DOT CERTIFICATION 2027 MAIN ANSWERS AND
QUESTIONS SET A+
✔✔When is a follow-up ETT required following PCI? - ✔✔3-6 months
✔✔Maximum allowable AAA size? - ✔✔5 cm
✔✔Minimum requirement for peripheral vision? - ✔✔70 degrees
✔✔Maximum certification period for an asymptomatic patient 45 years or older with
multiple CHD risk factors? - ✔✔1 year
✔✔Highest gender risk for CHD? - ✔✔Male or postmenopausal female
✔✔Modifiable risk factors for CHD? - ✔✔HTN, tobacco, HLP, low HDL, DM, overweight,
physical inactivity
✔✔Which pulmonary conditions are disqualifying? - ✔✔1. Bronchiectasis w/ hemoptysis
2. Chronic TB
3. COPD w/ severe cough
4. Asthma w/ frequent hospitalizations
✔✔Minimum accepted FEV1? - ✔✔65% of predicted
✔✔Minimum waiting period after use of sedating medications? - ✔✔12 hours
✔✔Minimum required FVC? - ✔✔65%
✔✔How many incidences of spontaneous pneumothorax may occur prior to surgical
intervention? - ✔✔2
✔✔Minimum required PaO2 at <5000 ft? - ✔✔65 mmHg
, ✔✔Frequent of sleep testing in drivers with OSA? - ✔✔Yearly
✔✔Which two groups require "simple pulmonary function testing"? - ✔✔1. Smokers >35
years old
2. Any Hx of SOB, CP or wheezing
✔✔What three tests are used for initial evaluation of
pulmonary function? - ✔✔1. FEV1
2. FVC
3. FEV/FVC
✔✔What tests must be order if minimum FEV1 or FVC requirements are not met? -
✔✔Oximetry or ABG
✔✔Minimum pulse oximetry? - ✔✔92%
✔✔Minimum required PaO2 at >5000 ft? - ✔✔60 mmHg
✔✔Elevation of Twin Falls and required minimum PaO2? - ✔✔3,745 ft and >65 mmHg
✔✔What happens to PaO2 at high altitudes? - ✔✔It decreases. Make adjustments for
drivers traveling to and from varying elevations.
✔✔Purpose of the SPE (Skill Performance Evaluation)? - ✔✔Certify a driver with a fixed
deficit of lost extremity
✔✔Can a medical examiner grant an SPE? - ✔✔No. There are four FMCSA regional
centers.
✔✔Certification period for a SPE certificate? - ✔✔2 years
✔✔Is medicinal marijuana allowed? - ✔✔No
✔✔Who reviews a positive drug screen? - ✔✔MRO (Medical Review Officer)
✔✔Max certification period if on anticoagulation? - ✔✔1 year for heart, disqualified for
brain.
✔✔Maximum allowed hypoglycemia episodes in 12 months and 5 years, respectively? -
✔✔1 and 2
✔✔Are lithium levels required? - ✔✔Yes, by my interpretation.
QUESTIONS SET A+
✔✔When is a follow-up ETT required following PCI? - ✔✔3-6 months
✔✔Maximum allowable AAA size? - ✔✔5 cm
✔✔Minimum requirement for peripheral vision? - ✔✔70 degrees
✔✔Maximum certification period for an asymptomatic patient 45 years or older with
multiple CHD risk factors? - ✔✔1 year
✔✔Highest gender risk for CHD? - ✔✔Male or postmenopausal female
✔✔Modifiable risk factors for CHD? - ✔✔HTN, tobacco, HLP, low HDL, DM, overweight,
physical inactivity
✔✔Which pulmonary conditions are disqualifying? - ✔✔1. Bronchiectasis w/ hemoptysis
2. Chronic TB
3. COPD w/ severe cough
4. Asthma w/ frequent hospitalizations
✔✔Minimum accepted FEV1? - ✔✔65% of predicted
✔✔Minimum waiting period after use of sedating medications? - ✔✔12 hours
✔✔Minimum required FVC? - ✔✔65%
✔✔How many incidences of spontaneous pneumothorax may occur prior to surgical
intervention? - ✔✔2
✔✔Minimum required PaO2 at <5000 ft? - ✔✔65 mmHg
, ✔✔Frequent of sleep testing in drivers with OSA? - ✔✔Yearly
✔✔Which two groups require "simple pulmonary function testing"? - ✔✔1. Smokers >35
years old
2. Any Hx of SOB, CP or wheezing
✔✔What three tests are used for initial evaluation of
pulmonary function? - ✔✔1. FEV1
2. FVC
3. FEV/FVC
✔✔What tests must be order if minimum FEV1 or FVC requirements are not met? -
✔✔Oximetry or ABG
✔✔Minimum pulse oximetry? - ✔✔92%
✔✔Minimum required PaO2 at >5000 ft? - ✔✔60 mmHg
✔✔Elevation of Twin Falls and required minimum PaO2? - ✔✔3,745 ft and >65 mmHg
✔✔What happens to PaO2 at high altitudes? - ✔✔It decreases. Make adjustments for
drivers traveling to and from varying elevations.
✔✔Purpose of the SPE (Skill Performance Evaluation)? - ✔✔Certify a driver with a fixed
deficit of lost extremity
✔✔Can a medical examiner grant an SPE? - ✔✔No. There are four FMCSA regional
centers.
✔✔Certification period for a SPE certificate? - ✔✔2 years
✔✔Is medicinal marijuana allowed? - ✔✔No
✔✔Who reviews a positive drug screen? - ✔✔MRO (Medical Review Officer)
✔✔Max certification period if on anticoagulation? - ✔✔1 year for heart, disqualified for
brain.
✔✔Maximum allowed hypoglycemia episodes in 12 months and 5 years, respectively? -
✔✔1 and 2
✔✔Are lithium levels required? - ✔✔Yes, by my interpretation.
