MODULE 2 Vision/Hearing/DM

Question 1

Disqualifying Vision Findings

Answer 1

Less than 20/40 in each eye separately and/or both eyes

Monocular vision is disqualifying (possible exemption as long as monocular contact lenses aren’t used)

Question 2

Required Vision Tests

Answer 2

Central Acuity, Peripheral Vision, Color Vision (only red/green/amber)

Near vision / depth perception NOT required.

Question 3

When is Audiometry Required?

Answer 3

When Driver fails Whisper Test (office audiometry can’t test persons with hearing aids)

Question 3

Meniere’s Disease

Answer 3

Disqualification is Recommended

Question 3

Exemptions Are Made/Submitted to FMCSA For What Conditions?

Answer 3

Hearing & Seizure (no vision/no diabetes anymore)

Question 4

Vertigo

Answer 4

Uncontrolled Vertigo Recommended To be Disqualifying

Certification is recommended for BPPV and Acute/Chronic Peripheral Vestibulopathy (IF at least 2 months symptom free)

Question 5

Labyrinthine Fistula & Nonfunctioning Labyrinth

Answer 5

Recommend DQ’d

Question 6

Diabetics on Oral Diabetic Meds Certification Time

Answer 6

2 years max… 1 year is the recommendation BUT should be documented if not done

Question 7

What eye conditions must a med examiner ask about, and refer to specialist if indicated?

Answer 7

Retinopathy, cataracts, glaucoma, macular degeneration, and aphakia.

Question 8

Who Can Perform Eye Exam?

Answer 8

Med Examiner, Optometrist or Ophthalmologist

Question 9

Hypoglycemia Definition and Certification Recs

Answer 9

No more than 1 severe episode in 12 months, or 2+ in last 5 years

Severe Definition:
- Seizure, LOC, Coma or Needs Assistance From others

Question 10

Diabetes Sxs That Should Be DQ’d

Answer 10

Loss of position sensation, loss of pedal sensation, resting tachycardia, orthostatic hypotension, neuropathy or proliferative retinopathy.

Question 11

Can Drivers on Insulin Pass an Examination?

Answer 11

Yes. Provided they pass all the requirements and have a mandatory form filled out by their “Treating Clinician”

Question 12

How often do drivers on Insulin need to be examined?

Answer 12

YEARLY! No exceptions (could be more frequent, of course)

Question 13

MCSA-5870

Answer 13

This is the form that is filled out by a driver’s “Treating Clinician” for their insulin / diabetes.

This form must be completed within 45 days of any CDME, or a new one will have to be completed.

Question 14

What happens if a Treating Clinician fills out an MCSA-5870 but doesn’t have 3 months preceding glucose monitoring logs?

Answer 14

Driver can be certified for up to 3 months, and during that time the logs must be kept and a NEW MCSA-5870 be filled out by TC

Question 15

Blood Glucose Self Monitoring Reqs

Answer 15

Drivers must record 3 months of BG levels as instructed by TC. These records must be electronically kept, downloaded, and printed by glucometer. (Records dates & times of readings).

CAN’T Manually Enter on paper!

Results are turned into TC when the MCSA-5870 is filled out

Question 16

What happens if a driver on insulin experiences severe hypoglycemic episode?

Answer 16

Unlike non insulin treated Diabetic drivers, who can’t have 1 episode within 12 months or 2+ within 5 years…

Drivers on insulin are DQ’d until TC has addressed this and feels confident things are great.

Question 17

Incretin Mimetic Therapy, Is It Considered Insulin?

Answer 17

NO!

Recommend getting letter from TC on specifics (efficacy, toleration, fu frequency/monitoring)

Recommend max 1 year