If a driver reports episodic chest pain and is under treatment, what is the appropriate action?

In cases where a driver reports episodic chest pain and is under treatment, it is crucial to prioritize safety and health status. Disqualifying the driver until further evaluation is the most appropriate action because chest pain can be indicative of potentially serious underlying cardiovascular conditions. This cautious approach ensures that the driver undergoes a thorough assessment to ascertain the cause of the chest pain, the effectiveness of the treatment, and any possible impact on their ability to safely operate a commercial vehicle.

The other options lack adequate caution given the undefined nature of the chest pain. Certifying for a full term of 2 years does not allow for sufficient evaluation of the driver's health status and could endanger public safety. Referring for stress testing may be a necessary step, but it does not directly address the immediate safety concern; it might still leave the driver operating a vehicle without a complete understanding of their condition. Certifying for 1 year with monitoring would also not be sufficient given the potential risks involved, as the episodic nature of the symptoms warrants a more immediate and comprehensive evaluation before any certification can be considered. Thus, disqualification until further evaluation is the best course of action to ensure safety and compliance with medical standards.