DOT COMPREHENSIVE SET QUESTIONS AND
ANSWERS SET A+
✔✔A driver's exam is unremarkable except for a recent history of panic attacks. These
are under control with Xanax. She reports no side effects. What certification is
appropriate?
a. 2 years.
b. Xanax required annual recertification. 1 year.
c. Xanax is potentially dangerous. 6 months is appropriate.
d. Xanax is generally considered to increase crash risk. - ✔✔d. Xanax is generally
considered to increase crash risk.
Use your clinical judgment, but use of benzodiazepines is typically disqualifying.
Additional consultation with treating physician may be needed.
✔✔What is the minimum gross vehicle weight that will require a DOT medical exam for
the driver? a. 16,501 pounds. b. 10,001 pounds. c. 26,001 pounds. d. 22,501 pounds. -
✔✔b. 10,001 pounds.
✔✔Drugs with no known medical use and a high potential for abuse fall into what
category? a. Class C. b. Schedule I. c. Class F. d. Schedule V. - ✔✔b. Schedule I.
✔✔Marijuana is what listed as which of the following?
a. Schedule 1 drug.
b. Schedule 2 drug.
c. Schedule V drug
d. It used to be considered a Schedule 1 drug. It is no longer a listed drug. - ✔✔a.
Schedule 1 drug.
✔✔A driver is 35 years of age. He has a diagnosis of Ankylosing Spondylitis since he
was 19. He has fusion throughout his spine, excluding the upper cervical spine. Neck
rotation is limited to 15 degrees bilaterally. His neck is permanently flexed 25 degrees
,forward and he can only extend it 10 degrees. Agility is greatly diminished and he
cannot climb well. He now presents for recertification, but notes he primarily does an
administrative desk job. Based on this, what is the proper course ofaction?
a. Disqualify.
b. Certify for 1 year.
c. Order a Skill Performance Evaluation.
d. Certify for 6 months. - ✔✔Correct answer is "A". This driver is unable to safely fulfill
the duties of a commercial motor vehicle driver, such as using the side mirrors.
Remember, certification is for all duties of a driver. There are not work restrictions
offered.
✔✔Transient Ischemic Attacks are a major concern. They can be one of the earliest
signs of cerebrovascular disease. Symptoms usually only last 10-20 minutes. All of the
following are symptoms that may present in the history as a result of a TIA, EXCEPT:
a. Sudden temporary tingling, numbness, or weakness.
b. Confusion.
c. Sudden visual changes.
d. Sciatica. - ✔✔d. Sciatica.
✔✔A driver with a history of a TIA should be removed from the road for what minimum
waiting period? a. 2 months. b. 6 months. c. 1 year. d. 2 years. - ✔✔c. 1 year.
✔✔Epilepsy is a major concern due to risk of seizure or loss of consciousness. How
many unprovoked seizures are required for a diagnosis of epilepsy? a. One. b. Two. c.
There is no single definition; diagnosis is made on a case-by-case basis. - ✔✔b. Two.
✔✔After a diagnosis of Meniere's disease, what is the recommendation for certification
of a driver?
a. Certification if no reported dizziness or vertigo.
b. Certification after a 1 year waiting period if hearing standards are met and there are
no symptoms of vertigo.
c. Certification after a 2-month waiting period free of symptoms of vertigo. d. Meniere's
disease is progressive and considered completely disabling. Disqualify. - ✔✔d.
Meniere's disease is progressive and considered completely disabling. Disqualify.
✔✔Which of these is intrastate (as opposed to interstate) commerce?
a. A UPS driver delivers packages from far and wide within a single city.
b. A semi driver drives a long-haul route from Florida to Texas.
c. A commercial driver makes a run from New Orleans, LA to Monroe, LA, but passes
through Mississippi on the route.
d. ALL of the above are examples of interstate commerce, notintrastate. - ✔✔Correct
answer is "D". The U.S. Department of Transportation regulates interstate commerce,
which is defined as trade, traffic or transportation involving the crossing of a state or
national boundary. The vehicle and its contents must cross or there must be the intent
to cross a boundary: (1) Between a place in a state and a place outside that state
,(including a place outside of the United States); (2) Between two places in a state,
through another state, or a place outside of the United States; (3) Between two places
in the state as part of trade, traffic or transportation originating or terminating outside the
state or the United States. In the case of answer A, the contents are traveling across
state lines.
✔✔Which of the following diagnoses is NOT always disqualifying?
a. Narcolepsy.
b. Bipolar Disorder.
c. Meniere's disease.
d. Current Alcoholism. - ✔✔b. Bipolar Disorder.
✔✔An obese driver's urinalysis shows 500mg/dL of glucose. He claims he is not
diabetic, but it is simply because the 20-ounce bottle of soda he drank in the hour
before the test. What should be done?
a. Obtain a finger stick glucose.
b. Certify for 1 year and recheck at that time.
c. Use determination pending and have the patient return for a repeat glucose dipstick
within 45 days.
d. Disqualify. - ✔✔a. Obtain a finger stick glucose.
✔✔When clinical signs exist indicating a driver may not have disclosed use of a
scheduled drug or substance, the medical examiner:
a. May request a non-Department of Transportation drug test.
b. Must refer for a DOT drug test
c. Must obtain consultation from a substance abuse professional
d. Must obtain clearance from the driver's primary care provider. - ✔✔a. May request a
non-Department of Transportation drug test.
The medical examiner may request a non-Department of Transportation drug test to aid
in the physical qualification determination, including when signs exist indicating the
individual may not have disclosed use of a scheduled drug or substance. Use of a
substance abuse professional is not required as part of a nonDepartment of
Transportation drug test.
✔✔Who can grant a waiver or exemption?
a. The Medical Examiner.
b. The FMCSA.
c. A Board-Certified Specialist in the field of the relevant disease.
d. Any of the above. - ✔✔b. The FMCSA.
✔✔If a driver has had a cortical stroke, what is the minimum waiting period before
he/she may possibly be certified to drive?
a. 5 years, as potential for seizure is a concern.
b. 1 year If there is no seizure.
, c. 6 months.
d. 6 months once off anticoagulants. - ✔✔a. 5 years, as potential for seizure is a
concern
✔✔Both Schizophreniform and Bipolar Disorders can be disqualifying. Which of the
following conditions is NOT a reason in and of itself to disqualify?
a. Substantially compromised judgment.
b. Swings in energy levels and mood.
c. Attention difficulties.
d. Personality disorder that is repeatedly manifested by overt inappropriate acts - ✔✔b.
Swings in energy levels and mood.
✔✔What are the FMCSA guidelines for certification of a driver on Coumadin and
compliant with INR monitoring?
a. Disqualify.
b. Use clinical judgment, based upon the underlying disease.
c. Certify for a maximum of 1 year.
d. Certify for a maximum of 6months. - ✔✔c. Certify for a maximum of 1 year.
✔✔. If a driver is only taking over-the-counter medications, what are the possible
ramifications?
a. OTC medications are not considered in the certification decision.
b. OTC are considered whether or not to qualify the driver, but cannot limit the
certification.
c. OTC medications can affect the decision to certify, time limit, or disqualify as
determined by the clinical judgment of the medical examiner. - ✔✔C. OTC medications
can affect the decision to certify, time limit, or disqualify as determined by the clinical
judgment of the medical examiner.
✔✔Exercise tolerance tests are needed to assess the driver after a cardiovascular
incident or to assess for cardiac abnormalities. If ordered this test, there are specific
measures that need to be met. Which of these is NOT one of them?
a. Exercise to a workload capacity greater than 6 Metabolic Equivalents (METs) through
Bruce protocol stage II or equivalent.
b. Attain a heart rate greater than or equal to 85% of predicted maximum (unless on
beta blockers).
c. Have a rise in systolic blood pressure greater than or equal to 20 mm Hg without
angina.
d. Have no increase in diastolic pressure. - ✔✔d. Have no increase in diastolic pressure
✔✔Which of the following are not required for the urinalysis portion of the DOT medical
exam? a. Specific Gravity. b. Blood. c. Ketones. d. Protein - ✔✔c. Ketones.
✔✔If a dipstick urinalysis shows findings that are abnormal, but do not immediately
threaten the driver or the public, such as mild proteinuria, which is the most reasonable
ANSWERS SET A+
✔✔A driver's exam is unremarkable except for a recent history of panic attacks. These
are under control with Xanax. She reports no side effects. What certification is
appropriate?
a. 2 years.
b. Xanax required annual recertification. 1 year.
c. Xanax is potentially dangerous. 6 months is appropriate.
d. Xanax is generally considered to increase crash risk. - ✔✔d. Xanax is generally
considered to increase crash risk.
Use your clinical judgment, but use of benzodiazepines is typically disqualifying.
Additional consultation with treating physician may be needed.
✔✔What is the minimum gross vehicle weight that will require a DOT medical exam for
the driver? a. 16,501 pounds. b. 10,001 pounds. c. 26,001 pounds. d. 22,501 pounds. -
✔✔b. 10,001 pounds.
✔✔Drugs with no known medical use and a high potential for abuse fall into what
category? a. Class C. b. Schedule I. c. Class F. d. Schedule V. - ✔✔b. Schedule I.
✔✔Marijuana is what listed as which of the following?
a. Schedule 1 drug.
b. Schedule 2 drug.
c. Schedule V drug
d. It used to be considered a Schedule 1 drug. It is no longer a listed drug. - ✔✔a.
Schedule 1 drug.
✔✔A driver is 35 years of age. He has a diagnosis of Ankylosing Spondylitis since he
was 19. He has fusion throughout his spine, excluding the upper cervical spine. Neck
rotation is limited to 15 degrees bilaterally. His neck is permanently flexed 25 degrees
,forward and he can only extend it 10 degrees. Agility is greatly diminished and he
cannot climb well. He now presents for recertification, but notes he primarily does an
administrative desk job. Based on this, what is the proper course ofaction?
a. Disqualify.
b. Certify for 1 year.
c. Order a Skill Performance Evaluation.
d. Certify for 6 months. - ✔✔Correct answer is "A". This driver is unable to safely fulfill
the duties of a commercial motor vehicle driver, such as using the side mirrors.
Remember, certification is for all duties of a driver. There are not work restrictions
offered.
✔✔Transient Ischemic Attacks are a major concern. They can be one of the earliest
signs of cerebrovascular disease. Symptoms usually only last 10-20 minutes. All of the
following are symptoms that may present in the history as a result of a TIA, EXCEPT:
a. Sudden temporary tingling, numbness, or weakness.
b. Confusion.
c. Sudden visual changes.
d. Sciatica. - ✔✔d. Sciatica.
✔✔A driver with a history of a TIA should be removed from the road for what minimum
waiting period? a. 2 months. b. 6 months. c. 1 year. d. 2 years. - ✔✔c. 1 year.
✔✔Epilepsy is a major concern due to risk of seizure or loss of consciousness. How
many unprovoked seizures are required for a diagnosis of epilepsy? a. One. b. Two. c.
There is no single definition; diagnosis is made on a case-by-case basis. - ✔✔b. Two.
✔✔After a diagnosis of Meniere's disease, what is the recommendation for certification
of a driver?
a. Certification if no reported dizziness or vertigo.
b. Certification after a 1 year waiting period if hearing standards are met and there are
no symptoms of vertigo.
c. Certification after a 2-month waiting period free of symptoms of vertigo. d. Meniere's
disease is progressive and considered completely disabling. Disqualify. - ✔✔d.
Meniere's disease is progressive and considered completely disabling. Disqualify.
✔✔Which of these is intrastate (as opposed to interstate) commerce?
a. A UPS driver delivers packages from far and wide within a single city.
b. A semi driver drives a long-haul route from Florida to Texas.
c. A commercial driver makes a run from New Orleans, LA to Monroe, LA, but passes
through Mississippi on the route.
d. ALL of the above are examples of interstate commerce, notintrastate. - ✔✔Correct
answer is "D". The U.S. Department of Transportation regulates interstate commerce,
which is defined as trade, traffic or transportation involving the crossing of a state or
national boundary. The vehicle and its contents must cross or there must be the intent
to cross a boundary: (1) Between a place in a state and a place outside that state
,(including a place outside of the United States); (2) Between two places in a state,
through another state, or a place outside of the United States; (3) Between two places
in the state as part of trade, traffic or transportation originating or terminating outside the
state or the United States. In the case of answer A, the contents are traveling across
state lines.
✔✔Which of the following diagnoses is NOT always disqualifying?
a. Narcolepsy.
b. Bipolar Disorder.
c. Meniere's disease.
d. Current Alcoholism. - ✔✔b. Bipolar Disorder.
✔✔An obese driver's urinalysis shows 500mg/dL of glucose. He claims he is not
diabetic, but it is simply because the 20-ounce bottle of soda he drank in the hour
before the test. What should be done?
a. Obtain a finger stick glucose.
b. Certify for 1 year and recheck at that time.
c. Use determination pending and have the patient return for a repeat glucose dipstick
within 45 days.
d. Disqualify. - ✔✔a. Obtain a finger stick glucose.
✔✔When clinical signs exist indicating a driver may not have disclosed use of a
scheduled drug or substance, the medical examiner:
a. May request a non-Department of Transportation drug test.
b. Must refer for a DOT drug test
c. Must obtain consultation from a substance abuse professional
d. Must obtain clearance from the driver's primary care provider. - ✔✔a. May request a
non-Department of Transportation drug test.
The medical examiner may request a non-Department of Transportation drug test to aid
in the physical qualification determination, including when signs exist indicating the
individual may not have disclosed use of a scheduled drug or substance. Use of a
substance abuse professional is not required as part of a nonDepartment of
Transportation drug test.
✔✔Who can grant a waiver or exemption?
a. The Medical Examiner.
b. The FMCSA.
c. A Board-Certified Specialist in the field of the relevant disease.
d. Any of the above. - ✔✔b. The FMCSA.
✔✔If a driver has had a cortical stroke, what is the minimum waiting period before
he/she may possibly be certified to drive?
a. 5 years, as potential for seizure is a concern.
b. 1 year If there is no seizure.
, c. 6 months.
d. 6 months once off anticoagulants. - ✔✔a. 5 years, as potential for seizure is a
concern
✔✔Both Schizophreniform and Bipolar Disorders can be disqualifying. Which of the
following conditions is NOT a reason in and of itself to disqualify?
a. Substantially compromised judgment.
b. Swings in energy levels and mood.
c. Attention difficulties.
d. Personality disorder that is repeatedly manifested by overt inappropriate acts - ✔✔b.
Swings in energy levels and mood.
✔✔What are the FMCSA guidelines for certification of a driver on Coumadin and
compliant with INR monitoring?
a. Disqualify.
b. Use clinical judgment, based upon the underlying disease.
c. Certify for a maximum of 1 year.
d. Certify for a maximum of 6months. - ✔✔c. Certify for a maximum of 1 year.
✔✔. If a driver is only taking over-the-counter medications, what are the possible
ramifications?
a. OTC medications are not considered in the certification decision.
b. OTC are considered whether or not to qualify the driver, but cannot limit the
certification.
c. OTC medications can affect the decision to certify, time limit, or disqualify as
determined by the clinical judgment of the medical examiner. - ✔✔C. OTC medications
can affect the decision to certify, time limit, or disqualify as determined by the clinical
judgment of the medical examiner.
✔✔Exercise tolerance tests are needed to assess the driver after a cardiovascular
incident or to assess for cardiac abnormalities. If ordered this test, there are specific
measures that need to be met. Which of these is NOT one of them?
a. Exercise to a workload capacity greater than 6 Metabolic Equivalents (METs) through
Bruce protocol stage II or equivalent.
b. Attain a heart rate greater than or equal to 85% of predicted maximum (unless on
beta blockers).
c. Have a rise in systolic blood pressure greater than or equal to 20 mm Hg without
angina.
d. Have no increase in diastolic pressure. - ✔✔d. Have no increase in diastolic pressure
✔✔Which of the following are not required for the urinalysis portion of the DOT medical
exam? a. Specific Gravity. b. Blood. c. Ketones. d. Protein - ✔✔c. Ketones.
✔✔If a dipstick urinalysis shows findings that are abnormal, but do not immediately
threaten the driver or the public, such as mild proteinuria, which is the most reasonable
