, 40/1000 Hz, 60/2000 Hz; right 25/500 Hz, 35/1000 Hz,
80/2000 Hz.
Audiogram left 35/500 Hz, 50/1000 Hz, 40/3000 Hz; right 35/500 Hz, 35/1000 Hz,
60/3000 Hz. - Answer Whisper test 5 feet right ear with hearing aid, 3 feet left ear
without hearing aid.
,2023 DOT: Comprehensive Review for
NRCME Exam Already Graded A+
Explanation: Whisper test results require 5 feet in at least one ear for passing, with
or without a hearing aid. Audiometric testing results require an average of 40 dB loss
in the better ear for results averaged across 500, 1000, and 2000 Hz. Although
testing may be performed at 3000 Hz, results obtained are not used to determine
whether the driver meets hearing requirements.
A driver has loss of hearing in the better ear of 25 dB loss at 500 Hz, 40 dB loss at
1000 Hz, and 60 dB loss at 2000 Hz. With respect to the hearing requirement for
medical certification, the driver __________.
May be certified for one year.
May be certified for two years.
May not be certified.
May be certified if examined by an otolaryngologist who is familiar with the CMV
driving duties who certifies the driver as medically qualified to drive a CMV. - Answer
May not be certified.
Explanation: An average hearing loss of 41.7 decibels averaged across 500, 1000,
and 2000 Hz in the better ear is disqualifying. The driver should be referred to obtain
a hearing aid and may be certified if the driver passes while wearing a hearing aid. A
specialist cannot determine certification, and a specialist cannot override medical
qualification standards such as the minimum hearing requirement.
Which of the following is acceptable for a driver who wears a hearing aid?
Testing of the driver's hearing is waived if the driver presents a letter from a qualified
specialist.
Testing of the driver's hearing may be performed by the medical examiner using
audiometric testing equipment.
Testing of the driver's hearing may be performed by an audiologist or
otolaryngologist using specialized audiometric testing equipment.
Testing of the driver's hearing may be performed at 1,000 Hz only. - Answer Testing
of the driver's hearing is waived if the driver presents a letter from a qualified
specialist.
Testing the hearing of a driver who wears a hearing aid may be accomplished in
three ways: 1) whisper test, 2) audiometric testing by an otolaryngologist using
specialized audiometric testing equipment, or 3) audiometric testing by an
audiologist using specialized audiometric testing equipment. Audiometric testing is
required to be conducted at 500 Hz, 1000 Hz, and 2000 Hz.
Passing Requirements for Vision Tests - Answer Corrective lenses, eye glasses
and/or contact lenses may be used.
Distance binocular acuity of at least 20/40 (Snellen) in each eye with or without
corrective lenses. Field of vision of at least 70º in the horizontal meridian in each
eye. Monocular vision - vision meeting requirements in only one eye - is disqualifying
by regulation.
, 2023 DOT: Comprehensive Review for
NRCME Exam Already Graded A+
The ability to recognize the colors of traffic signals and devices showing standard
red, green, and amber.
Contact lenses that correct vision in one eye for distance and the other eye for near
are not acceptable.
Results must be converted to Snellen values if another test is used.
Measured in each eye individually and both eyes.
Drivers who wear corrective lenses should be advised to carry spare glasses.
In general, any vision condition, such as lazy eye, glaucoma, cataract, and others, is
not disqualifying as long as the driver meets minimum vision testing parameters.
FMCSA is - Answer Federal Motor Carrier Safety Administration. Is overseen by the
DOT. The FMCSA creates standards for driver examinations. Regulates Interstate
commercial operations, including the driver.
Many states use federal FMCSA standards to govern intrastate commercial
operations, including the driver, but the FMCSA does not directly regulate any
intrastate functions.
a division of the US Department of Transportation (DOT).
Conditions which are usually disqualifying, but for which qualification can be
considered on a case-by-case basis include __________.
Explanation: Methadone use and monocular vision are always disqualifying. Carpal
tunnel syndrome is not usually disqualifying.
A driver experienced a pneumothorax four weeks ago. The medical examiner tests
the driver's respiratory function and the forced vital capacity (FVC) is 58% of
predicted. What should the certification decision be?
Do not certify pending additional testing.
Certify for three months, pending driver follow up with personal physician and/or
specialist.
Certify one year.
Certify two years. - Answer Correct Answer: Do not certify pending additional testing.
Explanation: The driver may not be certified until FVC is > 60% predicted or
additional testing reveals acceptable respiratory parameters - e.g., pulse oximetry
with O2 > 92%.
Stage 1 Hypertension Two certification options: - Answer One Year: recommend to
certify for one year if it is the first examination at which the driver has blood pressure
equivalent to Stage 1 hypertension, and the driver has no history of hypertension
and does not use medication for blood pressure control.
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