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

What is the maximum blood pressure level before requiring a follow-up assessment?

1. 130/80 mm Hg

2. 140/90 mm Hg

3. 145/95 mm Hg

4. 150/100 mm Hg

The correct answer is: 145/95 mm Hg

The correct answer is that the maximum blood pressure level before requiring a follow-up assessment is 145/95 mm Hg. This threshold is particularly relevant for individuals undergoing medical evaluations for commercial driver's licensing, where the health of the driver is of utmost concern. Blood pressure readings above this level may indicate potential hypertension or cardiovascular issues that could impair an individual’s ability to safely operate a vehicle. When a blood pressure reading is at or exceeding 145/95 mm Hg, it signifies that further assessment is necessary to determine the individual's overall health status and whether acceptable levels of control can be achieved through lifestyle changes or medication. This protocol aligns with the guidelines from the Federal Motor Carrier Safety Administration (FMCSA), which emphasizes a careful evaluation to ensure drivers meet safety requirements. Understanding the significance of these blood pressure levels helps in recognizing the importance of ongoing health monitoring, especially for those in driving occupations where alertness and physical fitness are critical.