1|Page
DOT ACTUAL COMPREHENSIVE EXAM PREP
2026 ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT
FEEDBACK |NEW AND REVISED
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
,2|Page
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.
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
,3|Page
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.
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.
, 4|Page
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
Which of the following should raise the greatest concern for the Medical
Examiner's assessment?
a. History of lumbar fusion 2 years ago.
b. Grade 1 ankle sprain 1 month ago.
c. Prepatellar bursitis 3 months ago.
DOT ACTUAL COMPREHENSIVE EXAM PREP
2026 ALL QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
ALREADY A GRADED WITH EXPERT
FEEDBACK |NEW AND REVISED
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
,2|Page
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.
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
,3|Page
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.
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.
, 4|Page
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
Which of the following should raise the greatest concern for the Medical
Examiner's assessment?
a. History of lumbar fusion 2 years ago.
b. Grade 1 ankle sprain 1 month ago.
c. Prepatellar bursitis 3 months ago.
