General, Eyes, Ears Flashcards
CMV weight class
> 10,001 lbs
CMV is designed to transport how many passengers
- 9-15 including driver for compensation
- >16 including driver whether for compensation or not
Other CMV vehicles
transports hazardous materials that require placarding
Periodic ME training timeframe
at least every 5 years
Re-certification testing occurs every how many years
10 years
How long should all ME documents be retained
3 years
Which standards have non-discretionary qualifiers
vision
hearing
epilepsy
DM
What are the two medical driver exemption programs
Federal Vision Exemption Program (1998)
Diabetes Exemption Program (2003)
What is a Medical Review Officer
Licensed physician responsible for receiving and reviewing lab results generated by an employer drug testing program and evaluating medical explanations for certain drug test results
Driver eligibility requirements
i. 21 years old
ii. Speak and read English well enough to
1. Converse with general public
2. Understand highway/traffic signals
3. Respond to official questions
4. Make legible entries on reports
iii. Be capable of safely operating the CMV
iv. Have current ME certificate on file
v. Have only one valid CMV operator’s license
vi. Have provided the motor carrier with required background and violations information
vii. Not be subject to disqualification to drive a CMV
viii. Have successfully completed a driver’s road test or equivalent
Is the average driver male or female
male
Average driver age
> 40
Average driver number of medical conditions
> 2
CDC recommends how many MET
> 6
Snellen chart should be how many feet away
20
Visual acuity requirements
20/40 with or without corrective device in BOTH eyes
Binocular vision requirements
20/40
Field of vision requirements
at least 70 degrees in horizontal median of each eye
How many feet away should the evaluator be when evaluating field of vision
2 feet
Normal field of peripheral vision
120 degrees
What colors are needed to assess
Red
Amber
Green
Vision disqualifiers
monocular vision
monocular contact lenses
use of telescopic lenses
failure to meet any part of the vision criteria with one or both eyes
What is the vision exemption
for monocular vision
How long to certify for monocular vision exemption
2 year
What should you advise drivers who use contact lenses
always carry a spare set of eyeglasses
Driver must be able to do what to pass hearing test
- perceive a forced whisper at no less than 5 feet or
- not have average hearing loss in one ear greater than 40dB at 500, 1000, and 2000 Hz
How far away from patient should you be to conduct forced whisper test
5 feet
What Hz is used to conduct audiometric test
500
1000
2000
How to convert ISO to ANSI for 500
subtract 14 dB for 500
How to convert ISO to ANSI for 1000
subtract 10 dB for 1000
How to convert ISO to ANSI for 2000
subtract 8.5 for 2000
How to pass audiometric test
at least one ear can not have hearing loss >40dB
done 3 times and averaged
Disqualifying hearing diseases
Meniere’s
Labryinthine fistula
Nonfunctioning Labyrinth
uncontrolled vertigo
Waiting period for BPV or acute and chronic peripheral vestibulopathy
2 months symptom free
Max certification for hearing
2 years (even if one ear does not pass)
What should you advise for patients using hearing aids
always carry spare batteries