DOT STUDY GUIDE 2026 COMPREHENSIVE
QUESTIONS AND STEP BY STEP
SOLUTIONS
◉ MSK Regulation Regarding Loss of Limb
Answer: Qualified if they do NOT have loss of foot, leg, hand or arm
OR they have SPE certificate
Limb impairment that affects ability to perform proper tasks
**SPE is required for ANYONE with amputation regardless of
prosthesis
◉ What to do if driver has amputation or fixed limb deformity?
Answer: 1. Determine if they meet all other requirements
2. Must mark on the report form and CME certificate the SPE section
3. Gives report and certificate to orthopedic surgeon or physiatrist
for evaluation
4. Driver than applies for SPE from the field service center
◉ What can be used for the SPE?
Answer: FIXED deficits, nothing caused by progressive disease
,◉ Medication/Drug Use
Answer: Must review and discuss all prescribed, OTC, supplements,
herbal remedies.
Must consider:
- is the medication effectively treating the condition
- what is the condition that the medication is being used for and is
that condition exclusionary
- medication interactions with other food, meds or alcohol
- does the medication require monitoring (ex. coumadin)
- signs of abuse
◉ What drugs are an automatic disqualification even with
perscription?
Answer: Schedule I drugs (heroin, LSD, MDMA (Ecstasy), Magin
Mushrooms, Peyote, Marijuana
PRESCRIPTION EXCEPTION DOES NOT APPLY
◉ Prescription Exception
Answer: Can qualify person who uses amphetamine, narcotic or
other prescription for scheduled 2-5 if prescription exception is met:
, 1. medication is prescribed by licensed medical practitioner
2. provider is familiar with person's medical history
3. provider has advised the driver that the drug will not effect
driving
Schedule II drugs - high abuse potential (opioids (morphine,
oxycodone), depressants, amphetamines)
◉ How to determine if prescription is satisfied?
Answer: CMV Driver Medication Form helps obtain required info -
but is optional
◉ Methadone/Suboxone/Bupronorphine
Answer: Does not automatically preclude medical certificate
CME must know if prescribing doctor knows if will affect driving;
final determination is with the CME, however
**Most instances, a CME will NOT certify a driver taking metahdone
◉ Marijuana
Answer: Disqualification
QUESTIONS AND STEP BY STEP
SOLUTIONS
◉ MSK Regulation Regarding Loss of Limb
Answer: Qualified if they do NOT have loss of foot, leg, hand or arm
OR they have SPE certificate
Limb impairment that affects ability to perform proper tasks
**SPE is required for ANYONE with amputation regardless of
prosthesis
◉ What to do if driver has amputation or fixed limb deformity?
Answer: 1. Determine if they meet all other requirements
2. Must mark on the report form and CME certificate the SPE section
3. Gives report and certificate to orthopedic surgeon or physiatrist
for evaluation
4. Driver than applies for SPE from the field service center
◉ What can be used for the SPE?
Answer: FIXED deficits, nothing caused by progressive disease
,◉ Medication/Drug Use
Answer: Must review and discuss all prescribed, OTC, supplements,
herbal remedies.
Must consider:
- is the medication effectively treating the condition
- what is the condition that the medication is being used for and is
that condition exclusionary
- medication interactions with other food, meds or alcohol
- does the medication require monitoring (ex. coumadin)
- signs of abuse
◉ What drugs are an automatic disqualification even with
perscription?
Answer: Schedule I drugs (heroin, LSD, MDMA (Ecstasy), Magin
Mushrooms, Peyote, Marijuana
PRESCRIPTION EXCEPTION DOES NOT APPLY
◉ Prescription Exception
Answer: Can qualify person who uses amphetamine, narcotic or
other prescription for scheduled 2-5 if prescription exception is met:
, 1. medication is prescribed by licensed medical practitioner
2. provider is familiar with person's medical history
3. provider has advised the driver that the drug will not effect
driving
Schedule II drugs - high abuse potential (opioids (morphine,
oxycodone), depressants, amphetamines)
◉ How to determine if prescription is satisfied?
Answer: CMV Driver Medication Form helps obtain required info -
but is optional
◉ Methadone/Suboxone/Bupronorphine
Answer: Does not automatically preclude medical certificate
CME must know if prescribing doctor knows if will affect driving;
final determination is with the CME, however
**Most instances, a CME will NOT certify a driver taking metahdone
◉ Marijuana
Answer: Disqualification
