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

If a dipstick urinalysis shows mild proteinuria, what is the most reasonable course of action?

1. Disqualify until further testing is done.

2. Encourage the driver to seek further care from his primary care provider and document the findings.

3. Make a note in the medical examination report form with no further action.

4. Inform the driver immediately of disqualification.

The correct answer is: Encourage the driver to seek further care from his primary care provider and document the findings.

The most reasonable course of action in the case of mild proteinuria detected through a dipstick urinalysis is to encourage the driver to seek further care from their primary care provider and document the findings. Mild proteinuria can indicate various underlying health issues, including possible kidney problems, but on its own, it doesn’t necessarily mean that the driver is unfit for duty. By recommending that the driver follow up with a primary care provider, further testing can be conducted to determine if any significant health problems are present. This step ensures that the driver receives appropriate medical evaluation and management based on their specific situation. Documenting the findings is also critical, as it provides a record of the health assessment and any steps taken, which is important for both medical and legal reasons in the context of DOT regulations. Providing proper documentation can safeguard both the medical examiner's liability and the driver's health decisions. Taking immediate action towards disqualification or making a note without further testing may overlook potential health variations and fail to provide the driver with the opportunity for necessary medical care. Encouraging further evaluation is both a responsible and supportive approach that aligns with best practices in medical evaluations for commercial drivers.