Hearing and Vestibular — All Questions

In order to receive certification based on hearing, one option is for a driver to perceive a forced, whispered voice in one ear at what distance?

In order to receive certification based on hearing, one option is for a driver to not have an average hearing loss in one greater than what decibel rating?

What frequencies are tested during the audiometric hearing examination for CMV driver certification?

Which of the following is not true in regards to hearing aid usage?

A medical examiner records a driver’s hearing loss at 74 decibels for 500 hertz according to the International Organization for Standardization (ISO). Which of the following represents the proper conversion to the American National Standards Institute (ANSI)?

Audiometric testing reveals an average hearing loss of 42 decibels in the right ear and 51 decibels in the left ear. What do the test results indicate?

Which of the following is not affected by hearing loss?

When should a medical examiner administer both hearing tests?

A driver wearing a hearing aid fails the forced whisper test. Which of the following is the appropriate subsequent action?

Which of the following is true about administering the forced whispered voice test for the right ear?

Which of the following is not true in regards to the audiometric test?

A driver must wear a hearing aid during the audiometric testing. Who should administer the test?

Which of the following is true about hearing testing for CMV driver physical qualification?

The driver does not indicate any medical conditions on health history. During the exam the Medical Examiner notes the presence of a hearing aid in one ear. The driver says that he doesn’t need the hearing aid to drive and doesn’t think it should be required. The next step for the Medical Examiner is:

When audiometric testing is performed, what is the standard that should be used?

Which of the following drivers meets the FMCSA hearing certification standard?

Which of the following statements about hearing aids and CMV driver certification is correct?

For the audiometric hearing test, what is the maximum allowable average hearing loss in the better ear?

If audiometric testing is performed for the hearing evaluation, testing should include which of the following frequencies?

Which of the following statements about hearing aids and CMV driver hearing testing is FALSE?

What is the forced whispered voice test distance requirement per FMCSA?

The forced whispered voice test should be conducted in what type of environment?

During the forced whispered voice test, the examiner should stand where relative to the driver?

How should the untested ear be managed during the forced whispered voice test?

A driver fails the whispered voice test in the right ear but passes in the left ear. What is the determination?

What words or phrases should be used during the forced whispered voice test?

If a driver fails the forced whispered voice test in both ears, what alternative test can they use?

A driver cannot whisper test but has audiometric results showing 30 dB average at 500, 1000, and 2000 Hz in the right ear. What is the determination?

At what frequencies is audiometric hearing tested for FMCSA compliance?

How is the audiometric hearing threshold calculated for FMCSA compliance?

A driver’s audiogram shows: Right ear – 500 Hz: 35 dB, 1000 Hz: 40 dB, 2000 Hz: 45 dB. Left ear – 500 Hz: 25 dB, 1000 Hz: 30 dB, 2000 Hz: 35 dB. Does this driver meet the standard?

A driver’s audiogram shows: Better ear – 500 Hz: 35 dB, 1000 Hz: 45 dB, 2000 Hz: 50 dB. Does the driver meet the FMCSA audiometric standard?

Audiometric equipment used for DOT hearing tests must be calibrated to what standard?

Can a driver use a hearing aid to meet the FMCSA hearing standard?

A driver who passes the hearing test while wearing hearing aids must do what while driving?

What is the Federal Hearing Exemption program?

A driver with a cochlear implant meets the hearing standard with the device activated. Can they be certified?

A driver reports chronic tinnitus (ringing in the ears) but meets the hearing standard. What is the determination?

A driver had a stapedectomy for otosclerosis and now meets the hearing standard. What is the determination?

A 50-year-old driver has noise-induced hearing loss from years of truck driving. Audiogram shows: Better ear – 500: 20, 1000: 25, 2000: 45. What is the determination?

A driver with a perforated tympanic membrane but normal hearing should receive what determination?

What is the difference between conductive and sensorineural hearing loss in terms of CMV certification?

A driver with unilateral profound deafness (no hearing in one ear) and normal hearing in the other ear should receive what determination?

A driver with chronic otitis media and conductive hearing loss who does not meet the hearing standard with or without hearing aids needs what?

A CMV driver had a mastoidectomy for cholesteatoma 6 months ago. Current hearing meets the FMCSA standard. What is appropriate?

What should the examiner do if a driver presents with cerumen (ear wax) impaction that prevents adequate hearing testing?

A CMV driver with bilateral hearing aids meets the audiometric standard with aids. What documentation is needed?

A driver’s hearing aid battery dies during the trip. What should the driver do?

A driver with a bone-anchored hearing aid (BAHA) meets the hearing standard. Can they be certified?

A driver had a tympanoplasty (eardrum repair) 2 months ago. Hearing now meets the standard. What is appropriate?

Which hearing test alternative can be used if a driver cannot pass the forced whispered voice test?

At what distance must a driver perceive a forced whispered voice to meet FMCSA hearing standards?

Can a driver who wears hearing aids be certified for CMV operation?

What is the primary reason that FMCSA audiometric standards test at 500, 1000, and 2000 Hz rather than higher frequencies where noise-induced hearing loss first appears?

A CMV driver with noise-induced hearing loss has an audiogram showing: better ear 500 Hz: 30 dB, 1000 Hz: 35 dB, 2000 Hz: 40 dB, 4000 Hz: 65 dB. What is the certification determination?

A driver with documented noise-induced hearing loss returns for recertification. Last year the better ear averaged 38 dB at 500, 1000, and 2000 Hz. This year it averages 42 dB. What is the appropriate action?

A driver with otosclerosis undergoes a stapedectomy but develops post-operative sensorineural hearing loss in the operated ear. How does this affect FMCSA certification?

A driver had cholesteatoma surgery and now has a maximum conductive hearing loss (60 dB air-bone gap) in the operated ear with normal hearing in the opposite ear. What is the FMCSA determination?

Can a driver be required to produce a spare power source for a hearing aid during the physical qualification examination?

When converting audiometric test results from ISO standard to ANSI standard, what values are subtracted at 500 Hz, 1,000 Hz, and 2,000 Hz respectively?

During the forced whispered voice test, the medical examiner should whisper using what breathing technique?

When administering the forced whispered voice test, which type of test material should the medical examiner avoid using exclusively?

When an audiologist performs the hearing test for a CMV driver, which of the following must the audiologist provide in their report?

A driver who uses hearing aids passes the audiometric test while wearing them. On the Medical Examination Report Form and Medical Examiner’s Certificate, which box(es) should the ME select?

A driver requires a Federal hearing exemption because they cannot meet the hearing standard even with hearing aids. What is the maximum certification period the ME may issue?

A driver does not meet the FMCSA hearing standard with or without hearing aids. When completing the Medical Examination Report Form (MCSA-5875), how should the ME document this?

A 55-year-old CMV driver presents for examination. Audiometric results (ISO standard) for the better ear are: 500 Hz = 49 dB, 1,000 Hz = 45 dB, 2,000 Hz = 43.5 dB. After converting to ANSI standard, does this driver meet the hearing requirement?

Both ears of a CMV driver are tested during the hearing examination. The right ear averages 38 dB and the left ear averages 52 dB on audiometric testing. What is the certification determination?

A driver with a cochlear implant fails the forced whispered voice test in both ears. What is the appropriate next step?

A driver’s audiometric test results (ISO standard) for the better ear show: 500 Hz = 60 dB, 1,000 Hz = 55 dB, 2,000 Hz = 52 dB. After converting to ANSI standard, what is the average hearing loss and does the driver meet the standard?

Before applying for a Federal hearing exemption, what must the medical examiner first determine about the driver?

A CMV driver has audiometric results of 35 dB at 500 Hz, 40 dB at 1,000 Hz, and 45 dB at 2,000 Hz in the better ear (ANSI standard). The calculated average is 40.0 dB. Does this driver meet the hearing standard?

If a driver fails the whispered voice test in both ears, what should the ME do next?

To convert audiometric test results from ISO to ANSI standard at 2,000 Hz, what adjustment should be made?

A driver who meets the hearing standard with a hearing aid is certified. Should the ME encourage the driver to carry a spare power source for the hearing aid?

What is the maximum average hearing loss allowed in the better ear for a CMV driver to meet the FMCSA audiometric standard?

A CMV driver’s audiometric results (ISO standard) for the better ear are: 500 Hz = 50 dB, 1,000 Hz = 46 dB, 2,000 Hz = 40 dB. After converting to the ANSI standard, does the driver meet the hearing requirement?

A CMV driver passes the forced whispered voice test in the left ear at 5 feet but fails in the right ear. The medical examiner should take which of the following actions?

Which frequencies are tested during the audiometric hearing evaluation required by FMCSA regulations?

A CMV driver who wears a hearing aid passes the audiometric test. What must the medical examiner select on the Medical Examination Report Form and the Medical Examiner’s Certificate?

A driver cannot meet the FMCSA hearing standard even with hearing aids. When completing the Medical Examination Report Form, the ME should select which box?

During the forced whispered voice test, how should the driver be positioned relative to the medical examiner?

A CMV driver with a cochlear implant fails the forced whispered voice test in both ears. The driver is then referred for audiometric testing and achieves an average of 38 dB in the better ear with the implant activated. What is the appropriate certification decision?

A driver’s audiometric results (ANSI standard) for the right ear are: 500 Hz = 30 dB, 1,000 Hz = 42 dB, 2,000 Hz = 48 dB. The left ear results are: 500 Hz = 35 dB, 1,000 Hz = 38 dB, 2,000 Hz = 47 dB. Does the driver meet the FMCSA hearing standard?

To convert audiometric results from the ISO standard to the ANSI standard, what value is subtracted at 1,000 Hz?

A driver fails the hearing screening examination and wants to consult a specialist before retesting. Can the medical examiner place the driver in “determination pending” status while awaiting the specialist consultation?

When an audiologist performs the hearing test for a CMV driver, which of the following must the audiologist include in the audiology report?

A CMV driver with hearing aids does not meet the hearing standard even while wearing the aids. The driver meets all other physical qualification standards. What is the maximum certification period the ME may issue if the driver qualifies for a Federal hearing exemption?

A 58-year-old CMV driver presents with bilateral hearing loss. Audiometric results (ANSI) show the better ear at: 500 Hz = 32 dB, 1,000 Hz = 40 dB, 2,000 Hz = 52 dB. The driver does not wear hearing aids. What should the medical examiner do?

A CMV driver’s audiometric results (ISO standard) for the better ear are: 500 Hz = 56 dB, 1,000 Hz = 52 dB, 2,000 Hz = 50 dB. After converting to ANSI, what is the average hearing loss and does the driver meet the standard?

A medical examiner is completing the hearing evaluation for a CMV driver. The driver wears hearing aids but still does not meet the hearing standard. The ME determines the driver meets all other physical qualification standards. Before the driver can apply for a Federal hearing exemption, what must the ME first verify?

A driver with bilateral hearing loss wears hearing aids and passes the forced whispered voice test at 5 feet in the right ear. The ME should take which of the following actions regarding documentation?

A CMV driver has the following audiometric results (ANSI) without hearing aids: Right ear: 500 Hz = 45 dB, 1,000 Hz = 50 dB, 2,000 Hz = 55 dB. Left ear: 500 Hz = 30 dB, 1,000 Hz = 35 dB, 2,000 Hz = 55 dB. The driver then retests with hearing aids and the left ear results improve to: 500 Hz = 20 dB, 1,000 Hz = 25 dB, 2,000 Hz = 35 dB. What is the correct certification decision?

When the hearing test is performed by an audiologist rather than the medical examiner, what must the ME do with the audiology report?

A medical examiner obtains audiometric results in ISO standard for a driver’s better ear: 500 Hz = 48 dB, 1,000 Hz = 44 dB, 2,000 Hz = 40 dB. After converting to ANSI standard and averaging, does this driver meet the hearing qualification standard?

When averaging audiometric test results to determine whether a CMV driver meets the hearing standard, how should the medical examiner handle decimal values in the final average?

A CMV driver meets the hearing standard only while wearing hearing aids. The driver asks whether a Federal hearing exemption is also needed. On the Medical Examination Report Form and Medical Examiner’s Certificate, which boxes should be selected?

Which of the following correctly describes the FMCSA hearing standard for the forced whispered voice test?

During the forced whispered voice test, which type of test material should the medical examiner avoid using exclusively?

A driver’s audiometric results are provided in ISO standard for the better ear: 500 Hz = 52 dB, 1,000 Hz = 52 dB, 2,000 Hz = 49.5 dB. After converting to ANSI and averaging, what is the result and does the driver qualify?

When completing forms for a CMV driver who does not meet the hearing standard and requires a Federal hearing exemption, what must the medical examiner write on the Medical Examiner’s Certificate (MCSA-5876)?

Why does the FMCSA audiometric hearing standard test at 500 Hz, 1,000 Hz, and 2,000 Hz specifically?

A CMV driver wears bilateral hearing aids. The driver passes the forced whispered voice test at 5 feet in the right ear while wearing the hearing aid but fails in the left ear. What is the correct determination?

During the forced whispered voice test, the medical examiner should whisper using which breathing technique?

A CMV driver wears a hearing aid in the left ear and meets the hearing standard with the aid. The driver also has a vestibular condition but meets all other physical qualification standards. What documentation is required on the Medical Examination Report Form?

A driver’s better ear audiometric results (ISO standard) are: 500 Hz = 55 dB, 1,000 Hz = 48 dB, 2,000 Hz = 46 dB. The driver then retests with a hearing aid and achieves ANSI results of: 500 Hz = 28 dB, 1,000 Hz = 32 dB, 2,000 Hz = 30 dB. What is the correct certification decision?

It is the medical examiner’s responsibility to determine whether a CMV driver who does not meet the hearing standard can meet it with the use of hearing aids. Which of the following methods can the ME use to make this determination?

A 58-year-old CMV driver presents for a physical qualification examination. His audiometric test results show: Right ear: 500 Hz = 45 dB, 1,000 Hz = 40 dB, 2,000 Hz = 38 dB (ISO standard). Left ear: 500 Hz = 55 dB, 1,000 Hz = 50 dB, 2,000 Hz = 48 dB (ISO standard). After converting from ISO to ANSI standard, what is the correct determination?

A driver fails the forced whispered voice test in both ears during the physical qualification examination. The driver wears bilateral hearing aids but still cannot perceive the whispered voice at 5 feet with the hearing aids in place. The driver asks to be placed in determination pending status while scheduling an audiometric test with an audiologist. What is the correct course of action?

A CMV driver does not meet the hearing standard even with hearing aids and has been granted a Federal hearing exemption. The driver presents for a physical qualification examination and meets all other physical qualification standards. When completing the Medical Examination Report Form (MCSA-5875) and Medical Examiner’s Certificate (MCSA-5876), which documentation approach is correct?

A driver presents for a physical qualification examination with a cochlear implant in the left ear and no hearing aid in the right ear. The whispered voice test is performed: the right ear fails at 5 feet, and the left ear (with cochlear implant) perceives the whispered voice at 5 feet. Both ears were tested. What is the correct certification determination?

A driver’s audiometric testing was performed by an outside audiologist. The report shows: Right ear: 500 Hz = 35 dB, 1,000 Hz = 42 dB, 2,000 Hz = 44 dB (ANSI). Left ear: 500 Hz = 30 dB, 1,000 Hz = 38 dB, 2,000 Hz = 50 dB (ANSI). The driver does not use a hearing aid. The audiologist’s report includes name, phone number, email, license number, state of licensure, and is signed and dated. What should the ME conclude?

At what minimum distance must a driver perceive a forced whispered voice to meet the hearing standard?

At which frequencies is hearing tested for the audiometric standard under the FMCSRs?

What is the maximum average hearing loss allowed in the better ear to meet the audiometric standard?

A driver’s audiometric results are provided in ISO standard values. How should these be converted to the required ANSI standard?

A driver’s audiometric results show hearing loss at 500 Hz = 35 dB, 1,000 Hz = 40 dB, and 2,000 Hz = 45 dB in the better ear (ANSI standard). Does this driver meet the hearing standard?

A driver meets the hearing standard only when wearing hearing aids. What must be documented on the MCSA-5875 and MCSA-5876?

During the forced whisper test, what technique should the ME use?

A driver fails the whisper test in both ears during the physical qualification examination. What is the next step?

When averaging audiometric results to determine if the hearing standard is met, should the values be rounded?

A driver with a cochlear implant meets the hearing standard during audiometric testing. Can the ME certify this driver?

Although both ears must be tested during the hearing evaluation, which ear must meet the hearing standard?