What should be the next step for a driver with a history of ear infections and post-nasal drainage?

In this situation, the correct choice is based on the driver’s hearing ability and the potential implications of their medical history. The whisper test is a simple yet effective method for assessing auditory function. Conducting the whisper test at 3 feet for the left ear and 5 feet for the right ear provides a quick screening measure to evaluate whether the driver has sufficient hearing to operate a vehicle safely.

If the results of the whisper test indicate that the driver has passed the hearing assessment, it is reasonable to issue a two-year medical certificate. This duration allows for a standard recertification period for drivers without significant ongoing medical concerns.

However, when considering the driver’s history of ear infections and post-nasal drainage, it is important to monitor these conditions periodically, as they can affect hearing and overall health. While the other options suggest various approaches for follow-up, they each imply a level of uncertainty or require additional evaluations. The choice of issuing a two-year certificate suggests that, based on the test results, the driver is cleared to drive without immediate concerns, yet doesn’t completely disregard the medical history. Regular monitoring at the follow-up stage might still be advisable, but with a satisfactory whisper test result, a two-year certification is justified.