Which of the following lab values is abnormal and potentially disqualifying?

Prepare for the DOT Medical Examiner Recertification Exam. Utilize quizzes and flashcards with detailed explanations to enhance understanding and readiness. Ensure your path to success!

An HbA1c level of 11% is indeed abnormal and potentially disqualifying for a commercial driver. This value indicates poorly controlled diabetes over the preceding two to three months. Generally, an HbA1c level above 10% suggests a significant risk of complications such as neuropathy, retinopathy, or cardiovascular issues, which can impair a driver's ability to operate a commercial vehicle safely.

Hematocrit at 40% is considered within the normal range for healthy adults and does not typically raise concern for disqualifying health issues. An AST/SGOT level of 30 mg/ml also falls within normal limits for liver function, indicating no immediate risk for disqualification. The ESR value of 12 mm/hr is generally considered normal and is used to assess inflammation or other medical conditions, which do not disqualify a driver in the absence of significant clinical findings. Thus, the HbA1c level is the only marker here suggesting a serious health issue that could interfere with the safe operation of a vehicle.

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