CME Certified Federal Medical Examiner

Category - Risk Assessment

A potential driver is examined and is shown to have a blood pressure of 165/90. What is the next step for the medical examiner in this instance?
  1. Immediately disqualify the driver
  2. Encourage the driver to admit themselves to the ER
  3. Document the driver’s blood pressure with FMCSA
  4. Perform a second measurement of the driver’s blood pressure later in the exam
Explanation
Answer: D - Confirm BP greater than 140/90 with a second measurement performed later during the exam

In the event that a driver is shown to have a BP over 140/90, a second measurement should be taken later in the exam. An initially high BP can be due to multiple factors. It could be due to problems with the technique of the examiner, “white coat syndrome,” or numerous other factors.
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