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

When there are signs that a driver may not have disclosed drug use, what action should the medical examiner take?

1. May request a non-Department of Transportation drug test

2. Must refer for a DOT drug test

3. Must obtain consultation from a substance abuse professional

4. Must obtain clearance from the driver's primary care provider

The correct answer is: May request a non-Department of Transportation drug test

The most appropriate action for a medical examiner when there are indications that a driver may not have disclosed drug use is to request a non-Department of Transportation drug test. This approach allows a comprehensive assessment of the driver’s drug use history without the implications or requirements associated with a DOT drug test. Non-DOT drug tests can be more flexible in terms of the substances tested and can provide a broader view of the driver's substance use patterns. This can be crucial as it helps in forming a complete understanding of the driver's situation and ensures that public safety is upheld. It's important to note that while the other options suggest various steps that could be taken, requesting a non-DOT test directly addresses the need for further investigation into potential undisclosed drug use without the immediate legal implications of a DOT-related procedure. This allows for a more nuanced approach to the evaluation, enabling the examiner to gather necessary information to make an informed decision regarding the driver’s fitness to operate a commercial vehicle.