DOT Exam questions with Verified
Answers 2026
1. What are the differences between the
medical standards and the medical
guidelines?: Standards/regulations are law. Guidelines are best practices.
2. In which regulation(s) are the driver
physical qualification standards cited?: 49 CFR 391.41
3. In which regulation(s) are the medical examiners responsibilities cited?: 49
CFR 391.43
4. What objective tests and measurements are
required as part of the driver physical
examination?: - Height and weight- Vision- Hearing- Blood pressure and pulse- Urine dipstick for
specific gravity, protein,
blood, and glucose
5. What are the possible outcomes of the driver
physical examination?: Certification or disqualification
6. To pass the interstate CMV driver
vision exam, a visual acuity of ______
corrected or uncorrected is required.: 20/40 or better in BOTH eyes individually and combined
7. What eye conditions must the
medical examiner ask the driver
about and if indicated request
specialist evaluation?: Retinopathy, cataracts, aphakia (absence of the lens),
glaucoma, and macular
, DOT Exam questions with Verified
Answers 2026
degeneration
8. According to FMCSA regulations, which
of the following must the ME evaluate
when examining a driver's eyes?
A. Pupil reactivity
B. Iris symmetry
1/4
C. Conjunctiva injection
D. Corneal thickness: Pupil reactivity
9. Purpose of the Vision Exemption?: To certify some drivers with monocular vision.
10. Where is Federal Vision Examination Program cited?: 49 DFR 391.41(b)(10)
11. Minimum standard for hearing evaluation via audiometry?: </= 40 dB hearing loss
in at least one ear
12. Is audiometry required?: No, not if forced whisper test passed in at least one ear.
13. Mandatory waiting period after
diagnosis of DM?: None
14. Highest acceptable A1c?: 10%
15. Maximum certification time for someone with DM?: 1 year
16. Define epilepsy according to FMCSA.: 2 or more unprovoked seizures.
17. Wait period for a single unprovoked seizure?: 5 years (Must also be off all medication)
18. Waiting period for acute MI?: 2 months
19. Minimum required LVEF?: 40%
Answers 2026
1. What are the differences between the
medical standards and the medical
guidelines?: Standards/regulations are law. Guidelines are best practices.
2. In which regulation(s) are the driver
physical qualification standards cited?: 49 CFR 391.41
3. In which regulation(s) are the medical examiners responsibilities cited?: 49
CFR 391.43
4. What objective tests and measurements are
required as part of the driver physical
examination?: - Height and weight- Vision- Hearing- Blood pressure and pulse- Urine dipstick for
specific gravity, protein,
blood, and glucose
5. What are the possible outcomes of the driver
physical examination?: Certification or disqualification
6. To pass the interstate CMV driver
vision exam, a visual acuity of ______
corrected or uncorrected is required.: 20/40 or better in BOTH eyes individually and combined
7. What eye conditions must the
medical examiner ask the driver
about and if indicated request
specialist evaluation?: Retinopathy, cataracts, aphakia (absence of the lens),
glaucoma, and macular
, DOT Exam questions with Verified
Answers 2026
degeneration
8. According to FMCSA regulations, which
of the following must the ME evaluate
when examining a driver's eyes?
A. Pupil reactivity
B. Iris symmetry
1/4
C. Conjunctiva injection
D. Corneal thickness: Pupil reactivity
9. Purpose of the Vision Exemption?: To certify some drivers with monocular vision.
10. Where is Federal Vision Examination Program cited?: 49 DFR 391.41(b)(10)
11. Minimum standard for hearing evaluation via audiometry?: </= 40 dB hearing loss
in at least one ear
12. Is audiometry required?: No, not if forced whisper test passed in at least one ear.
13. Mandatory waiting period after
diagnosis of DM?: None
14. Highest acceptable A1c?: 10%
15. Maximum certification time for someone with DM?: 1 year
16. Define epilepsy according to FMCSA.: 2 or more unprovoked seizures.
17. Wait period for a single unprovoked seizure?: 5 years (Must also be off all medication)
18. Waiting period for acute MI?: 2 months
19. Minimum required LVEF?: 40%
