DOT MEDICAL EXAMINER CERTIFICATION EXAM | COMPLETE
QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED |
GET A+
What are the 3 points of contact when entering/exiting a cab? - (answer)-hands
-arms
-leg
What is the minimum passing grip strength required when using a dynamometer? - (answer)-58
lbs
-26.3 kgs
Can those with peripheral neuropathy be certified? - (answer)-do not certify!
-inform the patient they can submit an appeal which will require evaluation by a physiatrist or
neurologist
Can those with autonomic neuropathy be certified? - (answer)-if they have resting tachycardia do
not certify!
-if no resting tachycardia they can be certified for up to 2 years once etiology is confirmed and
treatment is safe/effective
Can those who are taking nitroglycerin be certified? - (answer)-only if angina is stable
-requires cardiology evaluation
Can those with menieres disease be certified? - (answer)-no!
What are 3 neurologic conditions that are always disqualifying? - (answer)-myotonia
-Isaac's syndrome
-stiff person syndrome
,What 3 factors are considered as part of the Council for Psychiatric Disease and Commercial
Driving? - (answer)-psychopharmacology
-counseling
-mental disorders
The sedative effects of psychotropic medications are compared to what blood alcohol content? -
(answer)-0.04
Which psychiatric condition is most likely to be disqualifying? - (answer)-schizophrenia
What are the elements of the CAGE assessment? - (answer)-cut down (do you feel the need to?)
-annoyed (are you annoyed by the response of others?)
-guilt (do you feel guilty about drinking?)
-eye opener (do you need one?)
What should you do if a candidate is visibley drunk on exam? - (answer)-contact FMCSA or
employer
-should not certify if you suspect alcoholism
Can you certify a driver who is actively in a 12-step or recovery program? - (answer)-yes!
When should you submit a candidate to drug/alcohol testing? - (answer)-not part of the standard
DOT exam
-only performed if required by the employer or another regulatory agency
What is the 1st indication of diabetic nephropathy? - (answer)-persistent proteinuria on urine
dipstick
-can certify for 2 years if etiology confirmed and treatment is safe and effective
,How often does a candidate with a hernia require examination? - (answer)-requires at least
biennial medical exam
-must check for visceral/GU/abdominal hernia(s) on exam
-if painful they require further evaluation but can then be certified for up to 2 years if appropriate
What should you do with a candidate who has abnormal urine dipstick findings? - (answer)-refer
back to primary care for evaluation and treatment
Can you certify a candidate who is using medial marijuana? - (answer)-no!
What should you do with a candidate who is using a disqualifying medication? - (answer)-refer
back to primary care
-they can still be qualified if approved by primary care but the ultimate decision is left up to the
medical examiner
-can certify for any time period you deem appropriate
Can a patient on anticoagulants be certified? - (answer)-if taking for neurovascular condition
then no!
-if taking for cardiovascular condition then yes
-requires monthly INR checks to maintain certification
Can a patient with migraines be certified? - (answer)-yes they can be certified for up to 2 years
-depends on the severity of symptoms and any associated symptoms they are having (e.g. visual
disturbances)
-must tolerate treatment
Can a patient taking antacids be certified? - (answer)-yes
-ensure there are no acute incapacitating events associated with the underlying disease (e.g. IBD)
Can a patient taking anticonvulsants for seizures be certified? - (answer)-no!
, Can a patient taking Provigil (modafinil) be certified? - (answer)-yes but only for 1 year max and
only after a 6 week monitoring period
What 3 environmental factors are candidates exposed to? - (answer)-whole body vibration
-temperature extremes
-excessive noise
What are the ETT qualification standards? - (answer)-workload >6 METS
-% predicated max HR >85%
-increase SBP >20 mmHg
-no angina
-no ECG changes
What is the definition of pulmonary hypertension? - (answer)-PAP >50% systemic SBP as
determined per echo or cardiac cath
Can you certify a patient with unstable angina? - (answer)-no! refer to specialist
What is the #1 prognostic indicator for CAD? - (answer)-left ventricular function
What is the #1 prognostic indicator for dysrhythmias? - (answer)-underlying etiology
Can you certify a patient with a dysrhythmia? - (answer)-yes
-must disqualify if it results in cerebral hypoperfusion or altered mental status
What 3 factors must you consider in a patient with CHD? - (answer)-severity of the defect
-result of treatment
-risk of sudden death or incapacitation
QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED |
GET A+
What are the 3 points of contact when entering/exiting a cab? - (answer)-hands
-arms
-leg
What is the minimum passing grip strength required when using a dynamometer? - (answer)-58
lbs
-26.3 kgs
Can those with peripheral neuropathy be certified? - (answer)-do not certify!
-inform the patient they can submit an appeal which will require evaluation by a physiatrist or
neurologist
Can those with autonomic neuropathy be certified? - (answer)-if they have resting tachycardia do
not certify!
-if no resting tachycardia they can be certified for up to 2 years once etiology is confirmed and
treatment is safe/effective
Can those who are taking nitroglycerin be certified? - (answer)-only if angina is stable
-requires cardiology evaluation
Can those with menieres disease be certified? - (answer)-no!
What are 3 neurologic conditions that are always disqualifying? - (answer)-myotonia
-Isaac's syndrome
-stiff person syndrome
,What 3 factors are considered as part of the Council for Psychiatric Disease and Commercial
Driving? - (answer)-psychopharmacology
-counseling
-mental disorders
The sedative effects of psychotropic medications are compared to what blood alcohol content? -
(answer)-0.04
Which psychiatric condition is most likely to be disqualifying? - (answer)-schizophrenia
What are the elements of the CAGE assessment? - (answer)-cut down (do you feel the need to?)
-annoyed (are you annoyed by the response of others?)
-guilt (do you feel guilty about drinking?)
-eye opener (do you need one?)
What should you do if a candidate is visibley drunk on exam? - (answer)-contact FMCSA or
employer
-should not certify if you suspect alcoholism
Can you certify a driver who is actively in a 12-step or recovery program? - (answer)-yes!
When should you submit a candidate to drug/alcohol testing? - (answer)-not part of the standard
DOT exam
-only performed if required by the employer or another regulatory agency
What is the 1st indication of diabetic nephropathy? - (answer)-persistent proteinuria on urine
dipstick
-can certify for 2 years if etiology confirmed and treatment is safe and effective
,How often does a candidate with a hernia require examination? - (answer)-requires at least
biennial medical exam
-must check for visceral/GU/abdominal hernia(s) on exam
-if painful they require further evaluation but can then be certified for up to 2 years if appropriate
What should you do with a candidate who has abnormal urine dipstick findings? - (answer)-refer
back to primary care for evaluation and treatment
Can you certify a candidate who is using medial marijuana? - (answer)-no!
What should you do with a candidate who is using a disqualifying medication? - (answer)-refer
back to primary care
-they can still be qualified if approved by primary care but the ultimate decision is left up to the
medical examiner
-can certify for any time period you deem appropriate
Can a patient on anticoagulants be certified? - (answer)-if taking for neurovascular condition
then no!
-if taking for cardiovascular condition then yes
-requires monthly INR checks to maintain certification
Can a patient with migraines be certified? - (answer)-yes they can be certified for up to 2 years
-depends on the severity of symptoms and any associated symptoms they are having (e.g. visual
disturbances)
-must tolerate treatment
Can a patient taking antacids be certified? - (answer)-yes
-ensure there are no acute incapacitating events associated with the underlying disease (e.g. IBD)
Can a patient taking anticonvulsants for seizures be certified? - (answer)-no!
, Can a patient taking Provigil (modafinil) be certified? - (answer)-yes but only for 1 year max and
only after a 6 week monitoring period
What 3 environmental factors are candidates exposed to? - (answer)-whole body vibration
-temperature extremes
-excessive noise
What are the ETT qualification standards? - (answer)-workload >6 METS
-% predicated max HR >85%
-increase SBP >20 mmHg
-no angina
-no ECG changes
What is the definition of pulmonary hypertension? - (answer)-PAP >50% systemic SBP as
determined per echo or cardiac cath
Can you certify a patient with unstable angina? - (answer)-no! refer to specialist
What is the #1 prognostic indicator for CAD? - (answer)-left ventricular function
What is the #1 prognostic indicator for dysrhythmias? - (answer)-underlying etiology
Can you certify a patient with a dysrhythmia? - (answer)-yes
-must disqualify if it results in cerebral hypoperfusion or altered mental status
What 3 factors must you consider in a patient with CHD? - (answer)-severity of the defect
-result of treatment
-risk of sudden death or incapacitation
