DOT Exam Questions With Complete
Solutions
The cdriver cpresents cwith ca cSPE cCertificate. cThe cMedical cExaminer's cnext cstep
cshould cbe: c- ccorrect canswers✔✔Proceed cwith cthe cexamination.
A c21-year-old cdriver cpresents cwith ca chistory cof cADHD cfor c10 cyears, ctaking cstable
cdosing cof cAdderall. cHe cdescribes cno cside ceffects. cWhich cof cthe cfollowing cis ctrue?
ca. cA csignificant cpercentage cof cindividuals cwith cadult cADHD cshow ca cmoderate cto
cmarked cdegree cof cimprovement con ccentral cnervous csystem cstimulant cmedication. c
b. cADHD cis ca cdisqualifying ccondition. c
c. cAdderall cis ca cSchedule c1 cdrug. c
d. cMedical cExaminers cshould ctest cfor cserum cdrug clevels cof cAdderall. c- ccorrect
canswers✔✔A csignificant cpercentage cof cindividuals cwith cadult cADHD cshow ca
cmoderate cto cmarked cdegree cof cimprovement con ccentral cnervous csystem cstimulant
cmedication
Which cof cthe cfollowing cis cthe cmost cimportant cexamination cfinding cthat crequires
cadditional cevaluation? c
a. cAcrochordon. c
b. cHyperopia.
c. cPalpable ccalf ccords. c
d. cVerruca cvulgaris. c- ccorrect canswers✔✔Palpable ccalf ccords
The cdriver creports ctaking cDigoxin. cWhat cfindings cwould craise cthe cmost csignificant
cconcerns cregarding ccertification? c
a. cArrhythmias.
b. cAnorexia. c
c. cNausea cand cvomiting. c
d. cDiarrhea. c- ccorrect canswers✔✔Arrhythmias.
The cdriver cis ctaking ctheophylline. cWhich cof cthe cfollowing cis cnot ctrue? c
a. cSerum clevels cmay cbe cchecked. c
b. cThe cprimary cindication cfor ctheophylline cis cin cthe ctreatment cof cneurological
cconditions. c
c. cCardiac ctoxicity cis ca csignificant crisk cof ctheophylline cuse. c
d. cTheophylline ccan cbe cadministered corally cor cintravenously c(IV c- ccorrect canswers
✔✔The cprimary cindication cfor ctheophylline cis cin cthe ctreatment cof cneurological
cconditions.
The cdriver cis ctaking cCelexa cand cmelatonin. cThe cMedical cExaminer cshould:
Page 1 of 67
,a. cAdvise cthe cdriver cto conly ctake cthese cmedications cmore cthan c12 chours cbefore
cdriving. c
b. cAdvise cthe cdriver cto cstop cmelatonin cas cit ccan ccause cdrowsiness. c
c. cRecommend can calternative cto cCelexa. c
d. cAdvise cthe cdriver cto cdiscuss cbenzodiazepines cas can calternative ctreatment. cwith
cthe cdriver's cprescribing cprovider c- ccorrect canswers✔✔Advise cthe cdriver cto conly
ctake cthese cmedications cmore cthan c12 chours cbefore cdriving.
The cdriver ctells cthe cMedical cExaminer che chas crecently cbeen cprescribed ccontact
clenses. cHe cnotes cthat cafter c3-4 chours cof cuse cthe ccontacts ccause cirritation cand che
chas cto ctake cthem cout. cThe cdriver cpasses cthe cvision ctest conly cwith ccontacts cand
cdoes cnot chave ceyeglasses. cThe cMedical cExaminer cshould: c
a. cAdvise cthe cdriver cto ccarry ca cspare cpair cof ccontact clenses.
b. cCertify cthe cdriver cwearing ccorrective clenses. c
c. cRefer cthe cdriver cfor cevaluation cunder cthe cAlternative cVision cQualification
cstandard. c
d. cCertify cthe cdriver cwithout cqualifications c- ccorrect canswers✔✔Certify cthe cdriver
cwearing ccorrective clenses.
The cdriver cdoes cnot cindicate cany cmedical cconditions con chealth chistory. cDuring cthe
cexam cthe cMedical cExaminer cnotes cthe cpresence cof ca chearing caid cin cone cear.
cThe cdriver csays cthat che cdoesn't cneed cthe chearing caid cto cdrive cand cdoesn't cthink
cit cshould cbe crequired. cThe cnext cstep cfor cthe cMedical cExaminer cis:
a. cTest cthe cdriver's chearing cwithout cthe chearing caid. c
b. cExamine cthe cdriver's cears. c
c. cRefer cthe cdriver cfor chearing cassessment cby ca cspecialist cwith cspecialized
caudiometric ctesting ccapabilities cfor ctesting cdrivers cwhile cwearing ca chearing caid. cd.
cCertify cthe cdriver cwith cthe cqualification c"wearing chearing caid c- ccorrect canswers✔✔
Test cthe cdriver's chearing cwithout cthe chearing caid.
A cdriver chas can cindication cfor cobtaining ca ccardiac cstress ctest. cIf cthe cdriver cis cnot
ctaking ca cbeta cblocker, cwhat cis cthe cpercentage cof cmaximum cheart crate cthat cthe
cdriver cshould cmeet cto cindicate ca csatisfactory cstress ctest: c
a. c60%. c
b. c75%. c
c. c85%. c
d. c100%. c- ccorrect canswers✔✔85%
The cdriver cis cmissing cthe c4th cfinger cof chis cright chand. cThe cMedical cExaminer
cshould: c
a. cRefer cfor corthopedic cevaluation. c
Page 2 of 67
,b. cIndicate cthe cdriver cwill cneed ca cSPE cCertificate. c
c. cTest cthe cdriver's cgrasp cand cprehension. c
d. cDisqualify cthe cdriver c- ccorrect canswers✔✔Test cthe cdriver's cgrasp cand
cprehension.
The cdriver cdescribes ca chistory cof cdizzy cspells. cWhich cexamination cfinding cis cnot
cindicated? c
a. cTest cthe cdriver cfor cnystagmus. c
b. cRomberg ctesting. c
c. cOrthostatic cblood cpressure cmeasurements. c
d. cLiver cand cspleen cpalpation c- ccorrect canswers✔✔Liver cand cspleen cpalpation
Guidance c(not cregulatory) crecommendations care cthat cdrivers cwith cdizziness cor
cvertigo cshould cnot cbe cqualified cuntil cthe cdriver chas cachieved ca c2-month csymptom
cfree cinterval cregardless cof cexamination cfindings.
Vision ctesting cmay cbe cperformed cby: c
a. cThe cMedical cExaminer, can coptometrist, cor cophthalmologist. c
b. cOnly can cophthalmologist. c
c. cOnly cthe cMedical cExaminer. c
d. cOnly can coptometrist c- ccorrect canswers✔✔The cMedical cExaminer, can
coptometrist, cor cophthalmologist
The cdriver chas c1,000 cng/ml cof cglucose con curinalysis. cWhat cis cthe cnext cappropriate
cstep cfor cthe cMedical cExaminer?
a. cDisqualify cthe cdriver. c
b. cRefer cthe cdriver cfor cevaluation cby ca ckidney cspecialist. c
c. cRefer cthe cdriver cfor cevaluation cunder cthe cInsulin-Treated cDiabetes cAlternative
cQualification cStandard. c
d. cRecommend cthe cdriver ccheck cblood cglucose c4x cper cday. c- ccorrect canswers✔✔
Recommend cthe cdriver ccheck cblood cglucose c4x cper cday.
The cdriver cpresents cafter chaving chad ca cPCI cprocedure c3 cdays cprior. cThe cdriver
cindicates cno csymptoms cand chas ca cletter cfrom chis ccardiologist cindicating che cis
ccleared cto cdrive. cThe cMedical cExaminer cshould:
a. cHave cthe cdriver creturn cfor cevaluation cat cleast c3 cweeks cafter cthe cdate cof cthe
cPCI. c
b. cRefer cthe cdriver cfor ca ccardiac cstress ctest. c
c. cCertify cthe cdriver cfor c6 cmonths. c
d. cCertify cthe cdriver cfor c2 cyears c- ccorrect canswers✔✔Have cthe cdriver creturn cfor
cevaluation cat cleast c3 cweeks cafter cthe cdate cof cthe cPCI
Page 3 of 67
, - cCurrent cFMCSA cguidelines cin cthe creference ctable cin cthe c2022 cDraft cversion cof
cthe cMedical cExaminer's cHandbook cinclude: cAsymptomatic; cMinimum c3 cweeks cafter
celective cprocedure; cLVEF c> c40%; cAdherence cto ccardiovascular cspecialist-
recommended cappropriate cmedical ctherapy cfor ca cminimum cof c1 cyear cafter
creceiving cdrug-eluting cstent; cClearance cby ccardiologist.
The cdriver cdescribes calcohol cuse cincluding c2 cdrinks ca cnight cduring cthe cweek cand
ca c6 cpack con cthe cweekends. cThe cMedical cExaminer's cnext cstep cshould cbe cto: c
a. cRefer cthe cdriver cfor cevaluation cby ca csubstance cabuse cprofessional. c
b. cFurther cassess cthe cdriver's chistory cof cand ccurrent cuse cof calcohol. c
c. cDisqualify cthe cdriver. c
d. cTest cthe cdriver cfor cdrugs cand calcohol c- ccorrect canswers✔✔Further cassess cthe
cdriver's chistory cof cand ccurrent cuse cof calcohol
What cis cthe cdriver crequired cto csign cfor con cMCSA-5875? c
a. cHealth chistory. c
b. cRelease cof cinformation. c
c. cAcknowledgement cof ctesting cresults. c
d. cAcceptance cof cthe cMedical cExaminer's ccertification cdetermination c- ccorrect
canswers✔✔Health chistory.
What cis cappropriate cpreparation cfor cthe cphysical cexamination?
a. cDress cand cstockings. c
b. cExamination cgown cand cunderwear. c
c. cShorts cand ctennis cshoes. c
d. cLoose cfitting cclothing. c- ccorrect canswers✔✔Examination cgown cand cunderwear
The cdriver chas ca chistory cof ccoronary cartery cbypass cgrafting c(CABG) c3 cyears cago.
cHe cis cnow cdescribing cshortness cof cbreath. cThe cMedical cExaminer's cnext cstep cis: c
a. cRefer cthe cdriver cfor ccardiac cstress ctesting. c
b. cRefer cthe cdriver cfor ccardiology cevaluation. c
c. cDisqualify cthe cdriver. c
d. cAssess ccardiac crisk cfactors cand cfurther ccharacterize cthe cdriver's csymptoms c-
ccorrect canswers✔✔Assess ccardiac crisk cfactors cand cfurther ccharacterize cthe
cdriver's csymptoms
Which cof cthe cfollowing cshould craise cthe cgreatest cconcern cfor cthe cMedical
cExaminer's cassessment? c
Page 4 of 67
Solutions
The cdriver cpresents cwith ca cSPE cCertificate. cThe cMedical cExaminer's cnext cstep
cshould cbe: c- ccorrect canswers✔✔Proceed cwith cthe cexamination.
A c21-year-old cdriver cpresents cwith ca chistory cof cADHD cfor c10 cyears, ctaking cstable
cdosing cof cAdderall. cHe cdescribes cno cside ceffects. cWhich cof cthe cfollowing cis ctrue?
ca. cA csignificant cpercentage cof cindividuals cwith cadult cADHD cshow ca cmoderate cto
cmarked cdegree cof cimprovement con ccentral cnervous csystem cstimulant cmedication. c
b. cADHD cis ca cdisqualifying ccondition. c
c. cAdderall cis ca cSchedule c1 cdrug. c
d. cMedical cExaminers cshould ctest cfor cserum cdrug clevels cof cAdderall. c- ccorrect
canswers✔✔A csignificant cpercentage cof cindividuals cwith cadult cADHD cshow ca
cmoderate cto cmarked cdegree cof cimprovement con ccentral cnervous csystem cstimulant
cmedication
Which cof cthe cfollowing cis cthe cmost cimportant cexamination cfinding cthat crequires
cadditional cevaluation? c
a. cAcrochordon. c
b. cHyperopia.
c. cPalpable ccalf ccords. c
d. cVerruca cvulgaris. c- ccorrect canswers✔✔Palpable ccalf ccords
The cdriver creports ctaking cDigoxin. cWhat cfindings cwould craise cthe cmost csignificant
cconcerns cregarding ccertification? c
a. cArrhythmias.
b. cAnorexia. c
c. cNausea cand cvomiting. c
d. cDiarrhea. c- ccorrect canswers✔✔Arrhythmias.
The cdriver cis ctaking ctheophylline. cWhich cof cthe cfollowing cis cnot ctrue? c
a. cSerum clevels cmay cbe cchecked. c
b. cThe cprimary cindication cfor ctheophylline cis cin cthe ctreatment cof cneurological
cconditions. c
c. cCardiac ctoxicity cis ca csignificant crisk cof ctheophylline cuse. c
d. cTheophylline ccan cbe cadministered corally cor cintravenously c(IV c- ccorrect canswers
✔✔The cprimary cindication cfor ctheophylline cis cin cthe ctreatment cof cneurological
cconditions.
The cdriver cis ctaking cCelexa cand cmelatonin. cThe cMedical cExaminer cshould:
Page 1 of 67
,a. cAdvise cthe cdriver cto conly ctake cthese cmedications cmore cthan c12 chours cbefore
cdriving. c
b. cAdvise cthe cdriver cto cstop cmelatonin cas cit ccan ccause cdrowsiness. c
c. cRecommend can calternative cto cCelexa. c
d. cAdvise cthe cdriver cto cdiscuss cbenzodiazepines cas can calternative ctreatment. cwith
cthe cdriver's cprescribing cprovider c- ccorrect canswers✔✔Advise cthe cdriver cto conly
ctake cthese cmedications cmore cthan c12 chours cbefore cdriving.
The cdriver ctells cthe cMedical cExaminer che chas crecently cbeen cprescribed ccontact
clenses. cHe cnotes cthat cafter c3-4 chours cof cuse cthe ccontacts ccause cirritation cand che
chas cto ctake cthem cout. cThe cdriver cpasses cthe cvision ctest conly cwith ccontacts cand
cdoes cnot chave ceyeglasses. cThe cMedical cExaminer cshould: c
a. cAdvise cthe cdriver cto ccarry ca cspare cpair cof ccontact clenses.
b. cCertify cthe cdriver cwearing ccorrective clenses. c
c. cRefer cthe cdriver cfor cevaluation cunder cthe cAlternative cVision cQualification
cstandard. c
d. cCertify cthe cdriver cwithout cqualifications c- ccorrect canswers✔✔Certify cthe cdriver
cwearing ccorrective clenses.
The cdriver cdoes cnot cindicate cany cmedical cconditions con chealth chistory. cDuring cthe
cexam cthe cMedical cExaminer cnotes cthe cpresence cof ca chearing caid cin cone cear.
cThe cdriver csays cthat che cdoesn't cneed cthe chearing caid cto cdrive cand cdoesn't cthink
cit cshould cbe crequired. cThe cnext cstep cfor cthe cMedical cExaminer cis:
a. cTest cthe cdriver's chearing cwithout cthe chearing caid. c
b. cExamine cthe cdriver's cears. c
c. cRefer cthe cdriver cfor chearing cassessment cby ca cspecialist cwith cspecialized
caudiometric ctesting ccapabilities cfor ctesting cdrivers cwhile cwearing ca chearing caid. cd.
cCertify cthe cdriver cwith cthe cqualification c"wearing chearing caid c- ccorrect canswers✔✔
Test cthe cdriver's chearing cwithout cthe chearing caid.
A cdriver chas can cindication cfor cobtaining ca ccardiac cstress ctest. cIf cthe cdriver cis cnot
ctaking ca cbeta cblocker, cwhat cis cthe cpercentage cof cmaximum cheart crate cthat cthe
cdriver cshould cmeet cto cindicate ca csatisfactory cstress ctest: c
a. c60%. c
b. c75%. c
c. c85%. c
d. c100%. c- ccorrect canswers✔✔85%
The cdriver cis cmissing cthe c4th cfinger cof chis cright chand. cThe cMedical cExaminer
cshould: c
a. cRefer cfor corthopedic cevaluation. c
Page 2 of 67
,b. cIndicate cthe cdriver cwill cneed ca cSPE cCertificate. c
c. cTest cthe cdriver's cgrasp cand cprehension. c
d. cDisqualify cthe cdriver c- ccorrect canswers✔✔Test cthe cdriver's cgrasp cand
cprehension.
The cdriver cdescribes ca chistory cof cdizzy cspells. cWhich cexamination cfinding cis cnot
cindicated? c
a. cTest cthe cdriver cfor cnystagmus. c
b. cRomberg ctesting. c
c. cOrthostatic cblood cpressure cmeasurements. c
d. cLiver cand cspleen cpalpation c- ccorrect canswers✔✔Liver cand cspleen cpalpation
Guidance c(not cregulatory) crecommendations care cthat cdrivers cwith cdizziness cor
cvertigo cshould cnot cbe cqualified cuntil cthe cdriver chas cachieved ca c2-month csymptom
cfree cinterval cregardless cof cexamination cfindings.
Vision ctesting cmay cbe cperformed cby: c
a. cThe cMedical cExaminer, can coptometrist, cor cophthalmologist. c
b. cOnly can cophthalmologist. c
c. cOnly cthe cMedical cExaminer. c
d. cOnly can coptometrist c- ccorrect canswers✔✔The cMedical cExaminer, can
coptometrist, cor cophthalmologist
The cdriver chas c1,000 cng/ml cof cglucose con curinalysis. cWhat cis cthe cnext cappropriate
cstep cfor cthe cMedical cExaminer?
a. cDisqualify cthe cdriver. c
b. cRefer cthe cdriver cfor cevaluation cby ca ckidney cspecialist. c
c. cRefer cthe cdriver cfor cevaluation cunder cthe cInsulin-Treated cDiabetes cAlternative
cQualification cStandard. c
d. cRecommend cthe cdriver ccheck cblood cglucose c4x cper cday. c- ccorrect canswers✔✔
Recommend cthe cdriver ccheck cblood cglucose c4x cper cday.
The cdriver cpresents cafter chaving chad ca cPCI cprocedure c3 cdays cprior. cThe cdriver
cindicates cno csymptoms cand chas ca cletter cfrom chis ccardiologist cindicating che cis
ccleared cto cdrive. cThe cMedical cExaminer cshould:
a. cHave cthe cdriver creturn cfor cevaluation cat cleast c3 cweeks cafter cthe cdate cof cthe
cPCI. c
b. cRefer cthe cdriver cfor ca ccardiac cstress ctest. c
c. cCertify cthe cdriver cfor c6 cmonths. c
d. cCertify cthe cdriver cfor c2 cyears c- ccorrect canswers✔✔Have cthe cdriver creturn cfor
cevaluation cat cleast c3 cweeks cafter cthe cdate cof cthe cPCI
Page 3 of 67
, - cCurrent cFMCSA cguidelines cin cthe creference ctable cin cthe c2022 cDraft cversion cof
cthe cMedical cExaminer's cHandbook cinclude: cAsymptomatic; cMinimum c3 cweeks cafter
celective cprocedure; cLVEF c> c40%; cAdherence cto ccardiovascular cspecialist-
recommended cappropriate cmedical ctherapy cfor ca cminimum cof c1 cyear cafter
creceiving cdrug-eluting cstent; cClearance cby ccardiologist.
The cdriver cdescribes calcohol cuse cincluding c2 cdrinks ca cnight cduring cthe cweek cand
ca c6 cpack con cthe cweekends. cThe cMedical cExaminer's cnext cstep cshould cbe cto: c
a. cRefer cthe cdriver cfor cevaluation cby ca csubstance cabuse cprofessional. c
b. cFurther cassess cthe cdriver's chistory cof cand ccurrent cuse cof calcohol. c
c. cDisqualify cthe cdriver. c
d. cTest cthe cdriver cfor cdrugs cand calcohol c- ccorrect canswers✔✔Further cassess cthe
cdriver's chistory cof cand ccurrent cuse cof calcohol
What cis cthe cdriver crequired cto csign cfor con cMCSA-5875? c
a. cHealth chistory. c
b. cRelease cof cinformation. c
c. cAcknowledgement cof ctesting cresults. c
d. cAcceptance cof cthe cMedical cExaminer's ccertification cdetermination c- ccorrect
canswers✔✔Health chistory.
What cis cappropriate cpreparation cfor cthe cphysical cexamination?
a. cDress cand cstockings. c
b. cExamination cgown cand cunderwear. c
c. cShorts cand ctennis cshoes. c
d. cLoose cfitting cclothing. c- ccorrect canswers✔✔Examination cgown cand cunderwear
The cdriver chas ca chistory cof ccoronary cartery cbypass cgrafting c(CABG) c3 cyears cago.
cHe cis cnow cdescribing cshortness cof cbreath. cThe cMedical cExaminer's cnext cstep cis: c
a. cRefer cthe cdriver cfor ccardiac cstress ctesting. c
b. cRefer cthe cdriver cfor ccardiology cevaluation. c
c. cDisqualify cthe cdriver. c
d. cAssess ccardiac crisk cfactors cand cfurther ccharacterize cthe cdriver's csymptoms c-
ccorrect canswers✔✔Assess ccardiac crisk cfactors cand cfurther ccharacterize cthe
cdriver's csymptoms
Which cof cthe cfollowing cshould craise cthe cgreatest cconcern cfor cthe cMedical
cExaminer's cassessment? c
Page 4 of 67
