DOT EXAM QUESTIONS WITH 100% VERIFIED
SOLUTIONS| UPDATED 2026/2027|
The rise in hypertension prevalence is unrelated to age, increase in body mass or
physical inactivity. - ANSWER -false
The FMCSA Medical Examination Report includes: - ANSWER -Health
questionnaire and Physical examination
For CMV drivers, "Medical fitness for duty" - ANSWER -includes the ability to
perform the specific tasks related to driving the vehicle and strenuous labor
Drivers with hearing aids: - ANSWER -May use hearing aids to undergo the
forced whisper test.
Vision acuity is measured in - ANSWER -In each eye separately, and together
and if corrective lens are worn, both with and without corrective lens
Periodic monitoring can only be for either 3, 6 or 12 months. - ANSWER -false
You must write the reason for periodic monitoring on the certification section of
the examination form.The expiration date is calculated from the original exam
date, not any follow up exam dates. You are never required to certify for an
interval longer than would be necessary to adequately monitor a driver's medical
fitness for duty. - ANSWER -true
A 50 y/o male smoker had a percutaneous coronary intervention procedure 2
weeks ago after an abnormal stress test. He is asymptomatic, stage 2 HTN
controlled on ramapril and labetolol. You determine: - ANSWER -Certify six
months. Advise to have ETT before 6 month follow up. If he remains stable with a
normal ETT, certify for one year.
Is kidney dialysis is disqualifying - ANSWER -true
, Exercise stress tests after CABG should be obtained: - ANSWER -In 5 years, then
annually thereafter.
Which of the following is true regarding the Medical Examination Certificate? -
ANSWER -The medical examiner completes the certificate and provides a copy to
the driver and a copy to the employer.
A driver with insulin dependent diabetes must do - ANSWER -Obtain an
assessment by his/her treating physician, who will complete form MCSA-58870.
Produce a 3 month electronic report from their blood glucose device. The driver
must not have the complication of severe non-proliferative diabetic retinopathy or
proliferative diabetic retinopathy.
regarding retinopathy - ANSWER -Carcinoma-associated retinopathy is
characterized by slow onset of blindness caused by retinal degeneration, usually of
photoreceptors.
The most common cause of retinopathy is diabetes mellitus.
Guidelines for diabetics include an annual optometrist or ophthalmologist
examination.
EDS may also be a symptom of these underlying conditions - ANSWER -
Neurological disease, Depression and medication side effects prescription and
OTC
A 36 y/o non-smoker male driver with a history of asthma comes for a new
certification. He has an albuterol inhaler which he uses only as needed. He states
for the past two weeks he has had an upper respiratory infection with coughing,
mild clear sputum production, and mild wheezing and shortness of breath. He has
been using his inhaler 3-4 times a day and used it about an hour before this
examination. Upon examination he is in NAD, afebrile, coughs occasionally.
BP=136/84, P= 98, R=24. Chest examination reveals normal heart sounds and mild
diffuse bilateral expiratory wheezing with slightly prolonged expiratory phase.
Appropriate next steps would be: - ANSWER -Order a pulmonary function test. If
FEV1 <65%, order ABGs. If PaO2 <65%, disqualify.
, Upon examination for a recertification of an asymptomatic 64 y/o male smoker
you note a pulsatile abdominal mass. Proper determination is: - ANSWER -
Disqualify pending cardiovascular consultation and abdominal CT/ultrasound
results.
Four of the 13 Federal Motor Carrier Regulations or Standards are non-
discretionary, with objective criteria not requiring decision making by the
examiner. Which are the 4 standards? - ANSWER -Vision, Hearing, Diabetes
Mellitus and Epilepsy
A 48 y/o female smoker was discharged from the hospital two weeks prior to
recertification examination with a diagnosis of DVT and is taking coumadin. She
has not yet followed up with her physician. She brings no medical records with
her. You would: - ANSWER -Disqualify until 1 month waiting period, stable INR
results.
A commercial driver with a diagnosis of hypersensitivity pneumonitis: -
ANSWER -Should avoid transporting the causative agent.
hypersensitivity pneumonitis: - ANSWER -CXR shows interstitial disease.
A 55 y/o male smoker for recertification has had chest pain on three occasions in
the last 6 weeks, walking his dog in 23 degree weather, moving logs from his yard
in to his fireplace in cold weather, and during intercourse. He saw the cardiologist
who gave him a stress test. He wasn't sure of the results, but said the cardiologist
thought he had angina, put him on NTG pills, told him he could drive but not do
anything too strenuous and maybe wants him to have additional testing, but he had
to get back on the road. He is asymptomatic, the last episode of chest pain having
been 2 weeks ago. You request the ETT results from the cardiologist which was
inconclusive. Your determination: - ANSWER -The driver has unstable angina,
disqualified pending additional testing.
The Federal Motor Carrier Safety Administration requires which of the following
specific test for assessing grip power. - ANSWER -The FMCSA does not require
any specific test
SOLUTIONS| UPDATED 2026/2027|
The rise in hypertension prevalence is unrelated to age, increase in body mass or
physical inactivity. - ANSWER -false
The FMCSA Medical Examination Report includes: - ANSWER -Health
questionnaire and Physical examination
For CMV drivers, "Medical fitness for duty" - ANSWER -includes the ability to
perform the specific tasks related to driving the vehicle and strenuous labor
Drivers with hearing aids: - ANSWER -May use hearing aids to undergo the
forced whisper test.
Vision acuity is measured in - ANSWER -In each eye separately, and together
and if corrective lens are worn, both with and without corrective lens
Periodic monitoring can only be for either 3, 6 or 12 months. - ANSWER -false
You must write the reason for periodic monitoring on the certification section of
the examination form.The expiration date is calculated from the original exam
date, not any follow up exam dates. You are never required to certify for an
interval longer than would be necessary to adequately monitor a driver's medical
fitness for duty. - ANSWER -true
A 50 y/o male smoker had a percutaneous coronary intervention procedure 2
weeks ago after an abnormal stress test. He is asymptomatic, stage 2 HTN
controlled on ramapril and labetolol. You determine: - ANSWER -Certify six
months. Advise to have ETT before 6 month follow up. If he remains stable with a
normal ETT, certify for one year.
Is kidney dialysis is disqualifying - ANSWER -true
, Exercise stress tests after CABG should be obtained: - ANSWER -In 5 years, then
annually thereafter.
Which of the following is true regarding the Medical Examination Certificate? -
ANSWER -The medical examiner completes the certificate and provides a copy to
the driver and a copy to the employer.
A driver with insulin dependent diabetes must do - ANSWER -Obtain an
assessment by his/her treating physician, who will complete form MCSA-58870.
Produce a 3 month electronic report from their blood glucose device. The driver
must not have the complication of severe non-proliferative diabetic retinopathy or
proliferative diabetic retinopathy.
regarding retinopathy - ANSWER -Carcinoma-associated retinopathy is
characterized by slow onset of blindness caused by retinal degeneration, usually of
photoreceptors.
The most common cause of retinopathy is diabetes mellitus.
Guidelines for diabetics include an annual optometrist or ophthalmologist
examination.
EDS may also be a symptom of these underlying conditions - ANSWER -
Neurological disease, Depression and medication side effects prescription and
OTC
A 36 y/o non-smoker male driver with a history of asthma comes for a new
certification. He has an albuterol inhaler which he uses only as needed. He states
for the past two weeks he has had an upper respiratory infection with coughing,
mild clear sputum production, and mild wheezing and shortness of breath. He has
been using his inhaler 3-4 times a day and used it about an hour before this
examination. Upon examination he is in NAD, afebrile, coughs occasionally.
BP=136/84, P= 98, R=24. Chest examination reveals normal heart sounds and mild
diffuse bilateral expiratory wheezing with slightly prolonged expiratory phase.
Appropriate next steps would be: - ANSWER -Order a pulmonary function test. If
FEV1 <65%, order ABGs. If PaO2 <65%, disqualify.
, Upon examination for a recertification of an asymptomatic 64 y/o male smoker
you note a pulsatile abdominal mass. Proper determination is: - ANSWER -
Disqualify pending cardiovascular consultation and abdominal CT/ultrasound
results.
Four of the 13 Federal Motor Carrier Regulations or Standards are non-
discretionary, with objective criteria not requiring decision making by the
examiner. Which are the 4 standards? - ANSWER -Vision, Hearing, Diabetes
Mellitus and Epilepsy
A 48 y/o female smoker was discharged from the hospital two weeks prior to
recertification examination with a diagnosis of DVT and is taking coumadin. She
has not yet followed up with her physician. She brings no medical records with
her. You would: - ANSWER -Disqualify until 1 month waiting period, stable INR
results.
A commercial driver with a diagnosis of hypersensitivity pneumonitis: -
ANSWER -Should avoid transporting the causative agent.
hypersensitivity pneumonitis: - ANSWER -CXR shows interstitial disease.
A 55 y/o male smoker for recertification has had chest pain on three occasions in
the last 6 weeks, walking his dog in 23 degree weather, moving logs from his yard
in to his fireplace in cold weather, and during intercourse. He saw the cardiologist
who gave him a stress test. He wasn't sure of the results, but said the cardiologist
thought he had angina, put him on NTG pills, told him he could drive but not do
anything too strenuous and maybe wants him to have additional testing, but he had
to get back on the road. He is asymptomatic, the last episode of chest pain having
been 2 weeks ago. You request the ETT results from the cardiologist which was
inconclusive. Your determination: - ANSWER -The driver has unstable angina,
disqualified pending additional testing.
The Federal Motor Carrier Safety Administration requires which of the following
specific test for assessing grip power. - ANSWER -The FMCSA does not require
any specific test
