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

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A driver with a history of epilepsy who has not had seizures for over 10 years should be:

  1. Certified for 1 year if medical clearance is obtained

  2. Certified for 2 years if medical clearance is obtained

  3. Referred to the epilepsy exemption program

  4. Disqualified

The correct answer is: Disqualified

A driver with a history of epilepsy who has not experienced a seizure for over 10 years is generally eligible to be certified, provided they meet certain conditions. In this case, if the driver has maintained a seizure-free status for a significant period, specifically more than 10 years, it indicates a level of stability that is favorable for the assessment of their fitness to drive. According to Federal Motor Carrier Safety Administration (FMCSA) regulations, individuals with a history of epilepsy can be considered for medical certification if they have not had any seizure activity for a specified time frame, usually two years. Therefore, obtaining medical clearance, which often involves having a healthcare professional's assessment, becomes essential in these scenarios. Being referred to the epilepsy exemption program may also be an option, but it is typically for those who do not meet the standard criteria for certification. Given the information regarding the seizure-free period, the driver would not need to be disqualified or necessarily referred to the exemption program. Hence, the driver should be certified for either one or two years if medical clearance is obtained, depending on the specific evaluation and the discretion of the examining provider. This approach embraces both safety and the possibility of allowing qualified individuals to continue their driving careers while mitigating risks associated with their medical