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

If a driver’s panic attacks are managed with Xanax, what is the appropriate certification period?

1. 2 years

2. Xanax requires annual recertification. 1 year.

3. Xanax is potentially dangerous; 6 months is appropriate.

4. Use your clinical judgment; benzodiazepines are typically disqualifying.

The correct answer is: Use your clinical judgment; benzodiazepines are typically disqualifying.

When considering the appropriate certification period for a driver who is managing panic attacks with Xanax, it's important to recognize the implications of using benzodiazepines, which can impair cognitive and motor functions. Benzodiazepines, including Xanax, are known to potentially affect a driver’s ability to operate a vehicle safely due to their sedative properties. Using clinical judgment is vital in determining the certification period because it allows the medical examiner to evaluate the individual's specific situation, including their response to the medication, history of panic attacks, and overall functioning while on the medication. This personalized assessment is essential to ensure that the driver poses no safety risks on the road. In this context, though benzodiazepines are generally considered disqualifying for certain drivers, there may be exceptions based on the driver's medical history and how well they manage their condition while under treatment. Therefore, emphasizing the use of clinical judgment aligns with best practices, allowing for a tailored and cautious approach toward certification.