DOT Medical Examiner Questions and Answers |
Revised
4 Non-discretionary Standards - ✔✔Vision, Hearing, DM, Epilepsy
Glare in vision, especially at night - ✔✔Cataracts
Gradual peripheral field deficits - ✔✔Glaucoma
Visual Acuity and peripheral - ✔✔20/40, 70 degrees
Hearing Test - ✔✔At least one ear - Forced whispher 5 ft OR Audiometric testing >40 (average) 500, 1000,
2000
Hypoglycemic Reaction - ✔✔seizure, LOC, need assistance from another person, or period of impaired
cognitive function without warning
1st sign of nephropathy - ✔✔Persistent proteinuria
Incretin Mimetics - ✔✔Example - Glipizide, Glimepiride, Byetta. Reduce fasting and post prandal
glucose. High risk for hypoglycemia. Written statement that driver toelrates meds and states how
frequently driver is monitored
Safe blood glucose levels while driving - ✔✔100-400
Insulin dependent Diabetic - ✔✔Must have ITDM form completed by treating physician, Seen annually
(no later than 45 days after treating physician sees and signs form), provide 3 months of electronic blood
glucose self monitoring, max certify 1 year. Disqualify if not maintaining stable insulin. Permanently
disqualify if severe non-proliferative or proliferative diabeticretinopahty
Page 1/5
Crafted for Academic Insight by KatelynWhitman. All rights reserved © 2025
, A federal exemption is valdi for __ with___ medical and specialist examination - ✔✔2 years, annual. Max
certify for one year
Sedating meds (for allergies) - ✔✔Avoid driving for 12 hours after taking
COPD or asthma disqualify if - ✔✔FEV1 < 65% then order ABG. Disqualify if PaO2 < 65
2nd spontaneous pneumothorax on same side - ✔✔Disqualify until surgically corrected
ICD implant with or without pacemaker - ✔✔DISQUALIFY
Secondary HTN - ✔✔3 month waiting period, max cert 1 year if BP less than 140/90
Tests for urine - ✔✔Specific gravity, protein, blood, glucose
Meniere's disease - ✔✔Disqualify
Vertigo - ✔✔2 month symptom free if BPPV or perihperal vestibulopath. Disqualify is labyrinthine fistula
or nonfunctioning labyrinth
Skill Performance Eval - ✔✔For fixed deficits or extremities, NOT TORSO. Max 2 years. Can be renewed
30 days prior. Determined by State DIRECTOR.
Kidney Dialysis - ✔✔Disqualify
Requires use of oxygen - ✔✔Disqualify
AAA - ✔✔Must be less than 5 cm and asymptomatic. If 4-5 cm need to be seen by vascular. If > 5 cm need
surgery - 3 month post op waiting period
Pacemaker - ✔✔1 month waiting period for AV block and Sinus node dysfunction.
3 month waiting period for neurocardiogenic shock and Hypertensive carotid sinus with syncope
Supraventricular Arrhythmias, A fib, A flutter - ✔✔One month after adequate anticoagulation
Page 2/5
Crafted for Academic Insight by KatelynWhitman. All rights reserved © 2025
Revised
4 Non-discretionary Standards - ✔✔Vision, Hearing, DM, Epilepsy
Glare in vision, especially at night - ✔✔Cataracts
Gradual peripheral field deficits - ✔✔Glaucoma
Visual Acuity and peripheral - ✔✔20/40, 70 degrees
Hearing Test - ✔✔At least one ear - Forced whispher 5 ft OR Audiometric testing >40 (average) 500, 1000,
2000
Hypoglycemic Reaction - ✔✔seizure, LOC, need assistance from another person, or period of impaired
cognitive function without warning
1st sign of nephropathy - ✔✔Persistent proteinuria
Incretin Mimetics - ✔✔Example - Glipizide, Glimepiride, Byetta. Reduce fasting and post prandal
glucose. High risk for hypoglycemia. Written statement that driver toelrates meds and states how
frequently driver is monitored
Safe blood glucose levels while driving - ✔✔100-400
Insulin dependent Diabetic - ✔✔Must have ITDM form completed by treating physician, Seen annually
(no later than 45 days after treating physician sees and signs form), provide 3 months of electronic blood
glucose self monitoring, max certify 1 year. Disqualify if not maintaining stable insulin. Permanently
disqualify if severe non-proliferative or proliferative diabeticretinopahty
Page 1/5
Crafted for Academic Insight by KatelynWhitman. All rights reserved © 2025
, A federal exemption is valdi for __ with___ medical and specialist examination - ✔✔2 years, annual. Max
certify for one year
Sedating meds (for allergies) - ✔✔Avoid driving for 12 hours after taking
COPD or asthma disqualify if - ✔✔FEV1 < 65% then order ABG. Disqualify if PaO2 < 65
2nd spontaneous pneumothorax on same side - ✔✔Disqualify until surgically corrected
ICD implant with or without pacemaker - ✔✔DISQUALIFY
Secondary HTN - ✔✔3 month waiting period, max cert 1 year if BP less than 140/90
Tests for urine - ✔✔Specific gravity, protein, blood, glucose
Meniere's disease - ✔✔Disqualify
Vertigo - ✔✔2 month symptom free if BPPV or perihperal vestibulopath. Disqualify is labyrinthine fistula
or nonfunctioning labyrinth
Skill Performance Eval - ✔✔For fixed deficits or extremities, NOT TORSO. Max 2 years. Can be renewed
30 days prior. Determined by State DIRECTOR.
Kidney Dialysis - ✔✔Disqualify
Requires use of oxygen - ✔✔Disqualify
AAA - ✔✔Must be less than 5 cm and asymptomatic. If 4-5 cm need to be seen by vascular. If > 5 cm need
surgery - 3 month post op waiting period
Pacemaker - ✔✔1 month waiting period for AV block and Sinus node dysfunction.
3 month waiting period for neurocardiogenic shock and Hypertensive carotid sinus with syncope
Supraventricular Arrhythmias, A fib, A flutter - ✔✔One month after adequate anticoagulation
Page 2/5
Crafted for Academic Insight by KatelynWhitman. All rights reserved © 2025
