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 driver who has increased his nitroglycerin dosage for angina should be?

Counseled to increase his dose of medication
Certified for 1 year
Provided with a 3-month certificate for monitoring
Disqualified and referred to a cardiologist

The correct answer is: Disqualified and referred to a cardiologist

When a driver has increased their nitroglycerin dosage for managing angina, it indicates that their condition may not be adequately controlled, potentially posing a significant risk to their ability to drive safely. Nitroglycerin is commonly used to treat chest pain associated with angina, and an increase in dosage can suggest worsening cardiac symptoms. In such situations, the appropriate course of action is to disqualify the driver from operating a commercial vehicle until they have been evaluated by a cardiologist. This allows for a thorough assessment of their cardiac condition and the effectiveness of their treatment plan. Driving with an unstable angina condition can lead to severe consequences, including the risk of sudden incapacitation while driving. Thus, referring the driver to a cardiologist ensures that the necessary medical oversight is provided to evaluate their fitness for duty and to establish a safe and effective plan for their condition.