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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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  • September 7, 2024
  • 80
  • 2024/2025
  • Exam (elaborations)
  • Unknown
  • NRCME DOT
  • NRCME DOT
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AGRADEPROMASTER
2019 DOT: COMPREHENSIVE REVIEW
FOR 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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