DOT PRACTICE TEST 2026 TESTED
QUESTIONS AND CORRECT ANSWERS
◉ Three Stages of HTN for DOT Exam
Answer: Stage 1: 140- - 99
Stage 2: 160- - 109
Stage 3: > 180 / > 110
Key notes:
- should be done a second time if elevated
◉ What happens when the SBP and DBP are in different stages?
Answer: Go with higher stage.
◉ Stage 1 HTN
Answer: BP: 140--99
If first time BP is elevated and no prior history of BP treatment, then
can medically certify for 1 year.
If at 1 year, the driver's BP is no longer stage 1 and/or they are on
medication than certify 1 year.
,If at 1 year, BP is still stage 1 then only 3 months **ONE TIME** and
must get under control.
If unable to get BP under , then medically ineligible.
◉ Stage 2 HTN
Answer: BP > 160-179/100-109
If Stage 2, must start treatment and be given 3 months certify to
start treatment and reduce BP.
If at 3 months, BP is below stage 1 then can certify for 1 year. If not,
then medically ineligible.
◉ Stage 3 HTN
1. Certification period?
Answer: BP > 180/110
Risk is very high for sudden incapacitation.
,Disqualified and may not be certified until less < .
Can only be certified for ***6 months*** once history of stage 3 HTN.
◉ What affects glucose?
Answer: fatigue, lack of sleep, poor diet, missed meals, emotional
conditions, stress, illness
◉ Symptoms of Hypoglycemia
Answer: Rapid HR, sweating, weakness and hunger
◉ Consequences of uncontrolled diabetes
Answer: Diabetic retinopathy
Macular Degeneration
Peripheral Neuropathy
◉ What is the job of CME with DM 1 or 2?
Answer: To determine if they are safe to drive
◉ Certifying a Driver with Insulin-Treated Diabetes
Answer: There is NO discretion to deviate from protocol (unless they
are NOT taking insulin).
, Who gets certified:
The Treating Clinician MUST complete the ITDM Assessment Form
(5870) that states they driving maintains insulin regimen and
proper control of diabetes. The treating clinician must provide
contact info. The driver must submit 3 months of electronic blood
glucose self-monitoring records while being treated to get 12 month
certification. The driver then presents with form within 45 days of
form completion for DOT physical. The CME must consider the
information on the ITDM 5870 form. The driver is not qualified if not
maintaining proper insulin regimen or stable blood sugar control. If
there driver does NOT provide 3 months of recorders, the CME can
grant a 3-month certification to allow time to complete the records.
Key note: Determination pending CANNOT be used to allow driver to
get form 5870 completed. Instead, the driver MUST BE
DISQUALIFIED.
◉ Maximum Certification for ITDM
Maximum Certification for NIDM
Answer: ITDM: 12 Months
NITDM: 2 Years if well controlled (but most usually do 1 year)
QUESTIONS AND CORRECT ANSWERS
◉ Three Stages of HTN for DOT Exam
Answer: Stage 1: 140- - 99
Stage 2: 160- - 109
Stage 3: > 180 / > 110
Key notes:
- should be done a second time if elevated
◉ What happens when the SBP and DBP are in different stages?
Answer: Go with higher stage.
◉ Stage 1 HTN
Answer: BP: 140--99
If first time BP is elevated and no prior history of BP treatment, then
can medically certify for 1 year.
If at 1 year, the driver's BP is no longer stage 1 and/or they are on
medication than certify 1 year.
,If at 1 year, BP is still stage 1 then only 3 months **ONE TIME** and
must get under control.
If unable to get BP under , then medically ineligible.
◉ Stage 2 HTN
Answer: BP > 160-179/100-109
If Stage 2, must start treatment and be given 3 months certify to
start treatment and reduce BP.
If at 3 months, BP is below stage 1 then can certify for 1 year. If not,
then medically ineligible.
◉ Stage 3 HTN
1. Certification period?
Answer: BP > 180/110
Risk is very high for sudden incapacitation.
,Disqualified and may not be certified until less < .
Can only be certified for ***6 months*** once history of stage 3 HTN.
◉ What affects glucose?
Answer: fatigue, lack of sleep, poor diet, missed meals, emotional
conditions, stress, illness
◉ Symptoms of Hypoglycemia
Answer: Rapid HR, sweating, weakness and hunger
◉ Consequences of uncontrolled diabetes
Answer: Diabetic retinopathy
Macular Degeneration
Peripheral Neuropathy
◉ What is the job of CME with DM 1 or 2?
Answer: To determine if they are safe to drive
◉ Certifying a Driver with Insulin-Treated Diabetes
Answer: There is NO discretion to deviate from protocol (unless they
are NOT taking insulin).
, Who gets certified:
The Treating Clinician MUST complete the ITDM Assessment Form
(5870) that states they driving maintains insulin regimen and
proper control of diabetes. The treating clinician must provide
contact info. The driver must submit 3 months of electronic blood
glucose self-monitoring records while being treated to get 12 month
certification. The driver then presents with form within 45 days of
form completion for DOT physical. The CME must consider the
information on the ITDM 5870 form. The driver is not qualified if not
maintaining proper insulin regimen or stable blood sugar control. If
there driver does NOT provide 3 months of recorders, the CME can
grant a 3-month certification to allow time to complete the records.
Key note: Determination pending CANNOT be used to allow driver to
get form 5870 completed. Instead, the driver MUST BE
DISQUALIFIED.
◉ Maximum Certification for ITDM
Maximum Certification for NIDM
Answer: ITDM: 12 Months
NITDM: 2 Years if well controlled (but most usually do 1 year)
