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!

Each practice test/flash card set has 50 randomly selected questions from a bank of over 500. You'll get a new set of questions each time!

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What should the examiner do for a driver on Celexa for mild depression?

Certify only after written clearance from the provider.
Certify the driver for 1 year.
Certify the driver for 2 years.
Disqualify the driver until off medication.

The correct answer is: Certify only after written clearance from the provider.

For a driver who is taking Celexa, which is a selective serotonin reuptake inhibitor (SSRI) used to treat mild depression, it is important for the examiner to ensure that the driver's health and fitness to operate a commercial vehicle are valid and well-understood. Consulting with the driver’s healthcare provider can provide clarity on the driver’s condition and the impact of the medication on their cognitive and physical abilities. Obtaining written clearance from the provider helps ensure that the driver is stable, the dosage is appropriate, and that there are no concerning side effects that could impair driving. This process also allows the examiner to gather information about the potential for any risks associated with the medication and the driver's overall mental health status. This cautious approach aligns with the best practice guidelines for assessing the medical qualifications of commercial drivers, providing an additional layer of safety for both the driver and the general public.