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

When should a medical examiner recommend further evaluation by a specialist for a driver?

1. Only if the driver requests it

2. For any past medical history

3. When there is a significant medical concern

4. When the driver reports feeling particularly stressed

The correct answer is: When there is a significant medical concern

A medical examiner should recommend further evaluation by a specialist when there is a significant medical concern. This guideline ensures that drivers with potential health issues receive appropriate care and management to safeguard their health and the safety of others on the road. Significant medical concerns could include conditions such as cardiovascular issues, diabetes, seizure disorders, or other serious health conditions that might affect a driver's ability to operate a vehicle safely. By referring such cases to a specialist, the medical examiner ensures that the driver undergoes a thorough evaluation that considers the specific complexities of their condition. While drivers may request specialist evaluations or report stress, those situations do not necessarily warrant referral unless they connect to a significant underlying medical issue that could impair driving capabilities. Additionally, not every past medical history requires a referral; it must be evaluated in the context of how it impacts the individual's fitness to drive. By focusing on significant concerns, the process prioritizes the well-being of the driver and the safety of the public.