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

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Study for the NRCME DOT Exam. Prepare with flashcards and multiple choice questions with hints and explanations to ace your exam!

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What should be done for a driver who had an isolated TIA and has a return to work letter?

Certify the driver for 1 year
Disqualify the driver
Certify the driver for 3 months
Certify the driver for 2 years

The correct answer is: Disqualify the driver

For a driver who has experienced an isolated Transient Ischemic Attack (TIA), the primary concern revolves around safety and the risk of subsequent events. While a return to work letter may suggest that the individual has received medical clearance, it's essential to recognize that TIAs are often indicative of underlying cardiovascular issues that can lead to more severe complications, such as strokes. Certifying a driver with a history of a TIA should be approached with caution, as the potential for a repeat event could pose serious risks, not only to the driver but also to others on the road. The regulations generally recommend that drivers with this medical history should not be certified until they have undergone a thorough evaluation and demonstrated a stable medical condition over time. Thus, the recommended action in this scenario would typically involve disqualification, ensuring that the driver's health status is adequately monitored and managed before they are allowed to operate commercial vehicles again. This ensures an emphasis on public safety and adherence to regulatory requirements concerning the health of commercial drivers.