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

In relation to blood pressure regulations for commercial drivers, which statement is true?

1. Only BP readings taken during the driver physical may be used

2. A BP greater than 145/89 mm Hg should be confirmed

3. Trained assistive personnel may take BP readings

4. All of the above are correct

The correct answer is: All of the above are correct

The correct statement encompasses all aspects of blood pressure regulations applicable to commercial drivers, reflecting a comprehensive understanding of the requirements for medical certifications. Firstly, blood pressure readings taken during the driver's physical examination are the primary benchmarks for assessment; however, there is also a provision for monitoring blood pressure through trained assistive personnel, allowing for more flexibility in obtaining accurate readings. This ensures that numerous individuals are capable of providing assistance in maintaining the standards needed for certification. Moreover, the necessity to confirm any blood pressure reading above 145/89 mm Hg ensures that potential hypertension is adequately assessed before making a final determination about a driver's medical qualification. This confirmation process is crucial in ensuring the safety and health of both the driver and the public. The inclusion of all these elements reflects the comprehensive nature of regulatory practices concerning blood pressure evaluations, thereby supporting the assertion that all the statements are correct. This holistic approach is designed to ensure that commercial drivers are fit for duty while minimizing risks associated with high blood pressure.