DOT EXAM VERSION B
DOT EXAM VERSION B NEWEST 2025 COMPLETE 400 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
What criteria must be met in order for the FMCSA medical examiner to qualify a driver with a
known diagnosis of congestive heart failure (CHF)? - ANSWER-The driver must Be asymptomatic,
have no ventricular arrhythmia s, have a left ventricular ejection fraction (LVEF) greater than
40%, be under the care of a cardiologist
Qualifed? Driver with percutaneous coronary intervention (PCI) nine months ago; he or she has
not followed up with cardiologist and has not had exercise tolerance test (ETT) since procedure.
- ANSWER-Medically disqualified. According to current CVD recommendations, the driver who
had PCI should have cardiology follow-up to include ETT three to six month's post-PCI
Qualified? Coronary artery bypass graft (CABG) surgery four months ago; echo at three months
showed LVEF 55%; driver was cleared by cardiologist and has no chest pain. - ANSWER-
Medically qualified: According to current CVD recommendations, the driver who had CABG
surgery may be qualified at 3 months post-procedure if asymptomatic, LVEF greater than 40%
Qualifed? . Driver with CHF having dyspnea at rest - ANSWER-Medically disqualified. According
to current CVD recommendations, a driver with CHF with symptoms is not medically fit for duty
Qualifed? Driver has recently had increasing angina which lasted 20 minutes after tapering a
load; he or she is unresponsive to nitroglycerin - ANSWER-Medically disqualified. According to
current CVD recommendations, a driver with unstable angina is not medically fit for duty
A driver has an abdominal aortic aneurysm. The medical examiner obtains a copy of an
abdominal sonogram indicating that the aneurysm is 5.3 cm in diameter. According to current
CVD recommendations, should the medical examiner certify this individual? - ANSWER-No. For
a driver to be certified, the abdominal aortic aneurysm should be less than 5 cm in
diameter
1|Page
, DOT EXAM VERSION B
Before the examination begins, 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
previously, and the driver is now cleared to resume all activities. According to current CVD
recommendations, can the examiner certify this drive - ANSWER-Yes. For up to one year.
According to current CVD recommendations, a driver with a successfully
repaired abdominal aortic aneurysm can return to driving three months postoperatively, if their
surgeons clears them to do so, but they must be rechecked every year
What signs and symptoms should medical examiners look for in drivers with a diagnosis of
congestive heart failure? Discuss how these symptoms affect the ability of the driver to safely
operate a CMV? - ANSWER-Fatigue, swelling in the legs, ankles, or other parts of the body, and
shortness of breath, particularly if at rest (dyspnea)
What is needed at visit s/p CABG to qualifiy - ANSWER-It's been >3 months since surgery, note
from cardiologist, note that tolerating meds fine, pt has no symptoms, followed up w ECHO
showing >40 EF%
When is ETT recommended yearly after CABG? - ANSWER-After 5 years will need ETT annually
d/t increased risk of stent closure
Using current FMCSA guidelines, what is the maximum certification period for an interstate
CMV driver with Stage 1 hypertension - ANSWER-1 year
. Using current FMCSA guidelines, what is the proper determination for an interstate CMV
driver, with a diagnosis of hypertension, who presents with a confirmed blood pressure of
182/112? - ANSWER-Disqualifed
2|Page
, DOT EXAM VERSION B
Using current FMCSA guidelines, what is the maximum period of certification for a driver
disqualified for Stage 3 hypertension, but who has, at the certification examination, a blood
pressure less than 140/90? - ANSWER-Six month certification if the driver also tolerates
medication with no side effects that interfere
with driving ability.
A CMV driver with a diagnosis of hypertension presents with a BLOOD PRESSURE of 182/112.
This is Stage ____. - ANSWER-stage 3
. What is the BLOOD PRESSURE range for Stage 1 hypertension? - ANSWER-140/90 through
159/99 or 140-159/90-99. (140-160/90-100)
What date is used to determine the one year expiration date of for a driver, with a one-time,
three month certificate, who achieves a BP less than or equal to 140/90 before the 3-month
certificate expires? - ANSWER-if on no meds = 2 years cert. On meds = 1 year cert. One-year
certification is based on the date of the initial certification examination (the one with the high
bp reading)
Pt with hx controlled HTN for years shows up late, sleep deprived, missed her meds for 2 days.
BP over 140/90. PE unremarkable otherwise. Course of action? - ANSWER-Cert for 3 months.
Gives her a chance to fix without losing her paycheck. Known hx of controlled BP, has reasons
for it to be high today at exam, UA is negative.
In Addition to pulmonary function tests, give examples of other signs or symptoms a medical
examiner uses to decide if a pulmonary/respiratory disease disqualifies a driver under FMCSA
regulations. - ANSWER-Bronchiectasis with hemoptysis or with episodes of life-threatening
pulmonary infection. Chronic pulmonary tuberculosis (TB).
§ Chronic obstructive pulmonary disease (COPD), with a cough severe enough to induce
syncope.
3|Page
, DOT EXAM VERSION B
§ Asthma that requires frequent hospitalizations or that shows severe enough pulmonary
dysfunction to put the driver at risk for loss of awareness
What conditions must a driver with acute or chronic cor pulmonale meet to be certified to
operate an interstate CMV? - ANSWER-To be qualified, the driver should meet a minimum
arterial blood gas (PaO2) greater than 65 mm Hg. Drivers with acute (reversible) cor pulmonale
may be certified after successful treatment, when they can meet the above criteria for
qualification.
Treated or untreated patients with pulmonary hypertension or cor pulmonale who exhibit
dyspnea at rest, dizziness, or hypotension (may be a side effect of medication) should not be
qualified to drive.
A driver states that she has exercise- induced asthma well controlled by using an albuterol
(Proventil, Ventolin) inhaler before she does any aerobic activity. Her pulmonary function
(forced expiratory volume in the first second of expiration (FEV1)) must be greater than _____ %
of predicted FEV1 to qualify. - ANSWER-Greater than 65% FEV1 of predicted
A driver takes diphenhydramine (Benadryl), 25 mg, two or three times per day, to treat nasal
congestion. Discuss what, if any, concerns this causes, and what a medical examiner might do in
this example. - ANSWER-drivers should abstain from using any form of an.histamines,
with known sedative side effects and narcotic-based antiussives, for the 12 hours prior to
driving.
Who can perform eye exams? - ANSWER-You, optometrist, or an ophthalmologist, (and medical
assistant w snellen)
What eye conditions should you be concerned for? - ANSWER-Retinopathy, cataracts, aphakia,
glaucoma, and macular degeneration.
What exams need to be done w each driver - ANSWER-Vision, Hearing, BP/Pulse, UA
4|Page
DOT EXAM VERSION B NEWEST 2025 COMPLETE 400 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
What criteria must be met in order for the FMCSA medical examiner to qualify a driver with a
known diagnosis of congestive heart failure (CHF)? - ANSWER-The driver must Be asymptomatic,
have no ventricular arrhythmia s, have a left ventricular ejection fraction (LVEF) greater than
40%, be under the care of a cardiologist
Qualifed? Driver with percutaneous coronary intervention (PCI) nine months ago; he or she has
not followed up with cardiologist and has not had exercise tolerance test (ETT) since procedure.
- ANSWER-Medically disqualified. According to current CVD recommendations, the driver who
had PCI should have cardiology follow-up to include ETT three to six month's post-PCI
Qualified? Coronary artery bypass graft (CABG) surgery four months ago; echo at three months
showed LVEF 55%; driver was cleared by cardiologist and has no chest pain. - ANSWER-
Medically qualified: According to current CVD recommendations, the driver who had CABG
surgery may be qualified at 3 months post-procedure if asymptomatic, LVEF greater than 40%
Qualifed? . Driver with CHF having dyspnea at rest - ANSWER-Medically disqualified. According
to current CVD recommendations, a driver with CHF with symptoms is not medically fit for duty
Qualifed? Driver has recently had increasing angina which lasted 20 minutes after tapering a
load; he or she is unresponsive to nitroglycerin - ANSWER-Medically disqualified. According to
current CVD recommendations, a driver with unstable angina is not medically fit for duty
A driver has an abdominal aortic aneurysm. The medical examiner obtains a copy of an
abdominal sonogram indicating that the aneurysm is 5.3 cm in diameter. According to current
CVD recommendations, should the medical examiner certify this individual? - ANSWER-No. For
a driver to be certified, the abdominal aortic aneurysm should be less than 5 cm in
diameter
1|Page
, DOT EXAM VERSION B
Before the examination begins, 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
previously, and the driver is now cleared to resume all activities. According to current CVD
recommendations, can the examiner certify this drive - ANSWER-Yes. For up to one year.
According to current CVD recommendations, a driver with a successfully
repaired abdominal aortic aneurysm can return to driving three months postoperatively, if their
surgeons clears them to do so, but they must be rechecked every year
What signs and symptoms should medical examiners look for in drivers with a diagnosis of
congestive heart failure? Discuss how these symptoms affect the ability of the driver to safely
operate a CMV? - ANSWER-Fatigue, swelling in the legs, ankles, or other parts of the body, and
shortness of breath, particularly if at rest (dyspnea)
What is needed at visit s/p CABG to qualifiy - ANSWER-It's been >3 months since surgery, note
from cardiologist, note that tolerating meds fine, pt has no symptoms, followed up w ECHO
showing >40 EF%
When is ETT recommended yearly after CABG? - ANSWER-After 5 years will need ETT annually
d/t increased risk of stent closure
Using current FMCSA guidelines, what is the maximum certification period for an interstate
CMV driver with Stage 1 hypertension - ANSWER-1 year
. Using current FMCSA guidelines, what is the proper determination for an interstate CMV
driver, with a diagnosis of hypertension, who presents with a confirmed blood pressure of
182/112? - ANSWER-Disqualifed
2|Page
, DOT EXAM VERSION B
Using current FMCSA guidelines, what is the maximum period of certification for a driver
disqualified for Stage 3 hypertension, but who has, at the certification examination, a blood
pressure less than 140/90? - ANSWER-Six month certification if the driver also tolerates
medication with no side effects that interfere
with driving ability.
A CMV driver with a diagnosis of hypertension presents with a BLOOD PRESSURE of 182/112.
This is Stage ____. - ANSWER-stage 3
. What is the BLOOD PRESSURE range for Stage 1 hypertension? - ANSWER-140/90 through
159/99 or 140-159/90-99. (140-160/90-100)
What date is used to determine the one year expiration date of for a driver, with a one-time,
three month certificate, who achieves a BP less than or equal to 140/90 before the 3-month
certificate expires? - ANSWER-if on no meds = 2 years cert. On meds = 1 year cert. One-year
certification is based on the date of the initial certification examination (the one with the high
bp reading)
Pt with hx controlled HTN for years shows up late, sleep deprived, missed her meds for 2 days.
BP over 140/90. PE unremarkable otherwise. Course of action? - ANSWER-Cert for 3 months.
Gives her a chance to fix without losing her paycheck. Known hx of controlled BP, has reasons
for it to be high today at exam, UA is negative.
In Addition to pulmonary function tests, give examples of other signs or symptoms a medical
examiner uses to decide if a pulmonary/respiratory disease disqualifies a driver under FMCSA
regulations. - ANSWER-Bronchiectasis with hemoptysis or with episodes of life-threatening
pulmonary infection. Chronic pulmonary tuberculosis (TB).
§ Chronic obstructive pulmonary disease (COPD), with a cough severe enough to induce
syncope.
3|Page
, DOT EXAM VERSION B
§ Asthma that requires frequent hospitalizations or that shows severe enough pulmonary
dysfunction to put the driver at risk for loss of awareness
What conditions must a driver with acute or chronic cor pulmonale meet to be certified to
operate an interstate CMV? - ANSWER-To be qualified, the driver should meet a minimum
arterial blood gas (PaO2) greater than 65 mm Hg. Drivers with acute (reversible) cor pulmonale
may be certified after successful treatment, when they can meet the above criteria for
qualification.
Treated or untreated patients with pulmonary hypertension or cor pulmonale who exhibit
dyspnea at rest, dizziness, or hypotension (may be a side effect of medication) should not be
qualified to drive.
A driver states that she has exercise- induced asthma well controlled by using an albuterol
(Proventil, Ventolin) inhaler before she does any aerobic activity. Her pulmonary function
(forced expiratory volume in the first second of expiration (FEV1)) must be greater than _____ %
of predicted FEV1 to qualify. - ANSWER-Greater than 65% FEV1 of predicted
A driver takes diphenhydramine (Benadryl), 25 mg, two or three times per day, to treat nasal
congestion. Discuss what, if any, concerns this causes, and what a medical examiner might do in
this example. - ANSWER-drivers should abstain from using any form of an.histamines,
with known sedative side effects and narcotic-based antiussives, for the 12 hours prior to
driving.
Who can perform eye exams? - ANSWER-You, optometrist, or an ophthalmologist, (and medical
assistant w snellen)
What eye conditions should you be concerned for? - ANSWER-Retinopathy, cataracts, aphakia,
glaucoma, and macular degeneration.
What exams need to be done w each driver - ANSWER-Vision, Hearing, BP/Pulse, UA
4|Page
