DOT CORRECT TEST PAPER QUESTIONS AND
ANSWERS SET A+
✔✔The driver uses hearing aids during the whisper test. He is able to hear at 5 feet on
the right and 4 feet on the left.
a. Send the driver for an audiometric test.
b. Disqualify the driver.
c. Certify the driver for 1 year.
d. Certify the driver for 2years. - ✔✔Correct answer is "D". The driver is able to use
hearing aids during the whisper test (and this should be marked on the form). A driver
must only qualify in 1 ear to certify and there is no limitation of certification time.
✔✔The minimum acceptable spirometry values required to certify a driver are: a. FEV1
70%, FVC 65%, FEV1/FVC ratio 65%
b. FEV1 65%, FVC 60%, FEV1/FVC ratio65%
c. FEV1 65%, FVC 65%, FEV1/FVC ratio65%
d. FEV1 60%, FVC 60%, FEV1/FVC ratio60% - ✔✔Correct answer is "B". The minimum
acceptable values are 65%, 60%, and 65% (FEV1, FVC, FEV1/FVC ratio).
✔✔The longest the medical examiner would certify a driver with a history of Stage 3
hypertension is:
a. 3 months
b. 6 months
c. 12 months
d. 24 months - ✔✔Correct answer is "B". The driver may only be certified for a
maximum of 6 months for the rest of his/her driving career.
✔✔A driver is taking Wellbutrin to help him stop smoking. He has provided a note from
his PCP stating that he has no side effects and confirms that he is taking the medication
for smoking cessation. The examiner would?
a. Certify the driver for 2years.
b. Certify the driver for 1year.
c. Disqualify the driver because the medication is not allowed.
,d. Council the driver to only take the medication at night. - ✔✔Correct answer is "A".
The driver is not being treated for a psychiatric condition such as anxiety or depression,
and he has clearance. He would be able to be certified for 2 years.
✔✔During the history, the driver admits to taking Benadryl for seasonal allergies. The
examiner should?
a. Counsel the driver to not take the medication for 12 hours priorto driving. b. Obtain
medical clearance from the driver's PCP that he/she can drive.
c. Disqualify the driver until he/she is no longer taking Benadryl.
d. Provide a 1-time, 3-month certificate to determine the medication's effect on the
driver. - ✔✔Correct answer is "A". Counsel the driver concerning use of over-the-
counter anti- histamines, and anti-tussives (both cause drowsiness and should not be
taken while driving) and about the 12- hour rule.
✔✔A driver has a history of a moderate Traumatic Brain Injury that occurred 3 years
ago as a result of a car accident. He reports he has fully recovered and provides a note
from his neurologist stating that he suffered no seizures and that he is able to return to
driving. He does not list any medications in his history. The examiner should:
a. Disqualify the driver.
b. Require the driver to take a "Folstein's mini mental state exam."
c. Certify the driver for one year.
d. Certify the driver for two years. - ✔✔Correct answer is "C". The driver suffered no
seizures from the TBI, has completed the required waiting period (2 years), and has
medical clearance. If the rest of the examination is unremarkable, the driver could be
certified for 1 year.
✔✔A driver reports a suicide attempt 10 months earlier, following the break-up of his
marriage. Henoted seeing a psychiatrist and he takes Citalopram daily and he reports
he feels fine now and is moving on with his life. He provides a release from his doctor
that he may return to work without restrictions. The medical examiner should:
a. Disqualify the driver.
b. Require a CAGE questionnaire.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ✔✔Correct answer is "A".
The driver is disqualified because he has not completed the mandatory waiting period
for suicide attempt of 1 year. Once he has completed this, he may be certified for 1 year
due to the continued treatment of depression (taking an SSRI).
✔✔The driver lists Synthroid for the treatment of hypothyroidism. He has been taking it
for about 6 months and feels fine now. His examination is essentially normal. The
examiner's best course of action is to?
a. Request medical clearance for the medication prior to certification.
b. Certify the driver for 1 year.
c. Certify the driver for 2 years.
,d. Counsel the driver that he needs to apply for an endocrine exemption. - ✔✔Correct
answer is "C". The driver's hypothyroidism is well managed and he is asymptomatic.
The driver may be certified for 2 years.
✔✔Which of the following is correct regarding the appropriate person to complete and
sign Form MCSA-5870 for a driver who has insulin-treated diabetes mellitus?
a. Only an endocrinologist can complete the form.
b. The medical provider who manages the driver's diabetes and prescribes insulin for
the driver's diabetes completes the form.
c. The driver's primary care provider of record must complete the form.
d. Any provider who has evaluated the driver within the last 12 months may complete
the form. - ✔✔B.
The treating clinician completes from MCSA-5870, defined as the healthcare
professional who manages, and prescribes insulin for the treatment of the driver's
diabetes.
✔✔A driver should not be certified when an ABG reveals a PaO2 of less than 65 at
altitudes below:
a. 2,000 feet
b. 3,000 feet
c. 5,000 feet
d. 7,000 feet - ✔✔Correct answer "C" The threshold changes to 60 mm Hg at altitudes
above 5,000 feet.
✔✔If an individual does not meet the hearing requirements with the use of a hearing aid
and requires a Federal hearing exemption, the examiner should mark on the Medical
Evaluation Report Form:
a. "Does not meet standards"
b. "Wearing hearing aid"
c. "Accompanied by a hearing exemption"
d. All of the above. - ✔✔Correct answer is "C". If an individual does not meet the
requirements with the use of a hearing aid and requires a Federal hearing exemption,
the box for "Wearing hearing aid" should NOT be selected on either the Medical
Examination Report Form, MCSA-5875, or Medical Examiner's Certificate, Form MCSA-
5876. Instead, only the box for accompanied by a hearing exemption is selected on the
Medical Examination Report Form, MCSA-5875, and the Medical Examiner's Certificate,
Form MCSA-5876.
✔✔A driver presents for certification 6 weeks after suffering a myocardial infarction. She
presents a note from her cardiologist, clearing her to drive a CMV without restrictions.
Her post MI echocardiogram shows an EF of 50%. Her EKG shows no ischemia. Her
ETT exceeds FMCSA standards. The medical examiner should:
a. Certify the driver for 3 months.
b. Certify the driver for 1 year.
, c. Certify the driver for 2 years
d. Disqualify the driver. - ✔✔Correct answer is "D". The driver should be disqualified
because she has not met the minimum wait time of 2 months (8 weeks) after suffering a
myocardial infarction. The driver can return for certification in two more weeks.
✔✔A driver presents for certification. He checks "yes" for "Anxiety, depression,
nervousness, and other mental health problems" for the Driver Health History portion of
the Medical Examiner Report Form. He clarifies he has depression which is controlled
with medications and electroconvulsive therapy (ECT). Following ECT, the driver should
be symptoms free for how long before being certified?
a. 3 months
b. 6 months
c. 12 months
d. 24 months - ✔✔Correct answer is "B". Following ECT, the waiting period is 6 months.
Maintenance or ongoing ECT for depression is not certifiable.
✔✔According to FMCSA regulations, which of the following must the medical examiner
evaluate when examining a driver's eyes?
a. Pupil reactivity
b. Iris symmetry
c. Conjunctival injection
d. Corneal thickness - ✔✔Correct Answer is "A". Pupil reactivity (the only option that is
included on the Medical Exam Report Form for physical examination of the eyes). This
is a cranial nerve test. A positive finding indicates a significant neurological problem that
must be worked up or have an explanation that clarifies whether or not the driver has a
condition that may interfere with the ability to safely operate a CMV.
✔✔According to FMCSA regulation and guidance, medical qualification for two years
can be given to a driver who has:
a. An SPE certificate for a left below the knee amputation(BKA)
b. Hypertension
c. A recent diagnosis of Lewy body dementia
d. Documented medical marijuana use for pain control - ✔✔Correct Answer is "A". In
order to obtain the SPE certificate, the driver had to demonstrate the ability to perform
all tasks for the CMV job description.
✔✔During his visit to the medical examiner, a driver complains of severe pain in his
finger for the last two weeks after it was punctured. The exam reveals an infected,
swollen finger. After the ME inquires, the driver states that the pain is made worse when
he grips the steering wheel. Which of the following should the ME do next?
a. Obtain a hand X-ray
b. Assess capillary refill in the hand
c. Obtain a culture and sensitivity
d. Assess the driver's grip strength - ✔✔Correct Answer "D". The condition does not
present a safety risk unless it interferes with the ability of the driver to hold and control
ANSWERS SET A+
✔✔The driver uses hearing aids during the whisper test. He is able to hear at 5 feet on
the right and 4 feet on the left.
a. Send the driver for an audiometric test.
b. Disqualify the driver.
c. Certify the driver for 1 year.
d. Certify the driver for 2years. - ✔✔Correct answer is "D". The driver is able to use
hearing aids during the whisper test (and this should be marked on the form). A driver
must only qualify in 1 ear to certify and there is no limitation of certification time.
✔✔The minimum acceptable spirometry values required to certify a driver are: a. FEV1
70%, FVC 65%, FEV1/FVC ratio 65%
b. FEV1 65%, FVC 60%, FEV1/FVC ratio65%
c. FEV1 65%, FVC 65%, FEV1/FVC ratio65%
d. FEV1 60%, FVC 60%, FEV1/FVC ratio60% - ✔✔Correct answer is "B". The minimum
acceptable values are 65%, 60%, and 65% (FEV1, FVC, FEV1/FVC ratio).
✔✔The longest the medical examiner would certify a driver with a history of Stage 3
hypertension is:
a. 3 months
b. 6 months
c. 12 months
d. 24 months - ✔✔Correct answer is "B". The driver may only be certified for a
maximum of 6 months for the rest of his/her driving career.
✔✔A driver is taking Wellbutrin to help him stop smoking. He has provided a note from
his PCP stating that he has no side effects and confirms that he is taking the medication
for smoking cessation. The examiner would?
a. Certify the driver for 2years.
b. Certify the driver for 1year.
c. Disqualify the driver because the medication is not allowed.
,d. Council the driver to only take the medication at night. - ✔✔Correct answer is "A".
The driver is not being treated for a psychiatric condition such as anxiety or depression,
and he has clearance. He would be able to be certified for 2 years.
✔✔During the history, the driver admits to taking Benadryl for seasonal allergies. The
examiner should?
a. Counsel the driver to not take the medication for 12 hours priorto driving. b. Obtain
medical clearance from the driver's PCP that he/she can drive.
c. Disqualify the driver until he/she is no longer taking Benadryl.
d. Provide a 1-time, 3-month certificate to determine the medication's effect on the
driver. - ✔✔Correct answer is "A". Counsel the driver concerning use of over-the-
counter anti- histamines, and anti-tussives (both cause drowsiness and should not be
taken while driving) and about the 12- hour rule.
✔✔A driver has a history of a moderate Traumatic Brain Injury that occurred 3 years
ago as a result of a car accident. He reports he has fully recovered and provides a note
from his neurologist stating that he suffered no seizures and that he is able to return to
driving. He does not list any medications in his history. The examiner should:
a. Disqualify the driver.
b. Require the driver to take a "Folstein's mini mental state exam."
c. Certify the driver for one year.
d. Certify the driver for two years. - ✔✔Correct answer is "C". The driver suffered no
seizures from the TBI, has completed the required waiting period (2 years), and has
medical clearance. If the rest of the examination is unremarkable, the driver could be
certified for 1 year.
✔✔A driver reports a suicide attempt 10 months earlier, following the break-up of his
marriage. Henoted seeing a psychiatrist and he takes Citalopram daily and he reports
he feels fine now and is moving on with his life. He provides a release from his doctor
that he may return to work without restrictions. The medical examiner should:
a. Disqualify the driver.
b. Require a CAGE questionnaire.
c. Certify the driver for 1 year.
d. Certify the driver for 2 years. - ✔✔Correct answer is "A".
The driver is disqualified because he has not completed the mandatory waiting period
for suicide attempt of 1 year. Once he has completed this, he may be certified for 1 year
due to the continued treatment of depression (taking an SSRI).
✔✔The driver lists Synthroid for the treatment of hypothyroidism. He has been taking it
for about 6 months and feels fine now. His examination is essentially normal. The
examiner's best course of action is to?
a. Request medical clearance for the medication prior to certification.
b. Certify the driver for 1 year.
c. Certify the driver for 2 years.
,d. Counsel the driver that he needs to apply for an endocrine exemption. - ✔✔Correct
answer is "C". The driver's hypothyroidism is well managed and he is asymptomatic.
The driver may be certified for 2 years.
✔✔Which of the following is correct regarding the appropriate person to complete and
sign Form MCSA-5870 for a driver who has insulin-treated diabetes mellitus?
a. Only an endocrinologist can complete the form.
b. The medical provider who manages the driver's diabetes and prescribes insulin for
the driver's diabetes completes the form.
c. The driver's primary care provider of record must complete the form.
d. Any provider who has evaluated the driver within the last 12 months may complete
the form. - ✔✔B.
The treating clinician completes from MCSA-5870, defined as the healthcare
professional who manages, and prescribes insulin for the treatment of the driver's
diabetes.
✔✔A driver should not be certified when an ABG reveals a PaO2 of less than 65 at
altitudes below:
a. 2,000 feet
b. 3,000 feet
c. 5,000 feet
d. 7,000 feet - ✔✔Correct answer "C" The threshold changes to 60 mm Hg at altitudes
above 5,000 feet.
✔✔If an individual does not meet the hearing requirements with the use of a hearing aid
and requires a Federal hearing exemption, the examiner should mark on the Medical
Evaluation Report Form:
a. "Does not meet standards"
b. "Wearing hearing aid"
c. "Accompanied by a hearing exemption"
d. All of the above. - ✔✔Correct answer is "C". If an individual does not meet the
requirements with the use of a hearing aid and requires a Federal hearing exemption,
the box for "Wearing hearing aid" should NOT be selected on either the Medical
Examination Report Form, MCSA-5875, or Medical Examiner's Certificate, Form MCSA-
5876. Instead, only the box for accompanied by a hearing exemption is selected on the
Medical Examination Report Form, MCSA-5875, and the Medical Examiner's Certificate,
Form MCSA-5876.
✔✔A driver presents for certification 6 weeks after suffering a myocardial infarction. She
presents a note from her cardiologist, clearing her to drive a CMV without restrictions.
Her post MI echocardiogram shows an EF of 50%. Her EKG shows no ischemia. Her
ETT exceeds FMCSA standards. The medical examiner should:
a. Certify the driver for 3 months.
b. Certify the driver for 1 year.
, c. Certify the driver for 2 years
d. Disqualify the driver. - ✔✔Correct answer is "D". The driver should be disqualified
because she has not met the minimum wait time of 2 months (8 weeks) after suffering a
myocardial infarction. The driver can return for certification in two more weeks.
✔✔A driver presents for certification. He checks "yes" for "Anxiety, depression,
nervousness, and other mental health problems" for the Driver Health History portion of
the Medical Examiner Report Form. He clarifies he has depression which is controlled
with medications and electroconvulsive therapy (ECT). Following ECT, the driver should
be symptoms free for how long before being certified?
a. 3 months
b. 6 months
c. 12 months
d. 24 months - ✔✔Correct answer is "B". Following ECT, the waiting period is 6 months.
Maintenance or ongoing ECT for depression is not certifiable.
✔✔According to FMCSA regulations, which of the following must the medical examiner
evaluate when examining a driver's eyes?
a. Pupil reactivity
b. Iris symmetry
c. Conjunctival injection
d. Corneal thickness - ✔✔Correct Answer is "A". Pupil reactivity (the only option that is
included on the Medical Exam Report Form for physical examination of the eyes). This
is a cranial nerve test. A positive finding indicates a significant neurological problem that
must be worked up or have an explanation that clarifies whether or not the driver has a
condition that may interfere with the ability to safely operate a CMV.
✔✔According to FMCSA regulation and guidance, medical qualification for two years
can be given to a driver who has:
a. An SPE certificate for a left below the knee amputation(BKA)
b. Hypertension
c. A recent diagnosis of Lewy body dementia
d. Documented medical marijuana use for pain control - ✔✔Correct Answer is "A". In
order to obtain the SPE certificate, the driver had to demonstrate the ability to perform
all tasks for the CMV job description.
✔✔During his visit to the medical examiner, a driver complains of severe pain in his
finger for the last two weeks after it was punctured. The exam reveals an infected,
swollen finger. After the ME inquires, the driver states that the pain is made worse when
he grips the steering wheel. Which of the following should the ME do next?
a. Obtain a hand X-ray
b. Assess capillary refill in the hand
c. Obtain a culture and sensitivity
d. Assess the driver's grip strength - ✔✔Correct Answer "D". The condition does not
present a safety risk unless it interferes with the ability of the driver to hold and control
