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2019 DOT: COMPREHENSIVE REVIEW FOR NRCME EXAM
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2019 DOT: COMPREHENSIVE REVIEW FOR NRCME EXAM
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2019 DOT: COMPREHENSIVE REVIEWFOR NRCME EXAM
CorrectiveslensessthatsaresprohibitedsbysthesFMCSA,sincluding:s-
sans✔✔lensessthatscorrectsdistancesvisionsinsoneseyesandsnearsvisionsinsthesother.
telescopicslenses
Medicalsguidelinessforsthesdriverswithsdiabetessmellitussinclude:s-
sans✔✔Annualsmedicalsexamination.
Annualsophthalmologistsorsoptometristseyesevaluation.
Disqualificationsforsasdiagnosissofsunstablesproliferativesretinopathy.
MonocularsVisions-sans✔✔Monocularsvisionsissdisqualifying.
However,sthesdriverswhoshassmonocularsvisionsthatswithsthesbetterseyesmeetssallsvisionsqu
alificationsrequirementssmaysbesconsideredsforsasFederalsVisionsExemptionsifsthesMedical
sExaminersfindssthesdriversotherwisesmedicallysfitsforsduty.
Monocularsvisionsissdefinedsassvisionsthatsissatsleasts20/40sforsdistancesinsoneseyeswithsors
withoutscorrectionsandsvisionsthatsisslesssthans20/40sforsdistancesinsoneseyeswithsorswithou
tscorrection.
Thesdriversmustsmeetsothersvisionsrequirementssinseachseye,sincludingsvisualsfieldss(horiz
ontalsfieldsofsvision).
FederalsVisionsExemption:sthesdriverswithsmonocularsvisionswhosissapplyingsforsorshassasf
ederalsexemptionsorsissqualifiedsbysoperationsofs49sCFRs391.64smustshavesansannualsphy
sicalsexamination.
Driversswithsvisionslossswhosmeetsstandardssmaysbescertifiedsforsupstostwosyears.
Asdriverswhoswearsscontactslensesswhichscorrectsfarsightednesssinsoneseyesandsnearsigh
tednesssinsthesother,sbutshassnosothersvisualsimpairmentsscansbescertifiedsunderswhatsadd
itionalsconditions?
Onlysifsthesdriverswearssprescriptionsglassesswhichsprovidesthessamescorrectionsassthesco
ntactslenses.
FMCSAsguidancesindicatessthatsasdriversshouldsnotsbescertifiedsundersthesescircumstanc
es.
Onlysbysfederalsexemption.
Thesdriversissalwaysscertifiablesundersthesesconditions.s-
sans✔✔FMCSAsguidancesindicatessthatsasdriversshouldsnotsbescertifiedsundersthesescircu
mstances.
,Explanation:sFMCSAsguidancesindicatessthatscontactslensessthatscorrectsoneseyesforsdist
ancesandsoneseyesforsnearsvisionsaresnotsacceptable.
Guidancesrecommendssnotstoscertifyswithsearsproblemsdiagnosessof:s-
sans✔✔a)sUncontrolledsvertigo.
sb)sMénière'ssdisease.
sc)sNonfunctioningslabyrinth.
sd)sNonfunctioningsfistula.
Thesmedicalsexaminer'ssrolesinsthesexemptionsprocesssincludess_________.
Issuingsthesexemption.
Issuingsthesprescriptionsforsthesdriver'sscontactslensessand/orsglasses.
ProvidingsthesdriverswithscontactsinformationsforsthesFederalsVisionsExemptionsProgram.
Assuringsthatsthesdrivershassperipheralsvisionsofsatsleasts110sdegreessinseachseye.s-
sans✔✔ProvidingsthesdriverswithscontactsinformationsforsthesFederalsVisionsExemptionsPr
ogram.
Explanation:sThesmedicalsexaminer'ssrolesinsthesexemptionsprocesssisslimitedstosperformi
ngsthesdriversexaminationsandsprovidingsthesdriverswithscontactsinformationsforsthesFMCS
Asrelatedstosthesexemptionsprocess.
Ansaudiometricstestsproducessthesfollowingsresults:sLeftsear:s500sHz,s35dBsLoss;s1,000sH
z,s35sdBsloss;s2,000sHzs45sdBsloss.sRightsear:s500sHz,s40sdBsloss;s1,000sHz,s45sdBsloss;s
2,000s40sdBsloss.sWhatsissthescertification?
Certifysforsonesyear.
Certifysforstwosyears.
Dosnotscertify.
Certifysonlyswhensaccompaniedsbyshearingsaid.s-sans✔✔Certifysforstwosyears.
Explanation:sDriversswithsansaverageshearingslosssofs<s40sdecibelssaveragedsacrosss500,
s1000,sands2000sHzsinsthesbettersearsmaysbescertifiedsforstwosyears.
Whatseyesconditionssmuststhesmedicalsexaminersasksthesdriversabout?
Cataracts,scolorsdeficiencies,sretinitisspigmentosa,saphakia,sglaucoma.
Lazyseye,scataracts,saphakia,sfloaters,sretinopathy.
Glaucoma,smacularsdegeneration,sretinitisspigmentosa,scolorsdeficiencies.
Retinopathy,scataracts,saphakia,sglaucoma,smacularsdegeneration.s-
sans✔✔Retinopathy,scataracts,saphakia,sglaucoma,smacularsdegeneration.
,Explanation:sThesesaresthes"asksabout"svisionsconditions.sThesmedicalsexaminersmaysask
sthesdriversaboutsanyseyesconditions,sbutsshouldsasksthesdriversaboutsthesesspecifiedscon
ditions.
Whichsofsthesfollowingsdrivers'stestssmeetshearingscertificationsstandards?
Whisperstests4sfeetsrightsear,s3sfeetsleftsear.
Whisperstests5sfeetsrightsearswithshearingsaid,s3sfeetsleftsearswithoutshearingsaid.
Audiogramslefts30/500sHz,s40/1000sHz,s60/2000sHz;srights25/500sHz,s35/1000sHz,s80/200
0sHz.
Audiogramslefts35/500sHz,s50/1000sHz,s40/3000sHz;srights35/500sHz,s35/1000sHz,s60/300
0sHz.s-
sans✔✔Whisperstests5sfeetsrightsearswithshearingsaid,s3sfeetsleftsearswithoutshearingsaid.
Explanation:sWhisperstestsresultssrequires5sfeetsinsatsleastsonesearsforspassing,swithsorswit
houtsashearingsaid.sAudiometricstestingsresultssrequiresansaveragesofs40sdBslosssinsthesbet
tersearsforsresultssaveragedsacrosss500,s1000,sands2000sHz.sAlthoughstestingsmaysbesper
formedsats3000sHz,sresultssobtainedsaresnotsusedstosdetermineswhethersthesdriversmeetss
hearingsrequirements.
Asdrivershasslosssofshearingsinsthesbettersearsofs25sdBslosssats500sHz,s40sdBslosssats1000s
Hz,sands60sdBslosssats2000sHz.sWithsrespectstostheshearingsrequirementsforsmedicalscertif
ication,sthesdrivers__________.
Maysbescertifiedsforsonesyear.
Maysbescertifiedsforstwosyears.
Maysnotsbescertified.
MaysbescertifiedsifsexaminedsbysansotolaryngologistswhosissfamiliarswithsthesCMVsdrivingsd
utiesswhoscertifiessthesdriversassmedicallysqualifiedstosdrivesasCMV.s-
sans✔✔Maysnotsbescertified.
Explanation:sAnsaverageshearingslosssofs41.7sdecibelssaveragedsacrosss500,s1000,sands2
000sHzsinsthesbettersearsissdisqualifying.sThesdriversshouldsbesreferredstosobtainsashearing
saidsandsmaysbescertifiedsifsthesdriverspassesswhileswearingsashearingsaid.sAsspecialistsca
nnotsdeterminescertification,sandsasspecialistscannotsoverridesmedicalsqualificationsstanda
rdsssuchsassthesminimumshearingsrequirement.
Whichsofsthesfollowingsissacceptablesforsasdriverswhoswearssashearingsaid?
Testingsofsthesdriver'sshearingsisswaivedsifsthesdriverspresentssaslettersfromsasqualifiedsspe
cialist.
Testingsofsthesdriver'sshearingsmaysbesperformedsbysthesmedicalsexaminersusingsaudiom
etricstestingsequipment.
Testingsofsthesdriver'sshearingsmaysbesperformedsbysansaudiologistsorsotolaryngologistsusi
ngsspecializedsaudiometricstestingsequipment.
, Testingsofsthesdriver'sshearingsmaysbesperformedsats1,000sHzsonly.s-
sans✔✔Testingsofsthesdriver'sshearingsisswaivedsifsthesdriverspresentssaslettersfromsasquali
fiedsspecialist.
Testingstheshearingsofsasdriverswhoswearssashearingsaidsmaysbesaccomplishedsinsthreesw
ays:s1)swhisperstest,s2)saudiometricstestingsbysansotolaryngologistsusingsspecializedsaudi
ometricstestingsequipment,sors3)saudiometricstestingsbysansaudiologistsusingsspecializedsa
udiometricstestingsequipment.sAudiometricstestingsissrequiredstosbesconductedsats500sHz,s
1000sHz,sands2000sHz.
PassingsRequirementssforsVisionsTestss-sans✔✔Correctiveslenses,seyesglassessand/
orscontactslensessmaysbesused.
Distancesbinocularsacuitysofsatsleasts20/40s(Snellen)sinseachseyeswithsorswithoutscorrectiv
eslenses.sFieldsofsvisionsofsatsleasts70ºsinstheshorizontalsmeridiansinseachseye.sMonoculars
visions-svisionsmeetingsrequirementssinsonlysoneseyes-sissdisqualifyingsbysregulation.
Thesabilitystosrecognizesthescolorssofstrafficssignalssandsdevicessshowingsstandardsred,sgr
een,sandsamber.
Contactslensessthatscorrectsvisionsinsoneseyesforsdistancesandsthesotherseyesforsnearsaresn
otsacceptable.
ResultssmustsbesconvertedstosSnellensvaluessifsanotherstestsissused.
Measuredsinseachseyesindividuallysandsbothseyes.
Driversswhoswearscorrectiveslensessshouldsbesadvisedstoscarryssparesglasses.
Insgeneral,sanysvisionscondition,ssuchsasslazyseye,sglaucoma,scataract,sandsothers,sissnots
disqualifyingsasslongsassthesdriversmeetssminimumsvisionstestingsparameters.
FMCSAsiss-
sans✔✔FederalsMotorsCarriersSafetysAdministration. sIssoverseensbysthesDOT.sThesFMC
SAscreatessstandardssforsdriversexaminations.sRegulatessInterstatescommercialsoperatio
ns,sincludingsthesdriver.
ManysstatessusesfederalsFMCSAsstandardsstosgovernsintrastatescommercialsoperations,si
ncludingsthesdriver,sbutsthesFMCSAsdoessnotsdirectlysregulatesanysintrastatesfunctions.
asdivisionsofsthesUSsDepartmentsofsTransportations(DOT).
Conditionsswhichsaresusuallysdisqualifying,sbutsforswhichsqualificationscansbesconsidereds
onsascase-by-casesbasissincludes__________.
Autonomicsneuropathy.
Methadonesuse.
Monocularsvision.
Carpalstunnelssyndrome.s-sans✔✔CorrectsAnswer:sAutonomicsneuropathy.
Explanation:sMethadonesusesandsmonocularsvisionsaresalwayssdisqualifying.sCarpalstunn
elssyndromesissnotsusuallysdisqualifying.
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