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

What is the significance of protein levels in the urine during a DOT exam?

1. Indicates a need for further testing

2. Always results in disqualification

3. Has no impact on certification

4. Only considered if blood levels are also abnormal

The correct answer is: Indicates a need for further testing

The presence of protein levels in the urine during a Department of Transportation (DOT) exam is significant because it can indicate underlying health issues, particularly related to kidney function. Elevated protein levels in the urine, also known as proteinuria, can be a marker for conditions such as diabetes, hypertension, or kidney disease. Therefore, when protein levels are found to be abnormal, it suggests that further testing may be necessary to determine the underlying cause and assess the driver's overall health. This approach aligns with the DOT's emphasis on ensuring that commercial drivers are medically fit to operate commercial vehicles safely. A finding of protein in the urine does not automatically mean disqualification; it merely indicates that more investigation is needed to understand the implications of the finding. Thus, the correct response reflects the importance of taking additional steps to evaluate the driver's health when protein levels are detected during the examination.