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Who can perform eye exams? - ANSWER-You, optometrist, or an ophthalmologist, (and medical assistant w snellen) What eye conditions should you be concerned for? - ANSWER-Retinopathy, cataracts, aphakia, glaucoma, and macular degeneration. What exams need to be done w each driver - ANSWER-Vision, Hearing, BP/Pulse, UA Give examples of "Yes" answers for hearing and ears on the health history that may require further examination before a medical examiner can make a CMV driver certification decision - ANSWER-Ear disorders. Loss of hearing. Loss of balance. Does this driver meet hearing standards for interstate CMV driver certification? Whisper test results | Rt. Ear: 4 Feet | Lt. Ear: 4 Feet - ANSWER-No, the minimum whisper test passing distance is equal to or greater than five feet in the better ear. The driver must be given an audiometric hearing test Does this driver meet hearing standards for interstate CMV driver certification? Audiometric test results [Hearing loss in decibels (dB) 500 Hz, 1,000 Hz, 2,000 Hz] Rt. Ear: 30, 45, 40 | Lt. Ear: 45, 45, 35 | - ANSWER-Yes, the average hearing loss in the right ear is less than 40 dB. 40 NOT PASSING however needs to PASS ONE EAR AND STILL QUALIFIED what would the examiner have done if the whisper test results had been: Rt. Ear: 4 Feet Lt. Ear: 3 Feet? Why? - ANSWER-audiometry. By regulation, a driver need only pass one test with one ear to meet the hearing standard What problems with the test environment exist with the forced whisper tests that do not exist with audiometric tests? - ANSWER-estimating instead of measuring the distances, performing the test in a room with poor acoustics or subject to outside noise or other Can the driver have hearing loss 40 in one ear and still qualify? - ANSWER-To meet certification standards, the driver only needs to pass one test in one ear Can an interstate CMV driver who has had an acute myocardial infarction (AMI) be qualified to drive? - ANSWER-Yes, provided the AMI was at least two months prior to the date of the CMV driver physical examination, the driver meets all the other recommended cardiac qualification criteria, and the driver meets all meets all the other standards for interstate CMV drivers. The driver provides the medical examiner with a copy of records, including a cardiologist's report indicated a diagnosis of congestive heart failure and that the driver's ejection fraction is 38%. Can the driver be certified? - ANSWER-no needs EF 40% What criteria must be met in order for the FMCSA medical examiner to qualify a driver with a known diagnosis of congestive heart failure (CHF)? - ANSWER-The driver must Be asymptomatic, have no ventricular arrhythmia s, have a left ventricular ejection fraction (LVEF) greater than 40%, be under the care of a cardiologist Qualifed? Driver with percutaneous coronary intervention (PCI) nine months ago; he or she has not followed up with cardiologist and has not had exercise tolerance test (ETT) since procedure. - ANSWER-Medically disqualified. According to current CVD recommendations, the driver who had PCI should have cardiology follow-up to include ETT three to six month's post-PCI


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