If the driver habitually wears contact lenses, or intends to do so while driving, there should be sufficient evidence to indicate that he has good tolerance and is well adapted to their use. The use of contact lenses should be noted on the record. Note evidence of mastoid or middle ear disease, discharge, symptoms of aura vertigo, or Meniere's Syndrome. When recording hearing, record distance from patient at which a forced whispered voice can first be heard. Note evidence of disease, irremediable deformities of the throat likely to interfere with eating or breathing, or any laryngeal condition which could interfere with the safe operation of a motor vehicle.
Stethoscopic examination is required.
Note murmurs and arrhythmias, and any past or present history of cardio vascular disease of a variety known to be accompanied by syncope, dyspnea, collapse, enlarged heart, or congestive heart failures. Electrocardiogram is required when findings so indicate. Record with either spring or mercury column type of sphygomomanometer. Note any diseases of the gastrointestinal system. Note wounds, injuries, scars, or weakness of muscles of abdominal walls sufficient to interfere with normal function.