CME Certified Federal Medical Examiner

Category - Driver Identification and History

According to CFR 391 regulations, an ophthalmologist/optometrist evaluation is required in the case of which of the following health history condition(s)?
  1. Type 1 and type 2 diabetes
  2. Distant visual acuity of at least 30/40 (Snellen) in each eye
  3. Impaired vision (not meeting 391.41(b)(10) requirements) and insulin-controlled diabetes
  4. Field of vision of at least 90 degrees in the horizontal meridian in each eye
Explanation
Answer: C - Impaired vision (not meeting 391.41(b)(10) requirements) and insulin-controlled diabetes

This is the correct answer because according to CFR 391.41, individuals who do not meet the vision [391.41(b)(10)] or diabetes [391.41(b)(3)] standards must apply for the vision exemption or diabetes exemption programs. Under the exemption programs, an ophthalmologist/optometrist evaluation checklist is required and must be provided by the applicant to the medical examiner.
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