DOT: COMPREHENSIVE REVIEW FOR
NRCME EXAM | PRACTICE QUESTIONS &
ANSWERS, STUDY GUIDE, EXAM PREP &
REVIEW MATERIALS
| GRADED A+ | GUARANTEED SUCCESS
Updated Questions and Answers
100% Verified Exam Prep
,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 FMCSA guidance indicates that a driver should not be certified under these
farsightedness in one eye and nearsightedness in the circumstances.
other, but has no other visual impairments can be
certified under what additional conditions? Explanation: FMCSA guidance indicates that contact lenses that correct one eye
for distance and one eye for near vision are not acceptable.
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.
Guidance recommends not to certify with ear problem a) Uncontrolled vertigo.
diagnoses of:
b) Ménière's disease.
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.
The medical examiner's role in the exemption process Providing the driver with contact information for the Federal Vision Exemption
includes _________. Program.
Issuing the exemption. Explanation: The medical examiner's role in the exemption process is limited to
Issuing the prescription for the driver's contact lenses performing the driver examination and providing the driver with contact
and/or glasses. information for the FMCSA related to the exemption process.
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.
,An audiometric test produces the following results: Left Certify for two years.
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 Explanation: Drivers with an average hearing loss of < 40 decibels averaged
loss; 2,000 40 dB loss. What is the certification? across 500, 1000, and 2000 Hz in the better ear may be certified for two years.
Certify for one year.
Certify for two years.
Do not certify.
Certify only when accompanied by hearing aid.
What eye conditions must the medical examiner ask the Retinopathy, cataracts, aphakia, glaucoma, macular degeneration.
driver about?
Explanation: These are the "ask about" vision conditions. The medical examiner
Cataracts, color deficiencies, retinitis pigmentosa, may ask the driver about any eye conditions, but should ask the driver about these
aphakia, glaucoma. specified conditions.
Lazy eye, cataracts, aphakia, floaters, retinopathy.
Glaucoma, macular degeneration, retinitis pigmentosa,
color deficiencies.
Retinopathy, cataracts, aphakia, glaucoma, macular
degeneration.
Which of the following drivers' tests meet hearing Whisper test 5 feet right ear with hearing aid, 3 feet left ear without hearing aid.
certification standards?
Explanation: Whisper test results require 5 feet in at least one ear for passing, with
Whisper test 4 feet right ear, 3 feet left ear. or without a hearing aid. Audiometric testing results require an average of 40 dB
Whisper test 5 feet right ear with hearing aid, 3 feet left loss in the better ear for results averaged across 500, 1000, and 2000 Hz. Although
ear without hearing aid. testing may be performed at 3000 Hz, results obtained are not used to determine
Audiogram left 30/500 Hz, 40/1000 Hz, 60/2000 Hz; right whether the driver meets hearing requirements.
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.
A driver has loss of hearing in the better ear of 25 dB loss May not be certified.
at 500 Hz, 40 dB loss at 1000 Hz, and 60 dB loss at 2000
Hz. With respect to the hearing requirement for medical Explanation: An average hearing loss of 41.7 decibels averaged across 500, 1000,
certification, the driver __________. 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
May be certified for one year. hearing aid. A specialist cannot determine certification, and a specialist cannot
May be certified for two years. override medical qualification standards such as the minimum hearing
May not be certified. requirement.
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.
, Which of the following is acceptable for a driver who Testing of the driver's hearing is waived if the driver presents a letter from a
wears a hearing aid? qualified specialist.
Testing the hearing of a driver who wears a hearing aid may be accomplished in
Testing of the driver's hearing is waived if the driver three ways: 1) whisper test, 2) audiometric testing by an otolaryngologist using
presents a letter from a qualified specialist. specialized audiometric testing equipment, or 3) audiometric testing by an
Testing of the driver's hearing may be performed by the audiologist using specialized audiometric testing equipment. Audiometric testing
medical examiner using audiometric testing equipment. is required to be conducted at 500 Hz, 1000 Hz, and 2000 Hz.
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.
Passing Requirements for Vision Tests 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.
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 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).
NRCME EXAM | PRACTICE QUESTIONS &
ANSWERS, STUDY GUIDE, EXAM PREP &
REVIEW MATERIALS
| GRADED A+ | GUARANTEED SUCCESS
Updated Questions and Answers
100% Verified Exam Prep
,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 FMCSA guidance indicates that a driver should not be certified under these
farsightedness in one eye and nearsightedness in the circumstances.
other, but has no other visual impairments can be
certified under what additional conditions? Explanation: FMCSA guidance indicates that contact lenses that correct one eye
for distance and one eye for near vision are not acceptable.
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.
Guidance recommends not to certify with ear problem a) Uncontrolled vertigo.
diagnoses of:
b) Ménière's disease.
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.
The medical examiner's role in the exemption process Providing the driver with contact information for the Federal Vision Exemption
includes _________. Program.
Issuing the exemption. Explanation: The medical examiner's role in the exemption process is limited to
Issuing the prescription for the driver's contact lenses performing the driver examination and providing the driver with contact
and/or glasses. information for the FMCSA related to the exemption process.
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.
,An audiometric test produces the following results: Left Certify for two years.
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 Explanation: Drivers with an average hearing loss of < 40 decibels averaged
loss; 2,000 40 dB loss. What is the certification? across 500, 1000, and 2000 Hz in the better ear may be certified for two years.
Certify for one year.
Certify for two years.
Do not certify.
Certify only when accompanied by hearing aid.
What eye conditions must the medical examiner ask the Retinopathy, cataracts, aphakia, glaucoma, macular degeneration.
driver about?
Explanation: These are the "ask about" vision conditions. The medical examiner
Cataracts, color deficiencies, retinitis pigmentosa, may ask the driver about any eye conditions, but should ask the driver about these
aphakia, glaucoma. specified conditions.
Lazy eye, cataracts, aphakia, floaters, retinopathy.
Glaucoma, macular degeneration, retinitis pigmentosa,
color deficiencies.
Retinopathy, cataracts, aphakia, glaucoma, macular
degeneration.
Which of the following drivers' tests meet hearing Whisper test 5 feet right ear with hearing aid, 3 feet left ear without hearing aid.
certification standards?
Explanation: Whisper test results require 5 feet in at least one ear for passing, with
Whisper test 4 feet right ear, 3 feet left ear. or without a hearing aid. Audiometric testing results require an average of 40 dB
Whisper test 5 feet right ear with hearing aid, 3 feet left loss in the better ear for results averaged across 500, 1000, and 2000 Hz. Although
ear without hearing aid. testing may be performed at 3000 Hz, results obtained are not used to determine
Audiogram left 30/500 Hz, 40/1000 Hz, 60/2000 Hz; right whether the driver meets hearing requirements.
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.
A driver has loss of hearing in the better ear of 25 dB loss May not be certified.
at 500 Hz, 40 dB loss at 1000 Hz, and 60 dB loss at 2000
Hz. With respect to the hearing requirement for medical Explanation: An average hearing loss of 41.7 decibels averaged across 500, 1000,
certification, the driver __________. 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
May be certified for one year. hearing aid. A specialist cannot determine certification, and a specialist cannot
May be certified for two years. override medical qualification standards such as the minimum hearing
May not be certified. requirement.
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.
, Which of the following is acceptable for a driver who Testing of the driver's hearing is waived if the driver presents a letter from a
wears a hearing aid? qualified specialist.
Testing the hearing of a driver who wears a hearing aid may be accomplished in
Testing of the driver's hearing is waived if the driver three ways: 1) whisper test, 2) audiometric testing by an otolaryngologist using
presents a letter from a qualified specialist. specialized audiometric testing equipment, or 3) audiometric testing by an
Testing of the driver's hearing may be performed by the audiologist using specialized audiometric testing equipment. Audiometric testing
medical examiner using audiometric testing equipment. is required to be conducted at 500 Hz, 1000 Hz, and 2000 Hz.
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.
Passing Requirements for Vision Tests 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.
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 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).
