1|Page
DOT CERTIFICATION EXAM NEWEST 2025/ 2026 ACTUAL EXAM
TEST BANK| COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) GRADED
A+| DOT CERTIFICATION EXAM (BRAND NEW!!)
A driver admits to the use of marijuana for the treatment of his
glaucoma, which is legal in the State in which he lives. He provides
medical documentation for the glaucoma indicating he is able to drive a
truck. He began using the marijuana about three months ago. His
current medical card has no limitations listed and is for 2 years. His
certification examination is within normal limits. The medical examiner
should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the
testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. ......ANSWER......Correct answer is "A".
Use of marijuana is prohibited by Federal law while driving a CMV and
trumps State law in this matter.
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
,2|Page
d. Stage 3Hypertension. ......ANSWER......Correct answer is "B". This is
Stage 1 Hypertension, which is defined as 140-159/90 - 99.
A driver is taking Celexa for the treatment of what he calls a "mild
depression." He reports he has not considered or attempted suicide.
The examiner should?
a. Certify only after obtaining written clearance for the depression and
the medication from the treating provider.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the
treatment of depression. ......ANSWER......Correct answer is "A".
Medical clearance is recommended for all mental health disorders.
Celexa is an SSRI or 2nd Generation anti-depressant and is acceptable.
For a driver with insulin-treated diabetes mellitus, the medical examiner
can only accept Form MCSA-5870 if it has been properly completed
within the last:
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days. ......ANSWER......Correct answer is "C". The medical
examiner must receive the form and begin the medical examination
no later than 45 days after the date signed on the form; however, the
medical certification determination does not need to be completed
within 45 days.
,3|Page
BG logs should be 3 month periods
What minimum PaO2 level on an ABG performed for a chronic
respiratory disorder is necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg ......ANSWER......Correct answer is "C". Blood oxygen
saturation must be a minimum of 65 mm Hg for the driver to certify.
A driver is taking Topamax for the treatment of migraine headaches. He
reports good management of his headaches and they never seem to
interfere with his driving ability with the medication. The medical
examiner should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. ......ANSWER......Correct answer is "A".
Topamax is a medication that is used for seizure control. The examiner
should confirm with the prescribing provider that the driver does not
take it to control seizures, and he is capable of driving a CMV.
A 26 year-old driver presents for a first-time certification. He has a long-
standing history of ADHD and is taking methylphenidate. You have
, 4|Page
verified his diagnosis and obtained clearance from his treating
psychiatrist. As the certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is
cause for disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
d. May certify for a maximum of 2 years. ......ANSWER......certify for
maximum 1 year
A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. ......ANSWER......Correct answer is "A". This is
Stage 3 hypertension. The driver is disqualified until his blood
pressure is less than 140/90 mm Hg at which time he will have a
maximum certification of 6 months.
For how long would a driver be certified if he is taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 mm Hg at
the time of the examination?
a. 3 months
b. 6 months
c. 1 year
DOT CERTIFICATION EXAM NEWEST 2025/ 2026 ACTUAL EXAM
TEST BANK| COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) GRADED
A+| DOT CERTIFICATION EXAM (BRAND NEW!!)
A driver admits to the use of marijuana for the treatment of his
glaucoma, which is legal in the State in which he lives. He provides
medical documentation for the glaucoma indicating he is able to drive a
truck. He began using the marijuana about three months ago. His
current medical card has no limitations listed and is for 2 years. His
certification examination is within normal limits. The medical examiner
should:
a. Disqualify the driver.
b. Perform a urine drug collection and provide the release from the
testing provider.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. ......ANSWER......Correct answer is "A".
Use of marijuana is prohibited by Federal law while driving a CMV and
trumps State law in this matter.
A driver has a blood pressure of 136/92 mm Hg. This is:
a. Within normal limits and would not affect the driver's certification.
b. Stage 1Hypertension.
c. Stage 2Hypertension.
,2|Page
d. Stage 3Hypertension. ......ANSWER......Correct answer is "B". This is
Stage 1 Hypertension, which is defined as 140-159/90 - 99.
A driver is taking Celexa for the treatment of what he calls a "mild
depression." He reports he has not considered or attempted suicide.
The examiner should?
a. Certify only after obtaining written clearance for the depression and
the medication from the treating provider.
b. Certify the driver for a period of 1 year.
c. Certify the driver for a period of 2 years.
d. Disqualify the driver until he is no longer requiring medication for the
treatment of depression. ......ANSWER......Correct answer is "A".
Medical clearance is recommended for all mental health disorders.
Celexa is an SSRI or 2nd Generation anti-depressant and is acceptable.
For a driver with insulin-treated diabetes mellitus, the medical examiner
can only accept Form MCSA-5870 if it has been properly completed
within the last:
a. 25 days.
b. 30 days.
c. 45 days.
d. 60 days. ......ANSWER......Correct answer is "C". The medical
examiner must receive the form and begin the medical examination
no later than 45 days after the date signed on the form; however, the
medical certification determination does not need to be completed
within 45 days.
,3|Page
BG logs should be 3 month periods
What minimum PaO2 level on an ABG performed for a chronic
respiratory disorder is necessary to certify a commercial driver?
a. 55 mm Hg.
b. 60 mm Hg.
c. 65 mm Hg.
d. 70 mm Hg ......ANSWER......Correct answer is "C". Blood oxygen
saturation must be a minimum of 65 mm Hg for the driver to certify.
A driver is taking Topamax for the treatment of migraine headaches. He
reports good management of his headaches and they never seem to
interfere with his driving ability with the medication. The medical
examiner should?
a. Obtain medical clearance for the condition and the medication.
b. Disqualify the driver because he is taking an anti-seizure medication.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. ......ANSWER......Correct answer is "A".
Topamax is a medication that is used for seizure control. The examiner
should confirm with the prescribing provider that the driver does not
take it to control seizures, and he is capable of driving a CMV.
A 26 year-old driver presents for a first-time certification. He has a long-
standing history of ADHD and is taking methylphenidate. You have
, 4|Page
verified his diagnosis and obtained clearance from his treating
psychiatrist. As the certified examiner, you:
a. Should disqualify the driver, explaining that use of such stimulants is
cause for disqualification.
b. May certify for a maximum of 6 months.
c. May certify for a maximum of 12 months.
d. May certify for a maximum of 2 years. ......ANSWER......certify for
maximum 1 year
A driver has a blood pressure of 168/112 mm Hg confirmed during the
examination. The driver should be:
a. Disqualified.
b. Certified for 6 months.
c. Certified for 1 year.
d. Certified for 2 years. ......ANSWER......Correct answer is "A". This is
Stage 3 hypertension. The driver is disqualified until his blood
pressure is less than 140/90 mm Hg at which time he will have a
maximum certification of 6 months.
For how long would a driver be certified if he is taking Micardis HCT for
hypertension, and has a confirmed blood pressure of 148/96 mm Hg at
the time of the examination?
a. 3 months
b. 6 months
c. 1 year