DOT FMCSA Medical Examiner Exam Questions Correctly Answered

DOT FMCSA Medical Examiner Exam Questions Correctly Answered What are the 6 objective categories for each body system? - 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*? - At least 20/40 in each eye What must visual acuity be in each eye *with corrective lenses*? - Separately corrected to at least 20/40 What must the distant binocular acuity be in *both eyes w/ or w/out corrective lenses*? - 20/40 with both eyes What degree of vision must be present in the horizontal meridian in each eye? - 70 degrees in horizontal meridian in each eye What colors must a driver be able to recognize with traffic signals and devices? - Red Green Amber What type of vision meds must be declared by the driver? Why? - 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*? - -Antioxidants -Zinc -Vascular Endothelial Growth Factor (VEGF) inhibitors What meds are used to tx *Allergic Conjunctivitis*? - -Oral Antihistamines -Topical Antihistamines -Topical Decongestants -Antihistamine/Decongestant Combos -Topical NSAIDs What meds are used to tx *Glaucoma*? - -Prostaglandin analogs -Beta adrenergic blocking agents = timolol -Carbonic anhydrase inhibitors -Alpha agonists -Cholinergic agonists (constrict pupil) -Osmotic agents -Combinations What eye disorders should be asked about and have further specialist evaluation if needed? - -Retinopathy -Cataracts -Glaucoma -Macular Degeneration -Aphakia *Ask about* What is Aphakia? - -Absence of the lens of the eye, due to surgical removal, such as in cataract surgery, a perforating wound or ulcer, or congenital anomaly. -It causes a loss of accommodation, farsightedness (hyperopia), and a deep anterior chamber. -Complications include detachment of the vitreous or retina, and glaucoma. What is the MC cause of retinopathy after 5-7 years? - Diabetes *must maintain strict control of blood glucose* What are the medical guidelines for the driver with Diabetes? - -Annual Medical Exam -Annual ophthalmologist/Optometrist Eye Exam What dx associated with DM and eyes will DQ a driver? - Unstable Proliferative Retinopathy What may be an early symptom of cataracts? - Glare with night driving Cataracts scatter light and ↓ acuity What eye disease is screened for with peripheral visual field tests? What must the degree of vision be to pass? - -Glaucoma (peripheral vision loss) -70 degrees in horizontal meridian for each eye For what eye condition do some medications impact vision and interfere with safe driving? - Glaucoma -peripheral vision loss What eye disease interferes with and causes detailed *central vision loss*? What are the two types? - Macular Degeneration -Wet (vascular) -Dry (drusen) What eye disease is associated with the following sxs? -↓Visual Acuity -↑Recovery time from bright lights -Partial or total Scotoma in direction of attempted gaze -↓Peripheral field of vision w/ telescopic lenses - Macular Degeneration What 7 PhEx must be performed for vision? - 1. Distant Acuity 2. Horizontal Field Vision 3. Color Recognition 4. Monocular Vision - test vision and fields in both eyes 5. Pupil light reactivity and equally - PERLLA -Nystagmus -Exophthalmos 6. Extraocular Eye Mvts 7. Fundoscopic Exam Can s driver be certified w/ Monocular vision? (passing vision in only one eye) - No = DQ What type of contact lenses are *NOT ACCEPTED* for DOT drivers? - Bifocal or Monovision Type Lenses -1 Distance vision lens -1 Near/Reading vision lens What is the name of the eye chart used for vision screening? - Snellen Eye Chart Who should reevaluate the driver if peripheral vision testing is inconclusive? - A specialist with specialized equipments such as an Optometrist or Ophthalmologist What type of lenses compensates for loss of central vision by redirecting peripheral vision? Are these ok for drivers to use? - Telescopic Lenses -No...these may not be used What is the definition of Monocular vision? Can you qualify with monocular vision? - Vision in ONE eye that qualifies w/ or w/o corrective lenses Can you qualify with monocular vision? - NO....disqualified What must you have in order to qualify as a driver if you have monocular vision? - Federal Vision Exemption How long can a driver be certified with a Federal Vision Exemption for monocular vision? - 1 year -Exemption is good for 2 years What must be included in the application for Federal Vision Exemption? - 1. Copy of Medical Examination Report 2. Copy of Medical Examiner's Certificate 3. Application to the Federal Vision Exemption Program What eye conditions require further referral and evaluation by an eye specialist? - -Macular Degeneration -Retinopathy -Cataracts -Glaucoma -Nystagmus -Exophthalmos *Further evaluation* You must include the following documentation reports for a person with a vision exemption: (Ancillary documentation) - Annual Ophthalmologist/Optometrist Report -provided by driver *Medical Examiner determines final certification* What supporting documentation must be included for a driver with a Diabetes Exemption? (Ancillary documentation) - -Ophthalmologist/Optometrist Report -Endocrinologist Report --provided by driver *Medical Examiner determines final certification* What health education counseling should be given to a driver that wears contact lenses? - -Carry a spare pair of glasses How long may the medical examiner certify a driver with proper/good vision? - up to 2 years How long is a Federal Vision Exemption good for? - -Up to 2 years -May be renewed *Must have physical exam every year*