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

If a driver has a family history of cardiovascular disease but no symptoms, what should the examiner's course of action be?

1. Disqualify the driver until further evidence is obtained

2. Certify for 1 year with monitoring

3. Proceed with certification without any concerns

4. Refer to a cardiologist for evaluation

The correct answer is: Certify for 1 year with monitoring

The most appropriate course of action when a driver presents a family history of cardiovascular disease but shows no symptoms is to certify for one year with monitoring. This approach recognizes the potential risk associated with familial cardiovascular conditions while not penalizing the driver for factors beyond their control, especially when they are asymptomatic. By certifying the driver for one year, the examiner allows the individual to continue driving while ensuring that there will be periodic monitoring of their health status. This can involve recommending follow-up appointments or tests to assess any changes in their health that may arise over the certification period. The one-year certification period serves as a balanced response, maintaining road safety while allowing for individual circumstances and encouraging ongoing health management. Such an approach aligns with the guidelines that advocate for safe driving while also considering the driver's overall health context. It acknowledges the need for vigilance regarding cardiovascular health without necessitating immediate disqualification or specialist referral when symptoms are not present.