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

During a DOT exam, if a patient reports experiencing dizziness but has normal BP readings, what should the examiner do?

1. Certify the driver based on BP readings alone

2. Request further evaluation and testing

3. Disqualify the driver immediately

4. Proceed with the certification regardless

The correct answer is: Request further evaluation and testing

When a patient reports experiencing dizziness during a DOT exam, it's crucial for the examiner to take that symptom seriously, even if the blood pressure readings are normal. Dizziness can be a sign of various underlying health issues that may affect a driver's ability to operate a vehicle safely. Requesting further evaluation and testing allows for a comprehensive assessment of the driver's health. This step is essential to rule out any potential conditions that could contribute to the dizziness, such as vestibular disorders, neurological issues, or even potential cardiovascular problems, despite the normal blood pressure readings. This approach ensures that the safety of the driver and others on the road is prioritized. By delving deeper into the symptom and considering the whole clinical picture, the examiner makes a responsible decision that aligns with the safety regulations outlined by the DOT. Certifying a driver solely based on normal BP readings or without further investigation could potentially lead to dangerous situations if the dizziness is rooted in a more serious health concern.