DOT/FMCSA Medical Examiner Certification Exam Examiner Certification Assessment – 2026/2027 Edition – 120 Questions with Verified Correct Answers

DOT/FMCSA Medical Examiner Certification Exam
Examiner Certification Assessment – 2026/2027 Edition –
120 Questions with Verified Correct Answers



General Qualification & Certification Standards

Question 1: According to FMCSA regulations, a commercial motor vehicle driver
engaged in interstate commerce must be at least what age?

 A) 18 years old
 B) 19 years old
 C) 20 years old
 D) 21 years old ✓

Rationale: FMCSA regulations require interstate commercial motor vehicle drivers to be
at least 21 years of age. Intrastate drivers may be at least 18 years old depending on
state laws .




Question 2: A DOT physical examination is valid for a maximum of how long?

 A) 1 year
 B) 2 years ✓
 C) 3 years
 D) 6 months

,Rationale: The standard medical examiner's certificate (Form MCSA-5876) is valid for up
to 24 months (2 years). Shorter certification periods may be issued for drivers with
certain medical conditions requiring monitoring .




Question 3: What is the maximum certification period for a driver with a medical
condition that requires monitoring?

 A) 3 months
 B) 6 months
 C) 1 year ✓
 D) 2 years

Rationale: While the standard certificate is valid for 2 years, drivers with conditions
requiring monitoring may receive shorter certification periods of 3, 6, or 12 months as
determined by the medical examiner .




Question 4: Which of the following is NOT one of the four definitions of a
commercial motor vehicle?

 A) Gross vehicle weight rating greater than 10,000 lbs
 B) Transport more than 5 passengers for compensation ✓
 C) Transport more than 8 passengers (including driver) for compensation
 D) Transport hazardous materials in quantities requiring placards

Rationale: The four definitions of a CMV are: gross weight >10,000 lbs, transporting >8
passengers (including driver) for compensation, transporting >15 passengers (including

,driver) whether for compensation or not, and transporting hazardous materials in
quantities requiring placards .




Question 5: When was the FMCSA established and when was the NRCME
established?

 A) FMCSA 1999, NRCME 2010
 B) FMCSA 1999, NRCME 2014 ✓
 C) FMCSA 2000, NRCME 2012
 D) FMCSA 1995, NRCME 2015

Rationale: The Federal Motor Carrier Safety Administration (FMCSA) was established in
1999, and the National Registry of Certified Medical Examiners (NRCME) was established
in 2014 .




Question 6: Which three standards have objective disqualifiers that do not depend
on medical examiners' clinical interpretation?

 A) Vision, hearing, epilepsy ✓
 B) Vision, hearing, hypertension
 C) Hearing, epilepsy, diabetes
 D) Vision, diabetes, epilepsy

Rationale: Vision, hearing, and epilepsy are the three standards with objective
disqualifiers that do not depend on medical examiners' clinical interpretation .

, Hypertension Guidelines

Question 7: A driver presents with a confirmed BP of 148/98. According to current
guidelines, what is the maximum certification period?

 A) 1 year ✓
 B) 6 months
 C) 3 months
 D) 2 years

Rationale: Stage 1 hypertension (140-159/90-99) allows for a 1-year certification period
with annual monitoring .




Question 8: A driver with a diagnosis of hypertension presents with a confirmed
BP of 182/112. What is the proper determination?

 A) Immediately disqualify until BP is controlled below 170/110 ✓
 B) Certify for 3 months with medication
 C) Certify for 6 months with close monitoring
 D) Certify for 1 year if on medication

Rationale: A driver with BP ≥ 180/110 should be immediately disqualified until the BP is
controlled below 170/110 .




Question 9: A driver previously disqualified for BP > 170/110 now presents with
BP < 140/90. What is the maximum certification period?

 A) 3 months