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

If a driver has had a cortical stroke, what is the minimum waiting period before potential certification to drive?

1. 5 years, as potential for seizure is a concern

2. 1 year if there is no seizure

3. 6 months

4. 6 months once off anticoagulants

The correct answer is: 5 years, as potential for seizure is a concern

In the case of a cortical stroke, the most accurate response regarding the minimum waiting period before potential certification to drive is one year without seizure activity. However, the correct reasoning for this guideline centers on the risk of seizures following a cortical stroke, which can significantly impact a person's ability to operate a vehicle safely. A cortical stroke can lead to seizures, and regulations often emphasize the need for a period of stability after such an event to ensure the driver is not at risk of having a seizure while behind the wheel. Generally, the guideline suggests that if an individual has not experienced seizure activity for at least one year after the event, they may be considered for certification. The five-year waiting period is overly conservative and does not align with current medical evaluations of post-stroke recovery when seizure activity is not a concern. Similarly, while six months may seem reasonable, it fails to accommodate the necessary waiting time post-stroke until stable neurologically. The mention of anticoagulant therapy in the related choice is specific to individual health management and does not establish a direct correlation to the driving certification timeline. Therefore, understanding the guidelines emphasizes the need for a careful evaluation of the individual's health status following a cortical stroke, specifically monitoring for seizures, to ensure safe driving capabilities.