DOT MEDICAL EXAMINER REVIEWEXAM NEWEST 2025/ 2026 ACTUAL EXAM COMPLETE REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS

DOT MEDICAL EXAMINER
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REVIEWEXAM NEWEST 2025/ 2026
ACTUAL EXAM COMPLETE REAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS
To promote the safety of America's roadways through the promulgation and implem
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entation of medical regulations, guidelines and policies that ensure commercial mot
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or vehicle drivers engaged in interstate commerce are physically qualified to do so.
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Whose mission is this? - ANSWERS-
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The mission of the Office of Medical Programs
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To improve highway safety by producing trained, certified medical examiners who c
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an effectively determine if a commercial motor vehicle driver's health meets Federal
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Motor Carrier Safety Administration Standards. Whose mission is this? -
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ANSWERS-National Registry of Certified Medical Examiners
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Who can be a medical examiner? - ANSWERS-
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PAs, NPs, physicians and chiropractors.
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T/F...When a driver returns from an illness or injury that interferes with driving abilit
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y, the driver must undergo a medical examination if the medical examiner's certifica
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te has not expired - ANSWERS-True
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What is title 49? - ANSWERS-Transportation
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What is part 391? - ANSWERS-
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Qualifications of Drivers and Longer Combination Vehicle vz vz vz vz vz vz




What is subpart E of Part 391? - ANSWERS-
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Physical Qualifications and Examninations
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What are the four non-discretionary (disqualifying) standards? - ANSWERS-
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1. Vision
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2. Hearing
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3. Epilepsy
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4. Diabetes Mellitus
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What is 49 CFR 391.41? - ANSWERS-
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Describes the physical qualification requirements for drivers. The 13 standards are
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used to determine medical fitness for duty. (9 discretionary and 4 non-discretionary)
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, What is 49 CFR 391.49? - ANSWERS-
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Describes the skill performance evaluation certification program, which is an alterna
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tive physical qualification standard for the driver with a fixed musculoskeletal deficit
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of an extremity who cannot physically qualify to drive under 391.41 (b)(1) or (b)(2).
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What is 49 CFR 391.62? - ANSWERS-Describes limited exemptions for intra-
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city zone drivers.
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What is 49 CFR 391.64? - ANSWERS-
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Describes grandfathering for certain drivers who participated in vision and diabetes
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waiver study programs. vz vz




What is an exemption? - ANSWERS-
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An exemption provides temporary relief from one or more of the FMCSRs for com
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mercial drivers. Relief from a regulation is for 2 years and may be renewed.
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Currently the FMSCA has two medical Driver Exemption Programs. What are they?
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- ANSWERS-1. Federal Vision Exemption Program (1998)
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2. Diabetes Exemption Program (September 2003)
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T/F The medical examiner cannot issue an exemption - ANSWERS-True
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T/F Both federal exemptions require the driver to have an annual medical examinati
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on for maintenance and renewal of the exemption. - ANSWERS-True
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What is 49 CFR 391.43? - ANSWERS-
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Certificate of physical examination. Describes your responsibilities as a FMCSA me
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dical examiner. vz




What is the purpose of Interstate Commercial Driver Physical Examination? -
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ANSWERS-
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As a medical examiner, your fundamental obligation is to establish whether a driver
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has a disease, disorder, or injury resulting in a higher than acceptable likelihood for
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gradual or sudden incapacitation or sudden death, thus endangering public safety.
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When conducting a physical examination to determine if the driver is medically fit to
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perform the job of commercial driving, you must consider what 3 things? -
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ANSWERS-1. Physical condition
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2. Mental condition
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3. Medical treatment
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How do you distinguish between medical standards (49 CFR 391.41) and medical
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guidelines? - ANSWERS- vz vz


Regulations/standards are laws and must be followed. Whereas guidelines, such as vz vz vz vz vz vz vz vz vz vz


advisory criteria and medical conference reports are recommendations.
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T/F A complete physical examination is required for new certification and recertifica
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tion - ANSWERS-True
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If a driver is on dialysis can they be certified? - ANSWERS-No
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