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

If a driver has a history of seizures, what must the examiner determine before certification?

1. Whether the seizures are controlled.

2. The frequency of seizures.

3. If medication is required.

4. The type of seizures experienced.

The correct answer is: Whether the seizures are controlled.

To ensure the safety of both the driver and others on the road, the examiner must assess whether the seizures are controlled before certifying a driver with a history of seizures. This refers to understanding if the individual has experienced seizures within a specified period and if they are currently under treatment that effectively manages and prevents seizure episodes. A driver whose seizures are effectively controlled and who has not had a seizure episode in a determined timeframe is generally considered safer for driving. This assessment is crucial, as uncontrolled seizures can lead to dangerous situations while operating a vehicle, posing risks to the driver and public safety. Other factors, such as the frequency of seizures, whether medication is needed, and the type of seizures experienced, while important in understanding the overall health and risk profile of the driver, ultimately hinge on the question of control. If the seizures are controlled, the risk to the driver and public safety is significantly minimized, supporting a sound decision regarding certification.