FMCSA DOT ACTUAL TEST SET 2026
PRECISE SOLUTIONS DELIVERED
⫸ Does interstate commerce refer to the cargo or to the driver?
Answer: It refers to the cargo, tools, vehicle, NOT to the driver.
⫸ When is a 12 month (or shorter) certification required? Answer: a)
intracity zone exempt drivers
b) waiver program drivers
c) insulin
d) any driver whose job duties have been impaired by mental/physical
injury
⫸ Does the driver need a new exam after sustaining an injury?
Answer: That is up to the employer.
⫸ Can an examiner write schedule/MSK restrictions? Answer: No.
⫸ Document every abnormality? Answer: Yes, and then just write in
comments, "not likely to interfere."
⫸ Whisper test okay for hearing? Answer: Yes
,⫸ Need to fill out both state and federal? Answer: No, one or the
other
⫸ Is determination pending okay on both state and federal? Answer:
No, only permissible on federal
⫸ When to fill out state form? Answer: If truly intrastate. Need to
know the state variances for the state in which the driver operates.
⫸ How short a period can you put on the card? Answer: As short as
you want. Eg. 30 days, 45 days, 3 months, etc.
⫸ 2 reasons for not medically qualified? Answer: 1)
Disease/condition that temporarily or permanently DQs them OR 2)
Haven't fulfilled appropriate waiting period, eg. 1 year
⫸ What do you document if driver stops exam? Answer: "Incomplete
exam"
⫸ If you do determination pending, what do you put as the expiration
date? Answer: The date they come back with whatever documentation
you needed.
⫸ Is the medical certification limited to their current employer?
Answer: No. They are allowed to switch employers that might require
more strenuous tasks/different schedule, etc.
,⫸ What is "acceptable risk?" Answer: 1% annual risk of sudden
incapacitation. If the driver is at increased risk compared to the
general population, than they shouldn't be operating a CMV.
⫸ When to certify for less than 2 years? Answer: If their condition
requires more frequent monitoring by specialist/PCP, etc.
⫸ What do you put in the "medical record" box? Answer: Can be
blank, employee ID, etc. Up to you.
⫸ Okay to examine drivers from Canada and Mexico? Answer: Yes
⫸ Driver ID requirements? Answer: You must see some sort of
government issued ID to make sure they're not having a friend/family
member take the medical exam for them.
⫸ If they leave blank, check yes, or not sure under "medical
certificate issued for less than 2 years," then what? Answer: Ask why
and address. Review old exams done in your clinic!!!
⫸ If driver wrote "not sure" to any answer... Answer: Ask about and
address. Never cross out what driver wrote but you can put additional
comments below.
⫸ Does determination pending require a new exam? Answer: No. A
short medical certificate does, but a DP does not.
, ⫸ What to do if current med certificate expires tomorrow, but you
need their HgbA1C, etc? Answer: 1) You can issue a short term
certificate AND do determination pending but will need to repeat
exam
2) DQ and do determination pending if you do not think driver is safe
to be on the road in the meantime before you get the info
⫸ How long do you have to submit driver determination online after
doing exam? Answer: Close of next calendar business day.
⫸ Whose responsibility is it to address driver's age and language?
Answer: Employer
⫸ What do you do after you make your determination? Answer:
Required to discuss with the driver and what they need to do. Must be
clear that you are making your decision based on best
practice/guidelines and NOT on regulation.
⫸ What if a driver from another country has a variance/waiver?
Answer: They are not qualified in the US.
⫸ What are the 13 physical qualifications for drivers? Answer: 1 + 2.
No loss/impairment of foot/leg/hand/arm.
3. No IDDM (new waiver)
4. No dx of heart dz that might cause syncope, SOB, collapse, or CHF
5. No respiratory dysfunction likely to interfere
6. No HTN likely to interfere
PRECISE SOLUTIONS DELIVERED
⫸ Does interstate commerce refer to the cargo or to the driver?
Answer: It refers to the cargo, tools, vehicle, NOT to the driver.
⫸ When is a 12 month (or shorter) certification required? Answer: a)
intracity zone exempt drivers
b) waiver program drivers
c) insulin
d) any driver whose job duties have been impaired by mental/physical
injury
⫸ Does the driver need a new exam after sustaining an injury?
Answer: That is up to the employer.
⫸ Can an examiner write schedule/MSK restrictions? Answer: No.
⫸ Document every abnormality? Answer: Yes, and then just write in
comments, "not likely to interfere."
⫸ Whisper test okay for hearing? Answer: Yes
,⫸ Need to fill out both state and federal? Answer: No, one or the
other
⫸ Is determination pending okay on both state and federal? Answer:
No, only permissible on federal
⫸ When to fill out state form? Answer: If truly intrastate. Need to
know the state variances for the state in which the driver operates.
⫸ How short a period can you put on the card? Answer: As short as
you want. Eg. 30 days, 45 days, 3 months, etc.
⫸ 2 reasons for not medically qualified? Answer: 1)
Disease/condition that temporarily or permanently DQs them OR 2)
Haven't fulfilled appropriate waiting period, eg. 1 year
⫸ What do you document if driver stops exam? Answer: "Incomplete
exam"
⫸ If you do determination pending, what do you put as the expiration
date? Answer: The date they come back with whatever documentation
you needed.
⫸ Is the medical certification limited to their current employer?
Answer: No. They are allowed to switch employers that might require
more strenuous tasks/different schedule, etc.
,⫸ What is "acceptable risk?" Answer: 1% annual risk of sudden
incapacitation. If the driver is at increased risk compared to the
general population, than they shouldn't be operating a CMV.
⫸ When to certify for less than 2 years? Answer: If their condition
requires more frequent monitoring by specialist/PCP, etc.
⫸ What do you put in the "medical record" box? Answer: Can be
blank, employee ID, etc. Up to you.
⫸ Okay to examine drivers from Canada and Mexico? Answer: Yes
⫸ Driver ID requirements? Answer: You must see some sort of
government issued ID to make sure they're not having a friend/family
member take the medical exam for them.
⫸ If they leave blank, check yes, or not sure under "medical
certificate issued for less than 2 years," then what? Answer: Ask why
and address. Review old exams done in your clinic!!!
⫸ If driver wrote "not sure" to any answer... Answer: Ask about and
address. Never cross out what driver wrote but you can put additional
comments below.
⫸ Does determination pending require a new exam? Answer: No. A
short medical certificate does, but a DP does not.
, ⫸ What to do if current med certificate expires tomorrow, but you
need their HgbA1C, etc? Answer: 1) You can issue a short term
certificate AND do determination pending but will need to repeat
exam
2) DQ and do determination pending if you do not think driver is safe
to be on the road in the meantime before you get the info
⫸ How long do you have to submit driver determination online after
doing exam? Answer: Close of next calendar business day.
⫸ Whose responsibility is it to address driver's age and language?
Answer: Employer
⫸ What do you do after you make your determination? Answer:
Required to discuss with the driver and what they need to do. Must be
clear that you are making your decision based on best
practice/guidelines and NOT on regulation.
⫸ What if a driver from another country has a variance/waiver?
Answer: They are not qualified in the US.
⫸ What are the 13 physical qualifications for drivers? Answer: 1 + 2.
No loss/impairment of foot/leg/hand/arm.
3. No IDDM (new waiver)
4. No dx of heart dz that might cause syncope, SOB, collapse, or CHF
5. No respiratory dysfunction likely to interfere
6. No HTN likely to interfere
