DOT FMCSA Medical Examiner Exam Questions and Answers

What are the 6 objective categories for each body system? - ANSWER-1. Identification & Hx 2. PhEx & Evaluation 3. Dx Test and/or Referrals 4. Documentation of Ancillary Information 5. Health Education Counseling 6. Certification Outcomes & Intervals What must visual acuity be in each eye *w/out corrective lenses*? - ANSWER-At least 20/40 in each eye What must visual acuity be in each eye *with corrective lenses*? - ANSWER-Separately corrected to at least 20/40 What must the distant binocular acuity be in *both eyes w/ or w/out corrective lenses*? - ANSWER-20/40 with both eyes What degree of vision must be present in the horizontal meridian in each eye? - ANSWER-70 degrees in horizontal meridian in each eye What colors must a driver be able to recognize with traffic signals and devices? - ANSWER-Red Green Amber What type of vision meds must be declared by the driver? Why? - ANSWER-Ophthalmic Preparations They may have significant systemic side effects: *Do not certify if tx interferes with safe driving* -Stinging -Blurring -↓ Night vision -Sensitivity to Glare -Headache -Allergic rxn What agents/meds are used to tx *Macular Degeneration*? - ANSWER--Antioxidants -Zinc -Vascular Endothelial Growth Factor (VEGF) inhibitors What meds are used to tx *Allergic Conjunctivitis*? - ANSWER--Oral Antihistamines -Topical Antihistamines -Topical Decongestants -Antihistamine/Decongestant Combos -Topical NSAIDs What meds are used to tx *Glaucoma*? - ANSWER--Prostaglandin analogs -Beta adrenergic blocking agents = timolol -Carbonic anhydrase inhibitors -Alpha agonists -Cholinergic agonists (constrict pupil) -Osmotic agents -Combinations