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

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If a driver is taking Wellbutrin for smoking cessation without side effects, what should the examiner do?

  1. Certify the driver for 2 years

  2. Certify the driver for 1 year

  3. Disqualify the driver due to medication

  4. Counsel the driver to take medication only at night

The correct answer is: Certify the driver for 2 years

When a driver is using Wellbutrin for smoking cessation and is experiencing no side effects, the examiner can confidently certify the driver for 2 years. This is based on the understanding that Wellbutrin, when prescribed for smoking cessation, can be appropriately managed in the context of driving safety, provided that the driver is stable on the medication. The absence of side effects suggests that the driver is tolerating the medication well, which is a crucial factor in determining whether the driver's ability to operate a commercial vehicle is impaired. Additionally, federal regulations stipulate that certain medications and their effects must be considered, but they also recognize that temporary assistance in smoking cessation does not inherently disqualify a driver from certification when properly monitored. By certifying the driver for 2 years, the examiner acknowledges the driver's current health status and ability to fulfill their duties safely while allowing for regular monitoring of any changes in their medical condition or medication effects over an extended period.