National Registry of Certified Medical Examiners (NRCME) DOT Practice Exam

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Study for the NRCME DOT Exam. Prepare with flashcards and multiple choice questions with hints and explanations to ace your exam!

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A 35-year-old driver with Ankylosing Spondylitis and limited neck movement is seeking recertification. What should be the proper action?

Disqualify
Certify for 1 year
Order a Skill Performance Evaluation
Certify for 6 months

The correct answer is: Disqualify

In cases involving medical conditions like Ankylosing Spondylitis, the assessment primarily focuses on the potential impact of the condition on safe driving capabilities. This particular condition can lead to significant neck stiffness and reduced range of motion, which may impair the driver’s ability to turn their head and maintain awareness of their surroundings. Safety is the paramount concern in the context of commercial driving. If the condition affects a driver’s ability to perform essential functions — such as checking mirrors and maintaining a clear line of sight — it raises considerable safety issues. Consequently, if a driver has limited neck movement due to Ankylosing Spondylitis, they may not meet the necessary medical standards established by the FMCSA (Federal Motor Carrier Safety Administration). Therefore, disqualifying this driver is in line with maintaining safety not just for the individual but for all road users. This aligns with the overall mission of DOT regulations, which prioritize the health and safety of both commercial drivers and the public.