DEPARTMENT OF TRANSPORTATION PHYSICAL EXAM
(LATEST) || MOST RECENT EXAM 2026|2027 ACTUAL
COMPLETE REAL EXAM QUESTIONS AND CORRET
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
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What generation of antidepressants has fewer side effects and
is preferred for
drivers? - ANSWER-
2nd Gen
Does the driver need to sign a medical release before you
release their Medical
Certification? - ANSWER-No. Certificate is provided
to employer.
(Release is required for a copy of medical report form)
How many standards are used to determine driver fitness for
duty? - ANSWER-
13
,How many standards of "driver fitness for duty" are
*discretionary*? - ANSWER-
according to my review
course)
Other sources say 10 and say that T2DM is
discretionary
Language requirement for drivers - ANSWER-Must be able
to read/speak
English well enough to read signs,
communicate
Height/weight requirement for drivers - ANSWER-There is none
What is tested for in urine? -
ANSWER-USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a
driver's Medical
Certificate? - ANSWER-3
years
After a reading of Stage 3 hypertension, how often can a driver
be certified? -
,ANSWER-Only every 6
months max
- Disqualify until BP
<140/90
- 3 month cert if <160/100 and they are initiating treatment
for the first time
- May certify Q1 year post-surgical correction of
secondary HTN
Which generation of antihistamines should be used for drivers?
- ANSWER-2nd
gen
- No
sedating
A driver must wait ___ hours after taking a sedating med
before driving -
ANSWER-12+
hours
Smoking/tobacco use requirements - ANSWER-None
- Not required to ask about tobacco use
Visual acuity is measured in: - ANSWER-In each eye
separately, and together
and if corrective lens are worn, both with and without
corrective lens
, What should always be discussed the driver regarding their
medications? -
ANSWER--
Tolerance
-
AEs
- Frequency of monitoring (if
applicable)
What do you do if you cannot assess a driver's visual acuity
or visual fields in
the office? - ANSWER-Disqualification and referral to
specialist for precise
visual
measurements.
What do you do if a driver is missing fingers on a hand? -
ANSWER-- Assess grip strength
- Document the effect that this has on driving ability
- Determine if driver requires SPE/renewal of SPE
Factors contributing to commercial driving stressors include:
- ANSWER-Long
Relay routes, abrupt schedule changes, responsibility for
passenger safety.
FMCSA definition of severe hypoglycemic reaction - ANSWER-
Need of assistance from another person, loss of