DOT EXAM QUESTIONS AND
ANSWERS 2026 - 2027
A female driver has an aortic aneurysm. Medical examiner obtained a
copy of an abdominal sonogram, indicating that the aneurysm is 5.3
cm in diameter. According to current recommendations should the
medical examiner certify this individual. - ANSWERS-No. For a
female driver the abdominal aortic aneurysm should be less than 5 cm
in diameter. For a male driver upper limit for acceptable, abdominal
aortic aneurysm is 5.5 cm.
The driver gives the examiner a letter from his cardiovascular
surgeon, indicating that he had surgical repair of a 9 cm abdominal
aortic aneurysm, four months ago, and the driver is now cleared to
resume activities. Can the examiner certified his drive? - ANSWERS-
Yes. A successful repaired AAA can return to driving 3 months post
operative, must be rechecked every year.
Spirometry testing is recommended for all drivers 35 years of age and
older who smoke. T/F - ANSWERS-True
Using current guidelines, what is the maximum certification period
for a driver with hypertension with BP 148/98? - ANSWERS-1 year
Using current guidelines, what is the proper determination for driver,
with a diagnosis of hypertension who presents with a confirmed BP of
,182/112? - ANSWERS-A driver with a BP >= 170/110 should be
immediately disqualified until the BP is controlled below 170/110.
Using current guidelines, what is the maximum period of certification
for a driver disqualified for BP > 170/110 but who has at the
certification examination a BP less than 170/110? - ANSWERS-6
months. If the driver also tolerates medication with no side effects that
interfere with driving ability.
Any pulmonary process that is likely to interfere with driver ability to
operate a vehicle safely either due to history or clinical diagnosis is
medically disqualifying. Examples include: - ANSWERS-
Bronchiectasis with hemoptysis or with episodes of life threatening
pulmonary infection. Chronic TB
COPD with a cough severe enough to induce syncope
Asthma that requires frequent hospitalizations or that shows severe
enough pulmonary dysfunction to put the driver at risk for loss of
awareness or attention.
What conditions must a driver with acute or chronic cor pulmonale
meet to be certified to operate an interstate CMV? - ANSWERS-To be
qualified the driver should meet a minimum arterial blood gas oxygen
concentration (PaO2) greater than 65 mmHg. Drivers with acute
(reversible) cor pulmonale may be certified after successful treatment
when they can meet the above criteria.
,Pulmonary function (forced expiratory volume FEV1) must be above
what % of predicted FEV1 to qualify? - ANSWERS-Greater than
65% predicted FEV1 to qualify
A driver presents for examination with a history (3 months ago) of a
pneumothorax. The records provided by the driver indicate that this is
the second spontaneous pneumothorax on the same side. The driver's
forced vital capacity (FVC) to 68% of predicted forced vital capacity
is with no surgical intervention. Can this driver be certified? -
ANSWERS-No. Because no surgical procedure has been done to
prevent recurrence
What 3 tests does medical guidance recommend for initial pulmonary
function testing? - ANSWERS-FEV1
FVC
FEV1/FVC%
Drivers taking amitriptyline should not be certified. - ANSWERS-
However, medication may be prescribed in small doses. Some
examiners, in consultation with appropriate mental health
professionals may determine that a driver is stable and no adverse side
effects that interfere with driving
Methadone is not allowed for drivers - ANSWERS-
The ME may require a driver to be evaluated by a SAP and
successfully complete a course of rehabilitation if the driver -
ANSWERS-Admits to alcohol or drug abuse
, What are the weight, neck circumference and BMI requirements listed
for drivers with or suspected OSA? - ANSWERS-Do not include
physical qualification standards for weight, neck circumference, or
BMI for a driver diagnosed with or suspected OSA.
The driver presents with a SPE Certificate. The Medical Examiner's
next step should be: - ANSWERS-Proceed with the examination.
A 21-year-old driver presents with a history of ADHD for 10 years,
taking stable dosing of Adderall. He describes no side effects. Which
of the following is true?
a. A significant percentage of individuals with adult ADHD show a
moderate to marked degree of improvement on central nervous
system stimulant medication.
b. ADHD is a disqualifying condition.
c. Adderall is a Schedule 1 drug.
d. Medical Examiners should test for serum drug levels of Adderall. -
ANSWERS-A significant percentage of individuals with adult ADHD
show a moderate to marked degree of improvement on central
nervous system stimulant medication
Which of the following is the most important examination finding that
requires additional evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
ANSWERS 2026 - 2027
A female driver has an aortic aneurysm. Medical examiner obtained a
copy of an abdominal sonogram, indicating that the aneurysm is 5.3
cm in diameter. According to current recommendations should the
medical examiner certify this individual. - ANSWERS-No. For a
female driver the abdominal aortic aneurysm should be less than 5 cm
in diameter. For a male driver upper limit for acceptable, abdominal
aortic aneurysm is 5.5 cm.
The driver gives the examiner a letter from his cardiovascular
surgeon, indicating that he had surgical repair of a 9 cm abdominal
aortic aneurysm, four months ago, and the driver is now cleared to
resume activities. Can the examiner certified his drive? - ANSWERS-
Yes. A successful repaired AAA can return to driving 3 months post
operative, must be rechecked every year.
Spirometry testing is recommended for all drivers 35 years of age and
older who smoke. T/F - ANSWERS-True
Using current guidelines, what is the maximum certification period
for a driver with hypertension with BP 148/98? - ANSWERS-1 year
Using current guidelines, what is the proper determination for driver,
with a diagnosis of hypertension who presents with a confirmed BP of
,182/112? - ANSWERS-A driver with a BP >= 170/110 should be
immediately disqualified until the BP is controlled below 170/110.
Using current guidelines, what is the maximum period of certification
for a driver disqualified for BP > 170/110 but who has at the
certification examination a BP less than 170/110? - ANSWERS-6
months. If the driver also tolerates medication with no side effects that
interfere with driving ability.
Any pulmonary process that is likely to interfere with driver ability to
operate a vehicle safely either due to history or clinical diagnosis is
medically disqualifying. Examples include: - ANSWERS-
Bronchiectasis with hemoptysis or with episodes of life threatening
pulmonary infection. Chronic TB
COPD with a cough severe enough to induce syncope
Asthma that requires frequent hospitalizations or that shows severe
enough pulmonary dysfunction to put the driver at risk for loss of
awareness or attention.
What conditions must a driver with acute or chronic cor pulmonale
meet to be certified to operate an interstate CMV? - ANSWERS-To be
qualified the driver should meet a minimum arterial blood gas oxygen
concentration (PaO2) greater than 65 mmHg. Drivers with acute
(reversible) cor pulmonale may be certified after successful treatment
when they can meet the above criteria.
,Pulmonary function (forced expiratory volume FEV1) must be above
what % of predicted FEV1 to qualify? - ANSWERS-Greater than
65% predicted FEV1 to qualify
A driver presents for examination with a history (3 months ago) of a
pneumothorax. The records provided by the driver indicate that this is
the second spontaneous pneumothorax on the same side. The driver's
forced vital capacity (FVC) to 68% of predicted forced vital capacity
is with no surgical intervention. Can this driver be certified? -
ANSWERS-No. Because no surgical procedure has been done to
prevent recurrence
What 3 tests does medical guidance recommend for initial pulmonary
function testing? - ANSWERS-FEV1
FVC
FEV1/FVC%
Drivers taking amitriptyline should not be certified. - ANSWERS-
However, medication may be prescribed in small doses. Some
examiners, in consultation with appropriate mental health
professionals may determine that a driver is stable and no adverse side
effects that interfere with driving
Methadone is not allowed for drivers - ANSWERS-
The ME may require a driver to be evaluated by a SAP and
successfully complete a course of rehabilitation if the driver -
ANSWERS-Admits to alcohol or drug abuse
, What are the weight, neck circumference and BMI requirements listed
for drivers with or suspected OSA? - ANSWERS-Do not include
physical qualification standards for weight, neck circumference, or
BMI for a driver diagnosed with or suspected OSA.
The driver presents with a SPE Certificate. The Medical Examiner's
next step should be: - ANSWERS-Proceed with the examination.
A 21-year-old driver presents with a history of ADHD for 10 years,
taking stable dosing of Adderall. He describes no side effects. Which
of the following is true?
a. A significant percentage of individuals with adult ADHD show a
moderate to marked degree of improvement on central nervous
system stimulant medication.
b. ADHD is a disqualifying condition.
c. Adderall is a Schedule 1 drug.
d. Medical Examiners should test for serum drug levels of Adderall. -
ANSWERS-A significant percentage of individuals with adult ADHD
show a moderate to marked degree of improvement on central
nervous system stimulant medication
Which of the following is the most important examination finding that
requires additional evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
