Page 1 of 86
DOT EXAM QUESTIONS NEWEST 2026 EXAM QUESTIONS
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
The driver reports a recent diagnosis of atrial fibrillation 6 weeks ago. He is
taking warfarin (Coumadin). What is the most appropriate next step for the
Medical Examiner?
a. Disqualify pending receipt of INR testing results.
b. Qualify for 1 year with monthly INR checks.
c. Qualify 3 months to assess INR stability.
d. Consider Determination Pending
Disqualify pending receipt of INR testing results
- Drivers who are on warfarin are required to have monthly INR checks. When
warfarin treatment is started, measurements of INR function should be required to
assure that INR treatment is therapeutic and stable. After this is established, FMCSA
guidance recommendations are for monthly INR testing
The driver gives a recent history of a right wrist fusion. Grip strength is 10# on
the right and 60# on the left. The most appropriate Medical Examiner next step
is:
a. Qualify the driver for 1 year.
b. Disqualify the driver.
c. Place the driver in Determination Pending and refer for an orthopedic
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evaluation.
d. Qualify the driver with a requirement that the driver wear a wrist brace
Disqualify the driver
The measured grip strength on the right is significant and likely to be functionally
impairing with respect to the many driver duties that require firm grasping.
The driver fails an Ishihara color test. The next step for the Medical Examiner
should:
a. Refer the driver for an ophthalmology evaluation.
b. Disqualify the driver.
c. Test the driver for the ability to recognize red, amber, and green.
d. Qualify the driver for 1 year.
Test the driver for the ability to recognize red, amber, and green
FMCSA requirements are that a driver is able to recognize the colors of a stoplight
(and warning signs): red, green, amber. An Ishihara test is a relatively sophisticated
color vision test and many drivers who fail an Ishihara test are able to still recognize
and distinguish between red, green, and amber
The driver describes a history of alcoholism last treated 2 years ago. He
denies alcohol use since that treatment. What is the most appropriate next
step for the Medical Examiner?
a. Refer the driver for evaluation by a substance abuse professional (SAP).
b. Perform an alcohol test.
c. Qualify the driver for 1 year.
d. Confirm that the driver was evaluated by a substance abuse professional
and has followed any follow-up recommendations made.
Confirm that the driver was evaluated by a substance abuse professional and has
followed any follow-up recommendations made.
The driver describes recent back pain and on examination the Medical
Examiner detects a bruit and pulsatile mass in the abdomen. The most
important next step for the Medical Examiner should be to:
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a. Document a probable aortic aneurysm and disqualify the driver.
b. Place the driver in Determination Pending.
c. Certify the driver for 1 year.
d. Recommend that the driver have an abdominal ultrasound
Document a probable aortic aneurysm and disqualify the driver
When audiometric testing is performed, what is the standard that should be
used?
a. ISO - International Organization for Standards.
b. ANSI - American National Standards Institute.
c. OSHA - Occupational Safety and Health Administration.
d. SDHE - Standard Diagnostic Hearing Evaluation.
ANSI - American National Standards Institute.
The driver has a history of a lumbar laminectomy. What finding would raise
concern?
a. Hip ROM.
b. Mild lumbar tenderness.
c. Positive Lasegue's sign.
d. Quadriceps stretch sign.
Positive Lasegue's sign
Lasegue's sign or straight leg raising test (SLRT) is a neurodynamic exam to assess
nerve root irritation in the lumbosacral area and it used to help identify the likelihood
of lumbar radiculopathy
The driver has a lipoma that is not impairing. The Medical Examiner should:
a. Refer the driver for surgical evaluation.
b. Place the driver in Determination Pending.
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c. Assess driving risk related to the lipoma.
d. Document the examination finding.
Document the examination finding.
The driver resides in Canada and does not have a US driver's license. What is
the Medical Examiner required to confirm?
a. Where the driver is domiciled.
b. The driver's identity.
c. The driver's application for a US driver's license.
d. The driver's international driver's license number.
The driver's identity
The driver has swollen tonsils. What is the Medical Examiner's best next
action?
a. Determine if the driver is under the care of an ENT specialist.
b. Treat the driver for infection.
c. Place the driver in Determination Pending.
d. Document abnormal findings and assess whether the condition affects the
driver's risk of gradual or sudden incapacitation.
Document abnormal findings and assess whether the condition affects the driver's
risk of gradual or sudden incapacitation.
The driver had a stroke 3 months ago. He has a medical clearance letter from a
neurologist to return to driving without restrictions. What is most important for
the Medical Examiner to consider?
a. The driver's physical examination findings.
b. Whether the neurologist is aware of the driving responsibilities of a
commercial motor vehicle driver.
c. The highest risk of stroke is within the first year of a prior stroke.
d. The State guidelines for return to driving after a stroke.
The highest risk of stroke is within the first year of a prior stroke
DOT EXAM QUESTIONS NEWEST 2026 EXAM QUESTIONS
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
The driver reports a recent diagnosis of atrial fibrillation 6 weeks ago. He is
taking warfarin (Coumadin). What is the most appropriate next step for the
Medical Examiner?
a. Disqualify pending receipt of INR testing results.
b. Qualify for 1 year with monthly INR checks.
c. Qualify 3 months to assess INR stability.
d. Consider Determination Pending
Disqualify pending receipt of INR testing results
- Drivers who are on warfarin are required to have monthly INR checks. When
warfarin treatment is started, measurements of INR function should be required to
assure that INR treatment is therapeutic and stable. After this is established, FMCSA
guidance recommendations are for monthly INR testing
The driver gives a recent history of a right wrist fusion. Grip strength is 10# on
the right and 60# on the left. The most appropriate Medical Examiner next step
is:
a. Qualify the driver for 1 year.
b. Disqualify the driver.
c. Place the driver in Determination Pending and refer for an orthopedic
, Page 2 of 86
evaluation.
d. Qualify the driver with a requirement that the driver wear a wrist brace
Disqualify the driver
The measured grip strength on the right is significant and likely to be functionally
impairing with respect to the many driver duties that require firm grasping.
The driver fails an Ishihara color test. The next step for the Medical Examiner
should:
a. Refer the driver for an ophthalmology evaluation.
b. Disqualify the driver.
c. Test the driver for the ability to recognize red, amber, and green.
d. Qualify the driver for 1 year.
Test the driver for the ability to recognize red, amber, and green
FMCSA requirements are that a driver is able to recognize the colors of a stoplight
(and warning signs): red, green, amber. An Ishihara test is a relatively sophisticated
color vision test and many drivers who fail an Ishihara test are able to still recognize
and distinguish between red, green, and amber
The driver describes a history of alcoholism last treated 2 years ago. He
denies alcohol use since that treatment. What is the most appropriate next
step for the Medical Examiner?
a. Refer the driver for evaluation by a substance abuse professional (SAP).
b. Perform an alcohol test.
c. Qualify the driver for 1 year.
d. Confirm that the driver was evaluated by a substance abuse professional
and has followed any follow-up recommendations made.
Confirm that the driver was evaluated by a substance abuse professional and has
followed any follow-up recommendations made.
The driver describes recent back pain and on examination the Medical
Examiner detects a bruit and pulsatile mass in the abdomen. The most
important next step for the Medical Examiner should be to:
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a. Document a probable aortic aneurysm and disqualify the driver.
b. Place the driver in Determination Pending.
c. Certify the driver for 1 year.
d. Recommend that the driver have an abdominal ultrasound
Document a probable aortic aneurysm and disqualify the driver
When audiometric testing is performed, what is the standard that should be
used?
a. ISO - International Organization for Standards.
b. ANSI - American National Standards Institute.
c. OSHA - Occupational Safety and Health Administration.
d. SDHE - Standard Diagnostic Hearing Evaluation.
ANSI - American National Standards Institute.
The driver has a history of a lumbar laminectomy. What finding would raise
concern?
a. Hip ROM.
b. Mild lumbar tenderness.
c. Positive Lasegue's sign.
d. Quadriceps stretch sign.
Positive Lasegue's sign
Lasegue's sign or straight leg raising test (SLRT) is a neurodynamic exam to assess
nerve root irritation in the lumbosacral area and it used to help identify the likelihood
of lumbar radiculopathy
The driver has a lipoma that is not impairing. The Medical Examiner should:
a. Refer the driver for surgical evaluation.
b. Place the driver in Determination Pending.
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c. Assess driving risk related to the lipoma.
d. Document the examination finding.
Document the examination finding.
The driver resides in Canada and does not have a US driver's license. What is
the Medical Examiner required to confirm?
a. Where the driver is domiciled.
b. The driver's identity.
c. The driver's application for a US driver's license.
d. The driver's international driver's license number.
The driver's identity
The driver has swollen tonsils. What is the Medical Examiner's best next
action?
a. Determine if the driver is under the care of an ENT specialist.
b. Treat the driver for infection.
c. Place the driver in Determination Pending.
d. Document abnormal findings and assess whether the condition affects the
driver's risk of gradual or sudden incapacitation.
Document abnormal findings and assess whether the condition affects the driver's
risk of gradual or sudden incapacitation.
The driver had a stroke 3 months ago. He has a medical clearance letter from a
neurologist to return to driving without restrictions. What is most important for
the Medical Examiner to consider?
a. The driver's physical examination findings.
b. Whether the neurologist is aware of the driving responsibilities of a
commercial motor vehicle driver.
c. The highest risk of stroke is within the first year of a prior stroke.
d. The State guidelines for return to driving after a stroke.
The highest risk of stroke is within the first year of a prior stroke
