DRE Risk Assessment & Management 3

Question 1

Under the DRE framework, which drug category poses the greatest risk of lethal hyperthermia combined with cardiovascular collapse?

Accepted Answer

CNS stimulants (particularly methamphetamine)

Answer

CNS stimulants, especially methamphetamine, can elevate body temperature to fatal levels while simultaneously causing cardiac arrhythmias.

Question 2

A DRE officer is assessing a suspect who is combative and has been restrained in a prone position for 10 minutes. The highest risk from this restraint posture is:

Accepted Answer

Positional asphyxia leading to death

Answer

Prone restraint restricts chest expansion and diaphragm movement, causing positional asphyxia, especially in excited delirium subjects.

Question 3

Which DRE step most directly assesses risk of CNS stimulant-induced stroke?

Accepted Answer

Vital signs (blood pressure measurement)

Answer

Dangerously elevated blood pressure from stimulant use is a primary stroke risk factor, making BP measurement the most direct assessment.

Question 4

When risk-stratifying a DRE subject, which finding is least consistent with low-risk classification?

Accepted Answer

Blood pressure of 182/118 with agitation

Answer

Hypertension above 180/110 combined with agitation represents a medical emergency and cannot be classified as low risk.

Question 5

A DRE candidate learns that dissociative anesthetics like PCP can cause sudden re-emergence reactions hours after initial dosing. This knowledge affects risk management by:

Accepted Answer

Requiring extended monitoring and informing custody staff of re-emergence risk

Answer

PCP re-emergence can trigger violent or psychotic behavior hours post-dose, so custody staff must be warned and the subject monitored continuously.

(DRE) Drug Recognition Expert Certification Practice Test

(DRE) Drug Recognition Expert Certification Practice Test

DRE Risk Assessment & Management 3