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DOT CERTIFICATION EXAM / DOT CERTIFICATION EXAM
PREPARATION/DOT CERTIFICATION EXAM PRACTICE 2025/2026
ACTUAL EXAM 250 QUESTIONS AND CORRECT ANSWERS|A+GRADE
What colors must they be able to recognize - ......ANSWER........red, green, amber
Does colorblindness disqualify driver - ......ANSWER........no but must be able to see red,
green and amber
Monocular vision is what - ......ANSWER........when only one eye meets requirements with
or without correction, they are disqualified
if driver is disqualified for vision, then what - ......ANSWER........can apply for exception
Federal vision exemption; - ......ANSWER........for monocular vision issued for two years,
eye doctor must exam in previous three months, must have valid report, can be certified
for one year, check accompanied by exception box, annual eye doctor visit required, and
letter, qualified for one year
What type of vision affected with macular degeneration - ......ANSWER........central,
decrease visual cuiy, takes longer to recover from bright lights
Treatment age related macular degeneration - ......ANSWER........telescopic lenses
attempt to compensate but reduce peripheral vision so are not allowed -zinc, antioxidants,
vascular endothelial growth inhibitors
What is glaucoma - ......ANSWER........increased intraocular pressure leading to atrophy of
optic nerve cells
What vision is affected with glaucoma - ......ANSWER........peripheral vision, also night and
color
Symptoms of glaucoma - ......ANSWER........painless, gradual loss of vison
Tx of glaucoma - ......ANSWER........beta blocking agents alpha blocking, cholinergic
agonists somatic agents, prostaglandin analogs, combination
Cataracts cause what - ......ANSWER........diminished visual acuity due to opacified lenses
Cataracts s/s - ......ANSWER........glare is early symptom, decreased color and contrast
resolution,
,2 of 19
What accelerated cataracts - ......ANSWER........injury, radiation, steroids, gout, diabetes
Tx of cataracts - ......ANSWER........surgery removal of cataracts and replacement of ocular
lese
Retinopathy is what - ......ANSWER........non inflammatory retinal damage usually by
diabetes, intraretinal hemorrhages and microaneurysms commons
S/S of retinopathy - ......ANSWER........contrast sensitivity, color deification vision loss
Retinopathy treatment - ......ANSWER........strict glucose control, manage comorbidities. if
diabetes, annual exam, annual eye exam, unstable proliferative retinopathy is disqualifying
Bp cuff too small results in - ......ANSWER........a falsely elevated reason
Bp cuff to large means - ......ANSWER........falsely low
Stage 1 htn - ......ANSWER........over 140/90 but less than 160/100 drivers certified for one
year if this is first tie being diagnosed with htn and not on medicine
A onetime three-month certificate given to driver if - ......ANSWER........presents with one
year certificate prior untreated stage 1 tgn, no prescriptions for meds, has diagnosis of tn
and being and is being treated with htn meds, and has no s/e could lead to problems
The 3-month cert - ......ANSWER........cannot be given back-to-back but not limited to one
per lifetime
Reasons to disqualify driver with stage 1 htn: - ......ANSWER........3 moth certificate and bp
still over 140/90 or driver has a history of stage 3 htn with current bp over 140/90 he can be
recertified for one year once he gets it down
Stage 2 htn - ......ANSWER........between 160/100 but less 180/110
A onetime certificate if - ......ANSWER........no history of htn, does not use medication or
has diagnosis and being treated and no s/e
Reasons to disqualify with stage 2 htn - ......ANSWER........driver presents with a three-
month certificate for stage two htn and bp over 140/90, driver has stage 3 history and is
over 140/90
Stage 3 htn - ......ANSWER........180/110 bp DRIVER IS DISQUALIFIED SEE PCP
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A driver who is disqualified due to stage 3 htn must - ......ANSWER........lower bp to less
than 14090, be treated with medication, recert is only for six months. if at 6-month exam,
stage 1 or 2, may get three-month certificate
S/e of anticonvulsant meds - ......ANSWER........depressed mood, cognitive deficits,
unsteadiness, sedation
Certification - ......ANSWER........max 2 years if med has been shown to be effect and free
from hazardous s/e
If anticonvulsant meds used to control seizure disorder - ......ANSWER........disqualified
Anticoagulant therapy - ......ANSWER........waiting period 1 month stabilized, max cert is
one year if it is met needs letter from cardio or pcp that he gets inr once a month
Review chart on slide 135 - ......ANSWER........k
Romberg test is what - ......ANSWER........have patient with eet together arms at their sides,
and observe for one minute with eyes open then ask patient to close eyes and observe, too
much sway is a positive cerebellar dysfunction
Reflexes chart - ......ANSWER........slide 138?
1 YEAR SIEZURE FREE AND OFF medicine for the following - ......ANSWER........bacterial
meningitis without early seizures and viral encephalitis without early seizures
5 years seizure free and off anticonvulsants for what - ......ANSWER........bacterial
meningitis with early seizures
Minimum 10 years seizures free and off medicine for what infection
- ......ANSWER........viral encephalitis with early seizures
Aseptic meningitis - ......ANSWER........can be certified, not associated with seizures
Active cans infection: - ......ANSWER........disqualify
Waiting period for bpv and acute and chronic peripheral vestibulopathy
- ......ANSWER........2 months asymptomatic
Neuro conditions not to certify - ......ANSWER........Meniere's labyrinthine fistula
nonfunctioning labyrinths bvp with s/s in past two months acute and chronic peripheral
vestibulopathy with symptoms in last two months
DOT CERTIFICATION EXAM / DOT CERTIFICATION EXAM
PREPARATION/DOT CERTIFICATION EXAM PRACTICE 2025/2026
ACTUAL EXAM 250 QUESTIONS AND CORRECT ANSWERS|A+GRADE
What colors must they be able to recognize - ......ANSWER........red, green, amber
Does colorblindness disqualify driver - ......ANSWER........no but must be able to see red,
green and amber
Monocular vision is what - ......ANSWER........when only one eye meets requirements with
or without correction, they are disqualified
if driver is disqualified for vision, then what - ......ANSWER........can apply for exception
Federal vision exemption; - ......ANSWER........for monocular vision issued for two years,
eye doctor must exam in previous three months, must have valid report, can be certified
for one year, check accompanied by exception box, annual eye doctor visit required, and
letter, qualified for one year
What type of vision affected with macular degeneration - ......ANSWER........central,
decrease visual cuiy, takes longer to recover from bright lights
Treatment age related macular degeneration - ......ANSWER........telescopic lenses
attempt to compensate but reduce peripheral vision so are not allowed -zinc, antioxidants,
vascular endothelial growth inhibitors
What is glaucoma - ......ANSWER........increased intraocular pressure leading to atrophy of
optic nerve cells
What vision is affected with glaucoma - ......ANSWER........peripheral vision, also night and
color
Symptoms of glaucoma - ......ANSWER........painless, gradual loss of vison
Tx of glaucoma - ......ANSWER........beta blocking agents alpha blocking, cholinergic
agonists somatic agents, prostaglandin analogs, combination
Cataracts cause what - ......ANSWER........diminished visual acuity due to opacified lenses
Cataracts s/s - ......ANSWER........glare is early symptom, decreased color and contrast
resolution,
,2 of 19
What accelerated cataracts - ......ANSWER........injury, radiation, steroids, gout, diabetes
Tx of cataracts - ......ANSWER........surgery removal of cataracts and replacement of ocular
lese
Retinopathy is what - ......ANSWER........non inflammatory retinal damage usually by
diabetes, intraretinal hemorrhages and microaneurysms commons
S/S of retinopathy - ......ANSWER........contrast sensitivity, color deification vision loss
Retinopathy treatment - ......ANSWER........strict glucose control, manage comorbidities. if
diabetes, annual exam, annual eye exam, unstable proliferative retinopathy is disqualifying
Bp cuff too small results in - ......ANSWER........a falsely elevated reason
Bp cuff to large means - ......ANSWER........falsely low
Stage 1 htn - ......ANSWER........over 140/90 but less than 160/100 drivers certified for one
year if this is first tie being diagnosed with htn and not on medicine
A onetime three-month certificate given to driver if - ......ANSWER........presents with one
year certificate prior untreated stage 1 tgn, no prescriptions for meds, has diagnosis of tn
and being and is being treated with htn meds, and has no s/e could lead to problems
The 3-month cert - ......ANSWER........cannot be given back-to-back but not limited to one
per lifetime
Reasons to disqualify driver with stage 1 htn: - ......ANSWER........3 moth certificate and bp
still over 140/90 or driver has a history of stage 3 htn with current bp over 140/90 he can be
recertified for one year once he gets it down
Stage 2 htn - ......ANSWER........between 160/100 but less 180/110
A onetime certificate if - ......ANSWER........no history of htn, does not use medication or
has diagnosis and being treated and no s/e
Reasons to disqualify with stage 2 htn - ......ANSWER........driver presents with a three-
month certificate for stage two htn and bp over 140/90, driver has stage 3 history and is
over 140/90
Stage 3 htn - ......ANSWER........180/110 bp DRIVER IS DISQUALIFIED SEE PCP
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A driver who is disqualified due to stage 3 htn must - ......ANSWER........lower bp to less
than 14090, be treated with medication, recert is only for six months. if at 6-month exam,
stage 1 or 2, may get three-month certificate
S/e of anticonvulsant meds - ......ANSWER........depressed mood, cognitive deficits,
unsteadiness, sedation
Certification - ......ANSWER........max 2 years if med has been shown to be effect and free
from hazardous s/e
If anticonvulsant meds used to control seizure disorder - ......ANSWER........disqualified
Anticoagulant therapy - ......ANSWER........waiting period 1 month stabilized, max cert is
one year if it is met needs letter from cardio or pcp that he gets inr once a month
Review chart on slide 135 - ......ANSWER........k
Romberg test is what - ......ANSWER........have patient with eet together arms at their sides,
and observe for one minute with eyes open then ask patient to close eyes and observe, too
much sway is a positive cerebellar dysfunction
Reflexes chart - ......ANSWER........slide 138?
1 YEAR SIEZURE FREE AND OFF medicine for the following - ......ANSWER........bacterial
meningitis without early seizures and viral encephalitis without early seizures
5 years seizure free and off anticonvulsants for what - ......ANSWER........bacterial
meningitis with early seizures
Minimum 10 years seizures free and off medicine for what infection
- ......ANSWER........viral encephalitis with early seizures
Aseptic meningitis - ......ANSWER........can be certified, not associated with seizures
Active cans infection: - ......ANSWER........disqualify
Waiting period for bpv and acute and chronic peripheral vestibulopathy
- ......ANSWER........2 months asymptomatic
Neuro conditions not to certify - ......ANSWER........Meniere's labyrinthine fistula
nonfunctioning labyrinths bvp with s/s in past two months acute and chronic peripheral
vestibulopathy with symptoms in last two months
