DOT MEDICAL EXAMINER CERIFICATION
EXAM 2026-2027 QUESTIONS AND
ANSWERS GRADED A+
What are 3 neurologic conditions that are always disqualifying?
-myotonia
-Isaac's syndrome
-stiff person syndrome
What 3 factors are considered as part of the Council for Psychiatric Disease and
Commercial Driving?
-psychopharmacology
-counseling
-mental disorders
The sedative effects of psychotropic medications are compared to what blood
alcohol content?
-0.04
Which psychiatric condition is most likely to be disqualifying?
-schizophrenia
,What are the elements of the CAGE assessment?
-cut down (do you feel the need to?)
-annoyed (are you annoyed by the response of others?)
-guilt (do you feel guilty about drinking?)
-eye opener (do you need one?)
What should you do if a candidate is visibley drunk on exam?
-contact FMCSA or employer
-should not certify if you suspect alcoholism
Can you certify a driver who is actively in a 12-step or recovery program?
-yes!
When should you submit a candidate to drug/alcohol testing?
-not part of the standard DOT exam
-only performed if required by the employer or another regulatory agency
What is the 1st indication of diabetic nephropathy?
-persistent proteinuria on urine dipstick
-can certify for 2 years if etiology confirmed and treatment is safe and effective
,How often does a candidate with a hernia require examination?
-requires at least biennial medical exam
-must check for visceral/GU/abdominal hernia(s) on exam
-if painful they require further evaluation but can then be certified for up to 2 years
if appropriate
What should you do with a candidate who has abnormal urine dipstick findings?
-refer back to primary care for evaluation and treatment
Can you certify a candidate who is using medial marijuana?
-no!
What are the 3 points of contact when entering/exiting a cab?
-hands
-arms
-leg
What is the minimum passing grip strength required when using a dynamometer?
-58 lbs
-26.3 kgs
, Can those with peripheral neuropathy be certified?
-do not certify!
-inform the patient they can submit an appeal which will require evaluation by a
physiatrist or neurologist
Can those with autonomic neuropathy be certified?
-if they have resting tachycardia do not certify!
-if no resting tachycardia they can be certified for up to 2 years once etiology is
confirmed and treatment is safe/effective
Can those who are taking nitroglycerin be certified?
-only if angina is stable
-requires cardiology evaluation
Can those with menieres disease be certified?
-no!
What should you do with a candidate who is using a disqualifying medication?
-refer back to primary care
EXAM 2026-2027 QUESTIONS AND
ANSWERS GRADED A+
What are 3 neurologic conditions that are always disqualifying?
-myotonia
-Isaac's syndrome
-stiff person syndrome
What 3 factors are considered as part of the Council for Psychiatric Disease and
Commercial Driving?
-psychopharmacology
-counseling
-mental disorders
The sedative effects of psychotropic medications are compared to what blood
alcohol content?
-0.04
Which psychiatric condition is most likely to be disqualifying?
-schizophrenia
,What are the elements of the CAGE assessment?
-cut down (do you feel the need to?)
-annoyed (are you annoyed by the response of others?)
-guilt (do you feel guilty about drinking?)
-eye opener (do you need one?)
What should you do if a candidate is visibley drunk on exam?
-contact FMCSA or employer
-should not certify if you suspect alcoholism
Can you certify a driver who is actively in a 12-step or recovery program?
-yes!
When should you submit a candidate to drug/alcohol testing?
-not part of the standard DOT exam
-only performed if required by the employer or another regulatory agency
What is the 1st indication of diabetic nephropathy?
-persistent proteinuria on urine dipstick
-can certify for 2 years if etiology confirmed and treatment is safe and effective
,How often does a candidate with a hernia require examination?
-requires at least biennial medical exam
-must check for visceral/GU/abdominal hernia(s) on exam
-if painful they require further evaluation but can then be certified for up to 2 years
if appropriate
What should you do with a candidate who has abnormal urine dipstick findings?
-refer back to primary care for evaluation and treatment
Can you certify a candidate who is using medial marijuana?
-no!
What are the 3 points of contact when entering/exiting a cab?
-hands
-arms
-leg
What is the minimum passing grip strength required when using a dynamometer?
-58 lbs
-26.3 kgs
, Can those with peripheral neuropathy be certified?
-do not certify!
-inform the patient they can submit an appeal which will require evaluation by a
physiatrist or neurologist
Can those with autonomic neuropathy be certified?
-if they have resting tachycardia do not certify!
-if no resting tachycardia they can be certified for up to 2 years once etiology is
confirmed and treatment is safe/effective
Can those who are taking nitroglycerin be certified?
-only if angina is stable
-requires cardiology evaluation
Can those with menieres disease be certified?
-no!
What should you do with a candidate who is using a disqualifying medication?
-refer back to primary care
