2023 DOT Comprehensive Review for
NRCME Exam Question and answers
Corrective lenses that are prohibited by the FMCSA, including: -lenses that correct
distance vision in one eye and near vision in the other.
telescopic lenses
Medical guidelines for the driver with diabetes mellitus include: -Annual medical
examination.
Annual ophthalmologist or optometrist eye evaluation.
Disqualification for a diagnosis of unstable proliferative retinopathy.
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).
,2023 DOT Comprehensive Review for
NRCME Exam Question and answers
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 farsightedness in one eye and
nearsightedness in the other, but has no other visual impairments can be certified
under what additional conditions?
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. -FMCSA guidance indicates
that a driver should not be certified under these circumstances.
Explanation: FMCSA guidance indicates that contact lenses that correct one eye
for distance and one eye for near vision are not acceptable.
,2023 DOT Comprehensive Review for
NRCME Exam Question and answers
Guidance recommends not to certify with ear problem diagnoses of: -a)
Uncontrolled vertigo.
b) Ménière's disease.
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.
The medical examiner's role in the exemption process includes _________.
Issuing the exemption.
Issuing the prescription for the driver's contact lenses and/or glasses.
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. -
Providing the driver with contact information for the Federal Vision Exemption
Program.
, 2023 DOT Comprehensive Review for
NRCME Exam Question and answers
Explanation: The medical examiner's role in the exemption process is limited to
performing the driver examination and providing the driver with contact
information for the FMCSA related to the exemption process.
An audiometric test produces the following results: Left 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 loss; 2,000 40 dB loss. What is the certification?
Certify for one year.
Certify for two years.
Do not certify.
Certify only when accompanied by hearing aid. -Certify for two years.
Explanation: Drivers with an average hearing loss of < 40 decibels averaged across
500, 1000, and 2000 Hz in the better ear may be certified for two years.
What eye conditions must the medical examiner ask the driver about?
Cataracts, color deficiencies, retinitis pigmentosa, aphakia, glaucoma.
NRCME Exam Question and answers
Corrective lenses that are prohibited by the FMCSA, including: -lenses that correct
distance vision in one eye and near vision in the other.
telescopic lenses
Medical guidelines for the driver with diabetes mellitus include: -Annual medical
examination.
Annual ophthalmologist or optometrist eye evaluation.
Disqualification for a diagnosis of unstable proliferative retinopathy.
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).
,2023 DOT Comprehensive Review for
NRCME Exam Question and answers
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 farsightedness in one eye and
nearsightedness in the other, but has no other visual impairments can be certified
under what additional conditions?
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. -FMCSA guidance indicates
that a driver should not be certified under these circumstances.
Explanation: FMCSA guidance indicates that contact lenses that correct one eye
for distance and one eye for near vision are not acceptable.
,2023 DOT Comprehensive Review for
NRCME Exam Question and answers
Guidance recommends not to certify with ear problem diagnoses of: -a)
Uncontrolled vertigo.
b) Ménière's disease.
c) Nonfunctioning labyrinth.
d) Nonfunctioning fistula.
The medical examiner's role in the exemption process includes _________.
Issuing the exemption.
Issuing the prescription for the driver's contact lenses and/or glasses.
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. -
Providing the driver with contact information for the Federal Vision Exemption
Program.
, 2023 DOT Comprehensive Review for
NRCME Exam Question and answers
Explanation: The medical examiner's role in the exemption process is limited to
performing the driver examination and providing the driver with contact
information for the FMCSA related to the exemption process.
An audiometric test produces the following results: Left 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 loss; 2,000 40 dB loss. What is the certification?
Certify for one year.
Certify for two years.
Do not certify.
Certify only when accompanied by hearing aid. -Certify for two years.
Explanation: Drivers with an average hearing loss of < 40 decibels averaged across
500, 1000, and 2000 Hz in the better ear may be certified for two years.
What eye conditions must the medical examiner ask the driver about?
Cataracts, color deficiencies, retinitis pigmentosa, aphakia, glaucoma.
