DOT MEDICAL EXAM FMCSA QUESTIONS WITH VERIFIED
ANSWERS 2026/2027 || COMMERCIAL DRIVER MEDICAL
CERTIFICATION || PHYSICAL QUALIFICATION STANDARDS
|| SAFETY & COMPLIANCE REVIEW || COMPLETE
PRACTICE QUESTION BANK || HIGH-YIELD STUDY GUIDE ||
ACCURATE & VERIFIED ANSWERS || GRADED A+
The driver presents with a SPE Certificate. The Medical Examiner's next step
should be: - CORRECT ANSWER -Proceed with the examination.
A 21-year-old driver presents with a history of ADHD for 10 years, taking
stable dosing of Adderall. He describes no side effects. Which of the following
is true?
a. A significant percentage of individuals with adult ADHD show a moderate to
marked degree of improvement on central nervous system stimulant medication.
b. ADHD is a disqualifying condition.
c. Adderall is a Schedule 1 drug.
d. Medical Examiners should test for serum drug levels of Adderall. -
CORRECT ANSWER -A significant percentage of individuals with adult
ADHD show a moderate to marked degree of improvement on central nervous
system stimulant medication
Which of the following is the most important examination finding that requires
additional evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
d. Verruca vulgaris. - CORRECT ANSWER -Palpable calf cords
The driver reports taking Digoxin. What findings would raise the most
significant concerns regarding certification?
,a. Arrhythmias.
b. Anorexia.
c. Nausea and vomiting.
d. Diarrhea. - CORRECT ANSWER -Arrhythmias.
The driver is taking theophylline. Which of the following is not true?
a. Serum levels may be checked.
b. The primary indication for theophylline is in the treatment of neurological
conditions.
c. Cardiac toxicity is a significant risk of theophylline use.
d. Theophylline can be administered orally or intravenously (IV - CORRECT
ANSWER -The primary indication for theophylline is in the treatment of
neurological conditions.
The driver is taking Celexa and melatonin. The Medical Examiner should:
a. Advise the driver to only take these medications more than 12 hours before
driving.
b. Advise the driver to stop melatonin as it can cause drowsiness.
c. Recommend an alternative to Celexa.
d. Advise the driver to discuss benzodiazepines as an alternative treatment. with
the driver's prescribing provider - CORRECT ANSWER -Advise the driver
to only take these medications more than 12 hours before driving.
The driver tells the Medical Examiner he has recently been prescribed contact
lenses. He notes that after 3-4 hours of use the contacts cause irritation and he
has to take them out. The driver passes the vision test only with contacts and
does not have eyeglasses. The Medical Examiner should:
a. Advise the driver to carry a spare pair of contact lenses.
,b. Certify the driver wearing corrective lenses.
c. Refer the driver for evaluation under the Alternative Vision Qualification
standard.
d. Certify the driver without qualifications - CORRECT ANSWER -Certify
the driver wearing corrective lenses.
The driver does not indicate any medical conditions on health history. During
the exam the Medical Examiner notes the presence of a hearing aid in one ear.
The driver says that he doesn't need the hearing aid to drive and doesn't think it
should be required. The next step for the Medical Examiner is:
a. Test the driver's hearing without the hearing aid.
b. Examine the driver's ears.
c. Refer the driver for hearing assessment by a specialist with specialized
audiometric testing capabilities for testing drivers while wearing a hearing aid.
d. Certify the driver with the qualification "wearing hearing aid - CORRECT
ANSWER -Test the driver's hearing without the hearing aid.
A driver has an indication for obtaining a cardiac stress test. If the driver is not
taking a beta blocker, what is the percentage of maximum heart rate that the
driver should meet to indicate a satisfactory stress test:
a. 60%.
b. 75%.
c. 85%.
d. 100%. - CORRECT ANSWER -85%
The driver is missing the 4th finger of his right hand. The Medical Examiner
should:
, a. Refer for orthopedic evaluation.
b. Indicate the driver will need a SPE Certificate.
c. Test the driver's grasp and prehension.
d. Disqualify the driver - CORRECT ANSWER -Test the driver's grasp and
prehension.
The driver describes a history of dizzy spells. Which examination finding is not
indicated?
a. Test the driver for nystagmus.
b. Romberg testing.
c. Orthostatic blood pressure measurements.
d. Liver and spleen palpation - CORRECT ANSWER -Liver and spleen
palpation
Guidance (not regulatory) recommendations are that drivers with dizziness or
vertigo should not be qualified until the driver has achieved a 2-month symptom
free interval regardless of examination findings.
Vision testing may be performed by:
a. The Medical Examiner, an optometrist, or ophthalmologist.
b. Only an ophthalmologist.
c. Only the Medical Examiner.
d. Only an optometrist - CORRECT ANSWER -The Medical Examiner, an
optometrist, or ophthalmologist
The driver has 1,000 ng/ml of glucose on urinalysis. What is the next
appropriate step for the Medical Examiner?
ANSWERS 2026/2027 || COMMERCIAL DRIVER MEDICAL
CERTIFICATION || PHYSICAL QUALIFICATION STANDARDS
|| SAFETY & COMPLIANCE REVIEW || COMPLETE
PRACTICE QUESTION BANK || HIGH-YIELD STUDY GUIDE ||
ACCURATE & VERIFIED ANSWERS || GRADED A+
The driver presents with a SPE Certificate. The Medical Examiner's next step
should be: - CORRECT ANSWER -Proceed with the examination.
A 21-year-old driver presents with a history of ADHD for 10 years, taking
stable dosing of Adderall. He describes no side effects. Which of the following
is true?
a. A significant percentage of individuals with adult ADHD show a moderate to
marked degree of improvement on central nervous system stimulant medication.
b. ADHD is a disqualifying condition.
c. Adderall is a Schedule 1 drug.
d. Medical Examiners should test for serum drug levels of Adderall. -
CORRECT ANSWER -A significant percentage of individuals with adult
ADHD show a moderate to marked degree of improvement on central nervous
system stimulant medication
Which of the following is the most important examination finding that requires
additional evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
d. Verruca vulgaris. - CORRECT ANSWER -Palpable calf cords
The driver reports taking Digoxin. What findings would raise the most
significant concerns regarding certification?
,a. Arrhythmias.
b. Anorexia.
c. Nausea and vomiting.
d. Diarrhea. - CORRECT ANSWER -Arrhythmias.
The driver is taking theophylline. Which of the following is not true?
a. Serum levels may be checked.
b. The primary indication for theophylline is in the treatment of neurological
conditions.
c. Cardiac toxicity is a significant risk of theophylline use.
d. Theophylline can be administered orally or intravenously (IV - CORRECT
ANSWER -The primary indication for theophylline is in the treatment of
neurological conditions.
The driver is taking Celexa and melatonin. The Medical Examiner should:
a. Advise the driver to only take these medications more than 12 hours before
driving.
b. Advise the driver to stop melatonin as it can cause drowsiness.
c. Recommend an alternative to Celexa.
d. Advise the driver to discuss benzodiazepines as an alternative treatment. with
the driver's prescribing provider - CORRECT ANSWER -Advise the driver
to only take these medications more than 12 hours before driving.
The driver tells the Medical Examiner he has recently been prescribed contact
lenses. He notes that after 3-4 hours of use the contacts cause irritation and he
has to take them out. The driver passes the vision test only with contacts and
does not have eyeglasses. The Medical Examiner should:
a. Advise the driver to carry a spare pair of contact lenses.
,b. Certify the driver wearing corrective lenses.
c. Refer the driver for evaluation under the Alternative Vision Qualification
standard.
d. Certify the driver without qualifications - CORRECT ANSWER -Certify
the driver wearing corrective lenses.
The driver does not indicate any medical conditions on health history. During
the exam the Medical Examiner notes the presence of a hearing aid in one ear.
The driver says that he doesn't need the hearing aid to drive and doesn't think it
should be required. The next step for the Medical Examiner is:
a. Test the driver's hearing without the hearing aid.
b. Examine the driver's ears.
c. Refer the driver for hearing assessment by a specialist with specialized
audiometric testing capabilities for testing drivers while wearing a hearing aid.
d. Certify the driver with the qualification "wearing hearing aid - CORRECT
ANSWER -Test the driver's hearing without the hearing aid.
A driver has an indication for obtaining a cardiac stress test. If the driver is not
taking a beta blocker, what is the percentage of maximum heart rate that the
driver should meet to indicate a satisfactory stress test:
a. 60%.
b. 75%.
c. 85%.
d. 100%. - CORRECT ANSWER -85%
The driver is missing the 4th finger of his right hand. The Medical Examiner
should:
, a. Refer for orthopedic evaluation.
b. Indicate the driver will need a SPE Certificate.
c. Test the driver's grasp and prehension.
d. Disqualify the driver - CORRECT ANSWER -Test the driver's grasp and
prehension.
The driver describes a history of dizzy spells. Which examination finding is not
indicated?
a. Test the driver for nystagmus.
b. Romberg testing.
c. Orthostatic blood pressure measurements.
d. Liver and spleen palpation - CORRECT ANSWER -Liver and spleen
palpation
Guidance (not regulatory) recommendations are that drivers with dizziness or
vertigo should not be qualified until the driver has achieved a 2-month symptom
free interval regardless of examination findings.
Vision testing may be performed by:
a. The Medical Examiner, an optometrist, or ophthalmologist.
b. Only an ophthalmologist.
c. Only the Medical Examiner.
d. Only an optometrist - CORRECT ANSWER -The Medical Examiner, an
optometrist, or ophthalmologist
The driver has 1,000 ng/ml of glucose on urinalysis. What is the next
appropriate step for the Medical Examiner?
