DOT CERTIFICATION EXAM 2023-2024 ACTUAL EXAM 250 QUESTIONS
AND CORRECT ANSWERS|AGRADE
- ansMinimum 5 years seizure free and off anti-convulsants meds; Requires annual
recertification and biennial medical examination
- ansREVIEW MEDICATIONS AND IF THEY ARE SAFE FOR CMV DRIVERS
- ansThis is a one-time driving examination by the FMCSA so it is not appropriate for a
progressive or fluctuating limb disorder; Formerly called the Limb Waiver; Allows a
person with the loss of an extremity (wrist up or ankle up) or with a fixed
musculoskeletal impairment to be certified to drive a CMV; This loss can be more
anatomically distal if the examiner determines that it impairs the ability to drive safely
- ansWHAT IS THE WAITING PERIOD FOR THROMBOTIC AND EMBOLIC STROKE
> 180/11 - ansStage 3 HTN
>2 drinks/day for men
>1 drink/day for women - ansHeavy drinking average for men and women?
>6 METS - ansTo be certified, a driver with heart disease should exercise to a workload
capacity of ____
>6 METS, LVEF > 40%, NYHA Class 1 - ansWith heart failure 10-30% of all deaths are
sudden. Do not certify a driver until you confirm that treatment is adequate, effective,
and safe. What are the minimum METS, LVEF, and NYHA classifications?
>10% - ansThe FMCSA Medical Examiner Handbook states that a Hgb A1C of ____
(275%) indicates poor glucose control
>180/110 - ansStage 3 HTN
1 month - ansAccording to the FMCSA how long should you wait to certify after patient
starts PAP?
1 month waiting period - ansIf a user is on Coumadin they must be properly monitored,
shift needs to focus on the underlying condition, and user must wait ___ prior to
certification
1 month waiting period, 1 year certification - ans___ ___ waiting period post-ablation or
other treatment for Atrial Fib, certify for __ __ if asymptomatic, anti-coagulated
adequately, heart rate controlled, no disqualifying underlying disease
1 time, 3 month certification card - ansIf a patient with Stage 1 HTN comes in for
recertification and their BP is 140-159/90-99 what type of certification would they
receive?
,DOT CERTIFICATION EXAM 2023-2024 ACTUAL EXAM 250 QUESTIONS
AND CORRECT ANSWERS|AGRADE
1 year - ansHow long can you certify someone using CNS stimulants like Adderral,
Ritalin, and Pemoline?
1 year - ansHow long can you certify someone who comes in for certification for the first
time and has Stage 1 HTN?
1 Year - ansHow long is the waiting period for someone who has had a TIA?
1 year - ansHow long max can you certify someone with Adult ADHD? Symptoms
include age-inappropriate inattention, impulsiveness, hyperactivity, mood liability, low
frustration, and explosiveness
1 year - ansIf a person is syncope free for 3 months and it is not recurrent, how long can
they be certified for?
1 year - ansMax certification for someone with Cystic Fibrosis (They must have
continuous antibiotic therapy and daily respiratory therapy to mobilize secretions)
1 year - ansMax certification for someone with TIA
1 year - ansStage 1 HTN and on BP med. How long can you certify for if the patient's
BP is <140/90?
1 year - ansThose on antipsychotic drugs like Rispersdal, Zyprexa, Seroquel, and Abilify
can only be certified for how long?
1 year - ansWaiting period after TIA
1 year - ansWaiting period for every other psychotic disorder besides brief psychosis or
schizophreniform disorder
1 year certification - ansIf a driver is PAP compliant at 3 months, how long of a
certification can they be issued?
1 year from the date of the complete exam - ansA person with Stage 2 HTN returns for
their recheck exam after 3 months. How long can they be certified if their BP is <140/90
and they are on BP meds?
1 year from the date of the of the complete exam - ansIf a patient with Stage one HTN
who comes back in for a 3-month recheck and their BP is <140/90 how long can they be
certified for?
1 year if the driver is not at risk for seizures - ansWaiting period after a stroke
, DOT CERTIFICATION EXAM 2023-2024 ACTUAL EXAM 250 QUESTIONS
AND CORRECT ANSWERS|AGRADE
1 year on BP meds - ansIf someone with Stage 1 HTN comes into the clinic for
recertification how long can you certify them for if they are on BP meds and their BP is
less than 140/90?
1 year waiting period - ansWaiting period for TIA, stroke, intracerebral or subarachnoid
hemorrhage with no risk for seizure, Surgically repaired arteriovenous
malformation/aneurysm with no risk for seizure, Surgically removed infratentorial
meningioma, acoustic neuromas, pituitary adenomas, benign spinal tumors, or other
benign extra-ataxial tumor with no risk for seizures
1 year; No additional time if no increased seizure risk and not on any anti-seizure meds
- ansWaiting period for cerebellum or brain stem stroke
1-2 years from the date of the complete exam - ansA person with Stage 2 HTN returns
for their recheck exam after 3 months. How long can they be certified if their BP is
<140/90 and they are not on BP meds?
1-2 years if not on any BP meds - ansIf someone with Stage 1 HTN comes into the
clinic for recertification how long can you certify them for if they are not on any BP
meds?
1st generation antihistamines - ansAre avaliable without an RX and are sedating - You
should abstain from antihistatimes for 12 hours prior to operating a CMV
2 eyes - ans1 ear, _____ certifies! Max certification is one year.
2 months - ansWaiting period after an MI
2 year waiting period - ansWaiting period for Seizure with acute structural insult to the
brain, Moderate TBI without early seizure, Surgically removed supratentorial or spinal
tumor
2 Years - ansHow long can a driver who meets the hearing requirements in one ear be
certified?
3 month certification - ansIf a driver is PAP compliant at one month, how long of a
certification can they be issued?
3 months - ansA pulmonary emboli is a clot. How long is the waiting period for this clot
in which a DVT is a major source?
3 months - ansWhen does a person need to come back to be seen with Stage 2 HTN
after their first exam for recertification?
3 months before the exam - ansDO NOT certify if: Unstable Angina in the __ __ __ __
__, there has been no waiting period, and needs evaluation
AND CORRECT ANSWERS|AGRADE
- ansMinimum 5 years seizure free and off anti-convulsants meds; Requires annual
recertification and biennial medical examination
- ansREVIEW MEDICATIONS AND IF THEY ARE SAFE FOR CMV DRIVERS
- ansThis is a one-time driving examination by the FMCSA so it is not appropriate for a
progressive or fluctuating limb disorder; Formerly called the Limb Waiver; Allows a
person with the loss of an extremity (wrist up or ankle up) or with a fixed
musculoskeletal impairment to be certified to drive a CMV; This loss can be more
anatomically distal if the examiner determines that it impairs the ability to drive safely
- ansWHAT IS THE WAITING PERIOD FOR THROMBOTIC AND EMBOLIC STROKE
> 180/11 - ansStage 3 HTN
>2 drinks/day for men
>1 drink/day for women - ansHeavy drinking average for men and women?
>6 METS - ansTo be certified, a driver with heart disease should exercise to a workload
capacity of ____
>6 METS, LVEF > 40%, NYHA Class 1 - ansWith heart failure 10-30% of all deaths are
sudden. Do not certify a driver until you confirm that treatment is adequate, effective,
and safe. What are the minimum METS, LVEF, and NYHA classifications?
>10% - ansThe FMCSA Medical Examiner Handbook states that a Hgb A1C of ____
(275%) indicates poor glucose control
>180/110 - ansStage 3 HTN
1 month - ansAccording to the FMCSA how long should you wait to certify after patient
starts PAP?
1 month waiting period - ansIf a user is on Coumadin they must be properly monitored,
shift needs to focus on the underlying condition, and user must wait ___ prior to
certification
1 month waiting period, 1 year certification - ans___ ___ waiting period post-ablation or
other treatment for Atrial Fib, certify for __ __ if asymptomatic, anti-coagulated
adequately, heart rate controlled, no disqualifying underlying disease
1 time, 3 month certification card - ansIf a patient with Stage 1 HTN comes in for
recertification and their BP is 140-159/90-99 what type of certification would they
receive?
,DOT CERTIFICATION EXAM 2023-2024 ACTUAL EXAM 250 QUESTIONS
AND CORRECT ANSWERS|AGRADE
1 year - ansHow long can you certify someone using CNS stimulants like Adderral,
Ritalin, and Pemoline?
1 year - ansHow long can you certify someone who comes in for certification for the first
time and has Stage 1 HTN?
1 Year - ansHow long is the waiting period for someone who has had a TIA?
1 year - ansHow long max can you certify someone with Adult ADHD? Symptoms
include age-inappropriate inattention, impulsiveness, hyperactivity, mood liability, low
frustration, and explosiveness
1 year - ansIf a person is syncope free for 3 months and it is not recurrent, how long can
they be certified for?
1 year - ansMax certification for someone with Cystic Fibrosis (They must have
continuous antibiotic therapy and daily respiratory therapy to mobilize secretions)
1 year - ansMax certification for someone with TIA
1 year - ansStage 1 HTN and on BP med. How long can you certify for if the patient's
BP is <140/90?
1 year - ansThose on antipsychotic drugs like Rispersdal, Zyprexa, Seroquel, and Abilify
can only be certified for how long?
1 year - ansWaiting period after TIA
1 year - ansWaiting period for every other psychotic disorder besides brief psychosis or
schizophreniform disorder
1 year certification - ansIf a driver is PAP compliant at 3 months, how long of a
certification can they be issued?
1 year from the date of the complete exam - ansA person with Stage 2 HTN returns for
their recheck exam after 3 months. How long can they be certified if their BP is <140/90
and they are on BP meds?
1 year from the date of the of the complete exam - ansIf a patient with Stage one HTN
who comes back in for a 3-month recheck and their BP is <140/90 how long can they be
certified for?
1 year if the driver is not at risk for seizures - ansWaiting period after a stroke
, DOT CERTIFICATION EXAM 2023-2024 ACTUAL EXAM 250 QUESTIONS
AND CORRECT ANSWERS|AGRADE
1 year on BP meds - ansIf someone with Stage 1 HTN comes into the clinic for
recertification how long can you certify them for if they are on BP meds and their BP is
less than 140/90?
1 year waiting period - ansWaiting period for TIA, stroke, intracerebral or subarachnoid
hemorrhage with no risk for seizure, Surgically repaired arteriovenous
malformation/aneurysm with no risk for seizure, Surgically removed infratentorial
meningioma, acoustic neuromas, pituitary adenomas, benign spinal tumors, or other
benign extra-ataxial tumor with no risk for seizures
1 year; No additional time if no increased seizure risk and not on any anti-seizure meds
- ansWaiting period for cerebellum or brain stem stroke
1-2 years from the date of the complete exam - ansA person with Stage 2 HTN returns
for their recheck exam after 3 months. How long can they be certified if their BP is
<140/90 and they are not on BP meds?
1-2 years if not on any BP meds - ansIf someone with Stage 1 HTN comes into the
clinic for recertification how long can you certify them for if they are not on any BP
meds?
1st generation antihistamines - ansAre avaliable without an RX and are sedating - You
should abstain from antihistatimes for 12 hours prior to operating a CMV
2 eyes - ans1 ear, _____ certifies! Max certification is one year.
2 months - ansWaiting period after an MI
2 year waiting period - ansWaiting period for Seizure with acute structural insult to the
brain, Moderate TBI without early seizure, Surgically removed supratentorial or spinal
tumor
2 Years - ansHow long can a driver who meets the hearing requirements in one ear be
certified?
3 month certification - ansIf a driver is PAP compliant at one month, how long of a
certification can they be issued?
3 months - ansA pulmonary emboli is a clot. How long is the waiting period for this clot
in which a DVT is a major source?
3 months - ansWhen does a person need to come back to be seen with Stage 2 HTN
after their first exam for recertification?
3 months before the exam - ansDO NOT certify if: Unstable Angina in the __ __ __ __
__, there has been no waiting period, and needs evaluation
