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DOT Certification Exam – Newest 2026 Actual Exam Questions and Correct Verified Answers

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Pass the DOT Certification Exam (NRCME) on your first attempt with this newest 2026 actual exam set featuring verified correct answers. Covers FMCSA medical certification standards (49 CFR 391.41), hypertension stages 1-3 (certification intervals: 1-year, 3-month, 6-month, disqualification at 180/110), diabetes ITDM requirements (49 CFR 391.46, severe hypoglycemia definition), cardiovascular conditions (MI 2-month wait, PCI 1 week, CABG 3 months with ETT after 5 years, pacemaker 1 month, ICD disqualifying, LVEF ≥40%, unstable angina disqualifying), arrhythmias (SVT, afib, WPW certify 1 month stabilized), cardiac disqualifying conditions (HCM, long QT, Brugada), respiratory (FEV1 65% triggers ABG, supplemental O2 disqualifying, OSA parameters BMI35, CPAP 1 month), pulmonary hypertension disqualifying if PaO2 65 or symptomatic, hearing (forced whisper test 5 feet, audiometric 40 dB average), vision (20/40 each eye, 70° horizontal, color recognition, monocular disqualifying with exemption, telescopic lenses disqualifying), neurological (seizure waiting periods 5-10 years off meds, TIA 1 year, stroke 1-5 years, TBI 2-5 years, severe TBI disqualifying, epilepsy 10 years seizure-free, peripheral neuropathy disqualifying with appeal, MS/parkinsonism/ALS disqualifying), sleep apnea (MSLT, MWST, polysomnogram), mental health (depression with SI 6 months, severe depression/suicide/mania 1 year, schizophrenia disqualifying, stimulants disqualifying unless for ADHD), substance abuse (methadone always disqualifying, marijuana Schedule I), and return-to-drive timelines.

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Page 1 of 31




DOT CERTIFICATION EXAM
QUESTIONS AND CORRECT
VERIFIED ANSWERS LATEST EXAM
UPDATE



What is driver has pulmonary htn? - ✔✔✔ Correct Answer > dq



Define pulmonary htn - ✔✔✔ Correct Answer > pap > 50% systemic bp



Arrhythmia - what to do? - ✔✔✔ Correct Answer > if stabilized, can certify
for up to one year



High risk for chd - ✔✔✔ Correct Answer > certify for one year



Major predictor of chd is: - ✔✔✔ Correct Answer > lv function

,Page 2 of 31




Unstable angina - ✔✔✔ Correct Answer > dq if sx within last 3 months



Stable angina - ✔✔✔ Correct Answer > one year stabilization if no at rest
chest pain or change in pattern.



Pci - ✔✔✔ Correct Answer > driver must have satisfactory ett within 3-
6 months, then can certify for 1 year



Cabg - ✔✔✔ Correct Answer > wait three months, satisfactory ett, then certify
for one year



Post pci, there is bruising - ✔✔✔ Correct Answer > can't certify until fully
healed



Mi waiting period? - ✔✔✔ Correct Answer > 2 months



Post cabg ett testing? - ✔✔✔ Correct Answer > yearly ett after 5 years

,Page 3 of 31




When to certify a driver on warfarin? - ✔✔✔ Correct Answer > stabilized, inr
monthly monitored, on warfarin for over a month




What neurological disorders can be appealed for certification? -
✔✔✔ Correct Answer > ms, peripheral neuropathies, nmj, myopathy,
parkinsonism, cerebellar degeneration/ataxia



Driver has has. When to dq? - ✔✔✔ Correct Answer > on benzos,
barbiturates, codeine, propoxyphene, narcotics, analgesics combining
sedative & antihistamine, case by case with antihistamines alone



Driver had a single unprovoked seizure - ✔✔✔ Correct Answer > certify
when seizure free and off anticonvulsants for 5 years



Seizure after mild insult to brain - ✔✔✔ Correct Answer > wait 1 year



Stroke without risk of seizure - ✔✔✔ Correct Answer > wait one year
Hemorrhage without risk of seizure - ✔✔✔ Correct Answer > wait 1 year

, Page 4 of 31




Moderate insult without early seizures or mild insult with early seizures -
✔✔✔ Correct Answer > wait 2 years



Moderate insult with early seizures, stroke with risk factors for seizure,
hemorrhage with risk of seizure - ✔✔✔ Correct Answer > wait 5 years



Severe brain insult - ✔✔✔ Correct Answer > dq



Hx of epilepsy - ✔✔✔ Correct Answer > seizure free and no anticonvulsants
for 10 years



Which nyha classes are dqed - ✔✔✔ Correct Answer > ii, iii, iv



Ett - workload over how many mets? What % predicted max hr?
Sbp rise in how many mmhg? - ✔✔✔ Correct Answer > 6 mets, 85%
predicted hr, rise in 20mmhg sbp...all without angina or st elevation

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