DOT Exam Version A
DOT EXAM VERSION A NEWEST 2025 COMPLETE 300 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Medical Examiner notes the presence of a hearing aid in one ear. The driver says that he doesn't
need the hearing aid to drive and doesn't think it should be required. The next step for the
Medical Examiner is:
a. Test the driver's hearing without the hearing aid.
b. Examine the driver's ears.
c. Refer the driver for hearing assessment by a specialist with specialized audiometric testing
capabilities for testing drivers while wearing a hearing aid.
d. Certify the driver with the qualification "wearing hearing aid - ANSWER-Test the driver's
hearing without the hearing aid.
A driver has an indication for obtaining a cardiac stress test. If the driver is not taking a beta
blocker, what is the percentage of maximum heart rate that the driver should meet to indicate a
satisfactory stress test:
a. 60%.
b. 75%.
c. 85%.
d. 100%. - ANSWER-85%
The driver is missing the 4th finger of his right hand. The Medical Examiner should:
a. Refer for orthopedic evaluation.
b. Indicate the driver will need a SPE Certificate.
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c. Test the driver's grasp and prehension.
d. Disqualify the driver - ANSWER-Test the driver's grasp and prehension.
The driver describes a history of dizzy spells. Which examination finding is not indicated?
a. Test the driver for nystagmus.
b. Romberg testing.
c. Orthostatic blood pressure measurements.
d. Liver and spleen palpation - ANSWER-Liver and spleen palpation
Guidance (not regulatory) recommendations are that drivers with dizziness or vertigo should
not be qualified until the driver has achieved a 2-month symptom free interval regardless of
examination findings.
Vision testing may be performed by:
a. The Medical Examiner, an optometrist, or ophthalmologist.
b. Only an ophthalmologist.
c. Only the Medical Examiner.
d. Only an optometrist - ANSWER-The Medical Examiner, an optometrist, or ophthalmologist
The driver has 1,000 ng/ml of glucose on urinalysis. What is the next appropriate step for the
Medical Examiner?
a. Disqualify the driver.
b. Refer the driver for evaluation by a kidney specialist.
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, DOT Exam Version A
c. Refer the driver for evaluation under the Insulin-Treated Diabetes Alternative Qualification
Standard.
d. Recommend the driver check blood glucose 4x per day. - ANSWER-Recommend the driver
check blood glucose 4x per day.
The driver presents after having had a PCI procedure 3 days prior. The driver indicates no
symptoms and has a letter from his cardiologist indicating he is cleared to drive. The Medical
Examiner should:
a. Have the driver return for evaluation at least 3 weeks after the date of the PCI.
b. Refer the driver for a cardiac stress test.
c. Certify the driver for 6 months.
d. Certify the driver for 2 years - ANSWER-Have the driver return for evaluation at least 3 weeks
after the date of the PCI
- Current FMCSA guidelines in the reference table in the 2022 Draft version of the Medical
Examiner's Handbook include: Asymptomatic; Minimum 3 weeks after elective procedure; LVEF
> 40%; Adherence to cardiovascular specialist-recommended appropriate medical therapy for a
minimum of 1 year after receiving drug-eluting stent; Clearance by cardiologist.
The driver describes alcohol use including 2 drinks a night during the week and a 6 pack on the
weekends. The Medical Examiner's next step should be to:
a. Refer the driver for evaluation by a substance abuse professional.
b. Further assess the driver's history of and current use of alcohol.
c. Disqualify the driver.
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, DOT Exam Version A
d. Test the driver for drugs and alcohol - ANSWER-Further assess the driver's history of and
current use of alcohol
What is the driver required to sign for on MCSA-5875?
a. Health history.
b. Release of information.
c. Acknowledgement of testing results.
d. Acceptance of the Medical Examiner's certification determination - ANSWER-Health history.
What is appropriate preparation for the physical examination?
a. Dress and stockings.
b. Examination gown and underwear.
c. Shorts and tennis shoes.
d. Loose fitting clothing. - ANSWER-Examination gown and underwear
The driver has a history of coronary artery bypass grafting (CABG) 3 years ago. He is now
describing shortness of breath. The Medical Examiner's next step is:
a. Refer the driver for cardiac stress testing.
b. Refer the driver for cardiology evaluation.
c. Disqualify the driver.
d. Assess cardiac risk factors and further characterize the driver's symptoms - ANSWER-Assess
cardiac risk factors and further characterize the driver's symptoms
4|Page
DOT EXAM VERSION A NEWEST 2025 COMPLETE 300 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Medical Examiner notes the presence of a hearing aid in one ear. The driver says that he doesn't
need the hearing aid to drive and doesn't think it should be required. The next step for the
Medical Examiner is:
a. Test the driver's hearing without the hearing aid.
b. Examine the driver's ears.
c. Refer the driver for hearing assessment by a specialist with specialized audiometric testing
capabilities for testing drivers while wearing a hearing aid.
d. Certify the driver with the qualification "wearing hearing aid - ANSWER-Test the driver's
hearing without the hearing aid.
A driver has an indication for obtaining a cardiac stress test. If the driver is not taking a beta
blocker, what is the percentage of maximum heart rate that the driver should meet to indicate a
satisfactory stress test:
a. 60%.
b. 75%.
c. 85%.
d. 100%. - ANSWER-85%
The driver is missing the 4th finger of his right hand. The Medical Examiner should:
a. Refer for orthopedic evaluation.
b. Indicate the driver will need a SPE Certificate.
1|Page
, DOT Exam Version A
c. Test the driver's grasp and prehension.
d. Disqualify the driver - ANSWER-Test the driver's grasp and prehension.
The driver describes a history of dizzy spells. Which examination finding is not indicated?
a. Test the driver for nystagmus.
b. Romberg testing.
c. Orthostatic blood pressure measurements.
d. Liver and spleen palpation - ANSWER-Liver and spleen palpation
Guidance (not regulatory) recommendations are that drivers with dizziness or vertigo should
not be qualified until the driver has achieved a 2-month symptom free interval regardless of
examination findings.
Vision testing may be performed by:
a. The Medical Examiner, an optometrist, or ophthalmologist.
b. Only an ophthalmologist.
c. Only the Medical Examiner.
d. Only an optometrist - ANSWER-The Medical Examiner, an optometrist, or ophthalmologist
The driver has 1,000 ng/ml of glucose on urinalysis. What is the next appropriate step for the
Medical Examiner?
a. Disqualify the driver.
b. Refer the driver for evaluation by a kidney specialist.
2|Page
, DOT Exam Version A
c. Refer the driver for evaluation under the Insulin-Treated Diabetes Alternative Qualification
Standard.
d. Recommend the driver check blood glucose 4x per day. - ANSWER-Recommend the driver
check blood glucose 4x per day.
The driver presents after having had a PCI procedure 3 days prior. The driver indicates no
symptoms and has a letter from his cardiologist indicating he is cleared to drive. The Medical
Examiner should:
a. Have the driver return for evaluation at least 3 weeks after the date of the PCI.
b. Refer the driver for a cardiac stress test.
c. Certify the driver for 6 months.
d. Certify the driver for 2 years - ANSWER-Have the driver return for evaluation at least 3 weeks
after the date of the PCI
- Current FMCSA guidelines in the reference table in the 2022 Draft version of the Medical
Examiner's Handbook include: Asymptomatic; Minimum 3 weeks after elective procedure; LVEF
> 40%; Adherence to cardiovascular specialist-recommended appropriate medical therapy for a
minimum of 1 year after receiving drug-eluting stent; Clearance by cardiologist.
The driver describes alcohol use including 2 drinks a night during the week and a 6 pack on the
weekends. The Medical Examiner's next step should be to:
a. Refer the driver for evaluation by a substance abuse professional.
b. Further assess the driver's history of and current use of alcohol.
c. Disqualify the driver.
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, DOT Exam Version A
d. Test the driver for drugs and alcohol - ANSWER-Further assess the driver's history of and
current use of alcohol
What is the driver required to sign for on MCSA-5875?
a. Health history.
b. Release of information.
c. Acknowledgement of testing results.
d. Acceptance of the Medical Examiner's certification determination - ANSWER-Health history.
What is appropriate preparation for the physical examination?
a. Dress and stockings.
b. Examination gown and underwear.
c. Shorts and tennis shoes.
d. Loose fitting clothing. - ANSWER-Examination gown and underwear
The driver has a history of coronary artery bypass grafting (CABG) 3 years ago. He is now
describing shortness of breath. The Medical Examiner's next step is:
a. Refer the driver for cardiac stress testing.
b. Refer the driver for cardiology evaluation.
c. Disqualify the driver.
d. Assess cardiac risk factors and further characterize the driver's symptoms - ANSWER-Assess
cardiac risk factors and further characterize the driver's symptoms
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