DOT Medical
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. A driver has a blood pressure of 168/112 confirmed during the examination. The driver
would be?
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. - Correct Answer: Correct answer is "a". This is Stage 3
hypertension. The driver is disqualified until their blood pressure is less than
140/90 at which time they will have a maximum certification of 6 months for the
rest of their career.
2. How long would the driver be certified for if they are taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 at the time of the
examination?
a. 3 months
b. 6 months
c. 1 year
d. 2 years - Correct Answer: Correct answer is "a". Because the driver has a
history of hypertension (he is taking medication), and he had Stage 1
hypertension during his exam, he would be provided a 1-time, 3-month
certificate in order to lower his blood pressure to an acceptable level during that
time.
3. A driver with a history of diabetes, who is taking Metformin, provides a note from his
PCP that lists his A1c level as 10. His exam is essentially WNL including laboratory
analysis, except he is notable overweight. The medical examiner should?
a. Disqualify the driver until his A1c level is less than 7.
, b. Disqualify the driver because he is an insulin dependant diabetic. c. Certify the
driver for 1 year.
c. Certify the driver for 2 years. - Correct Answer: Correct answer is "c". An A1c
level of 10 equates to a blood glucose level of about 300 mg/dl. This is of little
risk to a hypoglycemic event. You may certify the driver for only a period of 1
year if they are a diabetic. Also, Metformin is not insulin.
4. During the examination the driver has a positive "Babinski" reflex. The examiner should?
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Council the driver to obtain an SPE.
d. Disqualify the driver until they have a neurological consult. - Correct Answer:
Correct answer is "d". A positive Babinski reflex is indicative of abnormalities in
the motor control pathways leading from the cerebral cortex and is widely used
as a diagnostic aide in disorders of the central nervous system. The examiner
should obtain clearance from a neurologist prior to reconsidering the driver for
certification.
5. The driver marks yes for a history of "Lung disease, emphysema, asthma, chronic
bronchitis", and lists that he uses an albuteral inhaler multiple times per week to control
his asthma, and that it is worse in the spring and fall. Upon further questioning, he
denies ever being hospitalized for his asthma and states that he sees his PCP annually for
a physical. The examiner should?
a. Temporarily disqualify the driver until they obtain clearance from the PCP.
b. Council the driver to obtain a respiratory waiver from the FMCSA. c. Certify the
driver for 1 year.
c. Certify the driver for 2 years. - Correct Answer: Correct answer is "d". The
driver's condition appears well controlled, they are under medical management
for the condition, and there is no history of incapacitation relating to their
asthma. There is no advisory criteria limiting certification time and the driver
may be certified for 2 years
6. All of the following are required components of all DOT medical examinations EXCEPT?
a. Vision
b. Hearing
, c. Blood Pressure
d. Ophthalmoscopic examination - Correct Answer: Correct answer is "d". There
are four required components of every examination: vision, hearing, blood
pressure and UA. Ophthalmoscopic examination is not required but may be done
if deemed necessary.
7. The driver lists they are using "Byetta" for control of their diabetes, along with dietary
control. The rest of the examination is normal. The examiner should?
a. Disqualify the driver because Byetta is an insulin and they would need to obtain a
diabetic exemption in order to drive a CMV.
b. Provide a 1-time, 3-month certificate in order to obtain the driver's A1c level
from their treating provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer: Correct answer is "c". Byetta
is an injectable non-insulin. Although it may require more frequent monitoring,
the examiner may certify the driver for 1 year (shortened due to the treatment of
diabetes).
8. In order for the driver to obtain a vision exemption, the medical examiner must?
a. Provide the driver only the medical certification card marked "temporarily
disqualified", with a second box marked "reconsidered with a vision exemption."
b. Provide the driver only the medical certification card marked "certified for 2
years", and also marked "accompanied by a vision waiver/exemption".
c. Provide the driver the medical certification card and the long form both marked
"certified for 2 years" and also marked "accompanied by a vision
waiver/exemption".
d. Provide the driver the medical certification card and long form, both marked
"certified for 1 year" and also marked "accompanied by a vision
waiver/exemption". - Correct Answer: Correct answer is "d". The driver must
have both the medical certification card and long form to apply for a vision
exemption marked "certified for 1 year (required for all with a vision exemption),
and "accompanied by a vision exemption" on each form. The exemption is good
for 2 years, even though the certification is limited to 1 year. It is the driver's
responsibility to re-apply and present the exemption at the time of the
examination for each re-certification.
, 9. The driver is on dialysis, and the examiner is unable to obtain a UA during the
certification examination. The examiner should?
a. Disqualify the driver.
b. Contact the treating provider to obtain clearance.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer: Correct answer is "b". You will
need to obtain clearance from the treating provider to determine if the driver is
able to drive a CMV. Areas of concern would be kidney function (obviously
lacking), and if the driver suffers diabetes. If cleared, other considerations would
relate to how often the driver would need dialysis, etc.
10. The driver reports for a re-certification examination 8 weeks after having a triple bypass.
He presents a note from his treating provider stating that the driver is able to return to
driving without restriction. Additionally, it mentions that the driver's results of his ETT
were normal, and his ECG showed a left ventricular ejection fraction of 75. The examiner
should?
a. Temporarily disqualify the driver until he has completed the required waiting
period.
b. Permanently disqualify the driver because his ejection fraction is too low.
c. Certify the driver for 1 year only.
d. Certify the driver for 2 years because he has medical clearance. - Correct
Answer: Correct answer is "a". Following Coronary Artery Bi-pass Grafting
(CABG), there is a 3-month waiting period. Since the driver is only at 8 weeks
post-op, he would have to wait for about 4 more weeks until he can certify. Once
he completes his waiting period, he would be certified for 1 year from the date of
the original examination.
11. All of the following eye conditions may require the medical examiner to seek specialist
evaluation EXCEPT?
a. Monovision
b. glaucoma
c. Cataracts
Comprehensive Resource To Help You Ace 2026-2027 Exams
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
1. A driver has a blood pressure of 168/112 confirmed during the examination. The driver
would be?
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. - Correct Answer: Correct answer is "a". This is Stage 3
hypertension. The driver is disqualified until their blood pressure is less than
140/90 at which time they will have a maximum certification of 6 months for the
rest of their career.
2. How long would the driver be certified for if they are taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 at the time of the
examination?
a. 3 months
b. 6 months
c. 1 year
d. 2 years - Correct Answer: Correct answer is "a". Because the driver has a
history of hypertension (he is taking medication), and he had Stage 1
hypertension during his exam, he would be provided a 1-time, 3-month
certificate in order to lower his blood pressure to an acceptable level during that
time.
3. A driver with a history of diabetes, who is taking Metformin, provides a note from his
PCP that lists his A1c level as 10. His exam is essentially WNL including laboratory
analysis, except he is notable overweight. The medical examiner should?
a. Disqualify the driver until his A1c level is less than 7.
, b. Disqualify the driver because he is an insulin dependant diabetic. c. Certify the
driver for 1 year.
c. Certify the driver for 2 years. - Correct Answer: Correct answer is "c". An A1c
level of 10 equates to a blood glucose level of about 300 mg/dl. This is of little
risk to a hypoglycemic event. You may certify the driver for only a period of 1
year if they are a diabetic. Also, Metformin is not insulin.
4. During the examination the driver has a positive "Babinski" reflex. The examiner should?
a. Certify the driver for 1 year.
b. Certify the driver for 2 years.
c. Council the driver to obtain an SPE.
d. Disqualify the driver until they have a neurological consult. - Correct Answer:
Correct answer is "d". A positive Babinski reflex is indicative of abnormalities in
the motor control pathways leading from the cerebral cortex and is widely used
as a diagnostic aide in disorders of the central nervous system. The examiner
should obtain clearance from a neurologist prior to reconsidering the driver for
certification.
5. The driver marks yes for a history of "Lung disease, emphysema, asthma, chronic
bronchitis", and lists that he uses an albuteral inhaler multiple times per week to control
his asthma, and that it is worse in the spring and fall. Upon further questioning, he
denies ever being hospitalized for his asthma and states that he sees his PCP annually for
a physical. The examiner should?
a. Temporarily disqualify the driver until they obtain clearance from the PCP.
b. Council the driver to obtain a respiratory waiver from the FMCSA. c. Certify the
driver for 1 year.
c. Certify the driver for 2 years. - Correct Answer: Correct answer is "d". The
driver's condition appears well controlled, they are under medical management
for the condition, and there is no history of incapacitation relating to their
asthma. There is no advisory criteria limiting certification time and the driver
may be certified for 2 years
6. All of the following are required components of all DOT medical examinations EXCEPT?
a. Vision
b. Hearing
, c. Blood Pressure
d. Ophthalmoscopic examination - Correct Answer: Correct answer is "d". There
are four required components of every examination: vision, hearing, blood
pressure and UA. Ophthalmoscopic examination is not required but may be done
if deemed necessary.
7. The driver lists they are using "Byetta" for control of their diabetes, along with dietary
control. The rest of the examination is normal. The examiner should?
a. Disqualify the driver because Byetta is an insulin and they would need to obtain a
diabetic exemption in order to drive a CMV.
b. Provide a 1-time, 3-month certificate in order to obtain the driver's A1c level
from their treating provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer: Correct answer is "c". Byetta
is an injectable non-insulin. Although it may require more frequent monitoring,
the examiner may certify the driver for 1 year (shortened due to the treatment of
diabetes).
8. In order for the driver to obtain a vision exemption, the medical examiner must?
a. Provide the driver only the medical certification card marked "temporarily
disqualified", with a second box marked "reconsidered with a vision exemption."
b. Provide the driver only the medical certification card marked "certified for 2
years", and also marked "accompanied by a vision waiver/exemption".
c. Provide the driver the medical certification card and the long form both marked
"certified for 2 years" and also marked "accompanied by a vision
waiver/exemption".
d. Provide the driver the medical certification card and long form, both marked
"certified for 1 year" and also marked "accompanied by a vision
waiver/exemption". - Correct Answer: Correct answer is "d". The driver must
have both the medical certification card and long form to apply for a vision
exemption marked "certified for 1 year (required for all with a vision exemption),
and "accompanied by a vision exemption" on each form. The exemption is good
for 2 years, even though the certification is limited to 1 year. It is the driver's
responsibility to re-apply and present the exemption at the time of the
examination for each re-certification.
, 9. The driver is on dialysis, and the examiner is unable to obtain a UA during the
certification examination. The examiner should?
a. Disqualify the driver.
b. Contact the treating provider to obtain clearance.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - Correct Answer: Correct answer is "b". You will
need to obtain clearance from the treating provider to determine if the driver is
able to drive a CMV. Areas of concern would be kidney function (obviously
lacking), and if the driver suffers diabetes. If cleared, other considerations would
relate to how often the driver would need dialysis, etc.
10. The driver reports for a re-certification examination 8 weeks after having a triple bypass.
He presents a note from his treating provider stating that the driver is able to return to
driving without restriction. Additionally, it mentions that the driver's results of his ETT
were normal, and his ECG showed a left ventricular ejection fraction of 75. The examiner
should?
a. Temporarily disqualify the driver until he has completed the required waiting
period.
b. Permanently disqualify the driver because his ejection fraction is too low.
c. Certify the driver for 1 year only.
d. Certify the driver for 2 years because he has medical clearance. - Correct
Answer: Correct answer is "a". Following Coronary Artery Bi-pass Grafting
(CABG), there is a 3-month waiting period. Since the driver is only at 8 weeks
post-op, he would have to wait for about 4 more weeks until he can certify. Once
he completes his waiting period, he would be certified for 1 year from the date of
the original examination.
11. All of the following eye conditions may require the medical examiner to seek specialist
evaluation EXCEPT?
a. Monovision
b. glaucoma
c. Cataracts
