DOT EXAM COMPLETE 2026 TEST WITH LATEST UPDATED QUESTIONS
AND ANSWERS
Upon examination of a 46 y/o male smoker, you detect an irregularly irregular heart rythm. The rate is
140 bpm. This is unknown to the driver and he denies any symptoms of lightheadedness, shortness of
breath, dizziness, palpitations, nor any cardiac history. You would: - CORRECT ANSWER✅✅Disqualify
and refer to his PMD or cardiologist for further evaluation.
Concerning the medical certificate, which is false? - CORRECT ANSWER✅✅Provide the original to the
driver being examined. Retain a copy for at least 3 years.
You may not provide a copy to the current or prospective employer, they must get it from the driver.
The driver must carry the original certificate during operation of a CMV.
How soon may a driver be certified after coronary artery bypass grafting (CABG) surgery? - CORRECT
ANSWER✅✅3 months with clearance by cardiologist, resting echocardiogram with an LVEF >40% after
CABG, and asymptomatic status with no angina.
FMCSA defines a severe hypoglycemic reaction as one that results in: - CORRECT ANSWER✅✅Need of
assistance from another person, loss of consciousness, any period of impaired cognitive function that
occurs without warning, or seizure
Medical fitness for duty includes the ability to perform strenuous labor and to have good judgment,
impulse control, and _____________________. - CORRECT ANSWER✅✅Problem solving skills
All of the following may perform and certify vision test results except: - CORRECT ANSWER✅✅A
chiropractor
Ophthalmologist
Optometrist
or Registered Nurse
The grace period for the expiration of a Medical Examiner's Certification is - CORRECT
ANSWER✅✅There is no grace period, the certification expires at midnight on the date listed
, A 28 year old female presents for her CDL physical exam. She indicates she has been enrolled in a
Methadone program for three months secondary to a previous substance abuse issue in the recent past.
She presents a letter from the administrator of the program documenting her compliance with the
program and absence of any history of prior violations of their agreement. According to medical
guidance, can a driver be certified while taking methadone. - CORRECT ANSWER✅✅No, since
Methadone is a habit-forming narcotic that can produce drug dependence. Methadone is not an
allowable drug for CMV operators.
Arriving for a recertification exam, a 48 y/o male non-smoker is 5'4", 275lbs. His supervisor calls you
ahead of time stating he recently went off the side of the road crashing into a guard rail. There were no
injuries and the truck sustained only minor damage. When the medical assistant goes to bring him back,
he is found asleep, snoring in the waiting room and she needs to wake him by gently shaking him by the
shoulder. She reports this to you. When you arrive in the exam room the patient appears to be nodding
off while sitting on the exam table. Upon further questioning, he admits that his wife frequently elbows
him because of his snoring and that he gasps and snorts in his sleep. When asked, he denies nodding off
while driving. His exam is notable for obesity, Mallampati 4 oropharynx, HTN controlled with 2
medications, otherwise normal. Appropriate next steps: - CORRECT ANSWER✅✅Disqualify and refer to
PMD for sleep study.
You examine a 37 male driver with missing fingers on his left hand, you must evaluate and do all of the
following, - CORRECT ANSWER✅✅Document the effect that the deficit has on the ability of the driver
to safely operate a CMV Provide a copy of the Medical Examination Report form and medical examiner's
certificate for an SPE initial or renewal application Ensure that the driver with an existing SPE certificate
is complying with medical requirements
You examine a 37 male driver with missing fingers on his left hand, you must evaluate and obtained
Obtain approval from the primary care doctor - CORRECT ANSWER✅✅no
When you perform a urinalysis (dip stick) test, you are to test for what? - CORRECT ANSWER✅✅Specific
gravity, protein (proteinuria), blood (hematuria) and glucose (glycosuria)
Commercial drivers have a greater propensity to develop hypertension than their peers in other
professions. - CORRECT ANSWER✅✅true
AND ANSWERS
Upon examination of a 46 y/o male smoker, you detect an irregularly irregular heart rythm. The rate is
140 bpm. This is unknown to the driver and he denies any symptoms of lightheadedness, shortness of
breath, dizziness, palpitations, nor any cardiac history. You would: - CORRECT ANSWER✅✅Disqualify
and refer to his PMD or cardiologist for further evaluation.
Concerning the medical certificate, which is false? - CORRECT ANSWER✅✅Provide the original to the
driver being examined. Retain a copy for at least 3 years.
You may not provide a copy to the current or prospective employer, they must get it from the driver.
The driver must carry the original certificate during operation of a CMV.
How soon may a driver be certified after coronary artery bypass grafting (CABG) surgery? - CORRECT
ANSWER✅✅3 months with clearance by cardiologist, resting echocardiogram with an LVEF >40% after
CABG, and asymptomatic status with no angina.
FMCSA defines a severe hypoglycemic reaction as one that results in: - CORRECT ANSWER✅✅Need of
assistance from another person, loss of consciousness, any period of impaired cognitive function that
occurs without warning, or seizure
Medical fitness for duty includes the ability to perform strenuous labor and to have good judgment,
impulse control, and _____________________. - CORRECT ANSWER✅✅Problem solving skills
All of the following may perform and certify vision test results except: - CORRECT ANSWER✅✅A
chiropractor
Ophthalmologist
Optometrist
or Registered Nurse
The grace period for the expiration of a Medical Examiner's Certification is - CORRECT
ANSWER✅✅There is no grace period, the certification expires at midnight on the date listed
, A 28 year old female presents for her CDL physical exam. She indicates she has been enrolled in a
Methadone program for three months secondary to a previous substance abuse issue in the recent past.
She presents a letter from the administrator of the program documenting her compliance with the
program and absence of any history of prior violations of their agreement. According to medical
guidance, can a driver be certified while taking methadone. - CORRECT ANSWER✅✅No, since
Methadone is a habit-forming narcotic that can produce drug dependence. Methadone is not an
allowable drug for CMV operators.
Arriving for a recertification exam, a 48 y/o male non-smoker is 5'4", 275lbs. His supervisor calls you
ahead of time stating he recently went off the side of the road crashing into a guard rail. There were no
injuries and the truck sustained only minor damage. When the medical assistant goes to bring him back,
he is found asleep, snoring in the waiting room and she needs to wake him by gently shaking him by the
shoulder. She reports this to you. When you arrive in the exam room the patient appears to be nodding
off while sitting on the exam table. Upon further questioning, he admits that his wife frequently elbows
him because of his snoring and that he gasps and snorts in his sleep. When asked, he denies nodding off
while driving. His exam is notable for obesity, Mallampati 4 oropharynx, HTN controlled with 2
medications, otherwise normal. Appropriate next steps: - CORRECT ANSWER✅✅Disqualify and refer to
PMD for sleep study.
You examine a 37 male driver with missing fingers on his left hand, you must evaluate and do all of the
following, - CORRECT ANSWER✅✅Document the effect that the deficit has on the ability of the driver
to safely operate a CMV Provide a copy of the Medical Examination Report form and medical examiner's
certificate for an SPE initial or renewal application Ensure that the driver with an existing SPE certificate
is complying with medical requirements
You examine a 37 male driver with missing fingers on his left hand, you must evaluate and obtained
Obtain approval from the primary care doctor - CORRECT ANSWER✅✅no
When you perform a urinalysis (dip stick) test, you are to test for what? - CORRECT ANSWER✅✅Specific
gravity, protein (proteinuria), blood (hematuria) and glucose (glycosuria)
Commercial drivers have a greater propensity to develop hypertension than their peers in other
professions. - CORRECT ANSWER✅✅true
