DOT 2027 STUDY GUIDE ANSWERS AND QUESTIONS
SET A+
✔✔Which of the following is true?
a) All documentation related to the driver medical examination must
be submitted to the motor carrier at the time of the examination.
b) The motor carrier is required to maintain a copy of the Medical
Examiner's Certificate.
c) There is a grace period of 2 weeks after the expiration date on adriver's
medical certificate.
d) The driver must carry the original of the Medical Examiners Certificate - ✔✔The
motor carrier is required to maintain a copy of the Medical Examiner's Certificate.
✔✔How often must certified Medical Examiners report the details of CMV driver
examinations?
a) Biweekly.
b) Bimonthly.
c) Daily.
d) Yearly - ✔✔Daily.
✔✔Which of the following is true?
a) The role of the Medical Examiner is to provide medical treatment to
CMV drivers.
b) The Medical Examiner may modify the Medical Examiner certificate to
reflect the driver's health conditions such as no night driving, no heavy
lifting, etc.
c) The Medical Examiner must note the effect of an abnormality on the ability of
the driver to operate a CMV.
d) Abnormal findings should be discussed with the motor carrier
and discussion documented - ✔✔The Medical Examiner must note the effect of an
abnormality on the ability of the driver to operate a CMV.
✔✔Which of the following is true?
a) Regulations are guidance and may or may not be followed based on
,Medical Examiner discretion.
b) Driver qualification standards are found in 49 CFR391.43.
c) Medical guidelines are regulatory; the Medical Examiner must follow
all guidelines.
d) Medical guidelines are based on expert review and intended to assist the
Medical Examiner in determining driver certification - ✔✔Medical guidelines are based
on expert review and intended to assist the Medical Examiner in determining driver
certification.
✔✔Examination 11/16/2021; disqualified due to diagnosis of benign positional vertigo
last episode 10/11/2021. The driver returns to the Medical Examiner's office for a
completely new certification examination on 1/2/2022 and is noted to be asymptomatic
since 10/11/2021. The Medical Examiner determines that the driver is qualified for 2
years. What is the Medical Examiner certificate expiration date?
a) Expiration date 10/11/2023.
b) Expiration date 1/2/2023.
c) Do not certify - waiting period has not been completed.
d) Expiration date 1/2/2024 - ✔✔Expiration date 1/2/2024.
✔✔Use of which of the following medications is disqualifying?
a) Hydrocodone.
b) Tegretol for prevention of seizures.
c) Tegretol for treatment of trigeminal neuralgia.
d) Tramadol - ✔✔Tegretol for prevention of seizures.
Use of hydrocodone may be disqualifying but is not necessarily so - e.g., if the driver's
pattern of use is consistent with safe driving, e.g., use only before sleep on nights the
driver will not be driving the following day, and the driver has a signed certification by
the physician prescribing the medication that use of the medication as prescribed will
not affect safe driving. Use of Tegretol for seizure control is disqualifying - a driver must
be off anti-seizure medications for an appropriate waiting period in order to be
considered for certification, but use of Tegretol for the treatment of other conditions is
not necessarily disqualifying. Tramadol use may be disqualifying, but the Medical
Examiner may determine that tramadol use does not interfere with safe driving,
especially when not used prior to or during driving and if the physician prescribing the
tramadol indicates that the driver may perform CMV driving while using the medication
as prescribed.
✔✔Which of the following is not a requirement for the Medical Examiner if an
abnormal condition is discovered during examination.
a) Document the nature of theabnormality.
b) Discuss the abnormality with the driver.
c) Refer the driver for evaluation and/or treatment of the abnormality if indicated.
d) Treat the abnormality - ✔✔Treat the abnormality
,✔✔Additional tests above and beyond what are required should be
performed when _______.
a) The Medical Examiner considers them necessary.
b) The examination was unable to determine if the driver passed a majority of
the requirements.
c) The driver requests that additional tests be run.
d) Requested by the driver's employer. - ✔✔The Medical Examiner considers them
necessary
✔✔Which of the following is true of FMCSA exemption programs:
a) Include hearing and seizures/epilepsy.
b) Provide 5-year exemptions.
c) Require examinations every 6 months.
d) Are issued by the Medical Examiner. - ✔✔Include hearing and seizures/epilepsy.
✔✔Required urinalysis tests required for driver physical examination include:
a) Specific gravity, blood, protein, and creatinine.
b) Specific gravity, blood, protein, andglucose.
c) Specific gravity, blood, glucose, and creatinine.
d) Specific gravity, protein, creatinine, and glucose - ✔✔Specific gravity, blood, protein,
and glucose.
✔✔All of the following allow 2-year certification except:
a) Drivers who must wear corrective lenses.
b) Drivers who must wear a hearing aid.
c) Drivers with monocular vision qualified through the alternative vision
qualification standard.
d) Drivers with a Skill Performance Evaluation (SPE)certificate. - ✔✔Drivers with
monocular vision qualified through the alternative vision qualification standard
Drivers with monocular vision qualified through the alternative vision qualification
standard must be examined at least annually
✔✔Medical Examiners should certify a driver with limitations on heavy lifting for
drivers with:
a) A diagnosis of lumbar disc herniation.
b) A diagnosis of surgically repaired rotator cuff injury.
c) A diagnosis of carpal tunnel syndrome.
d) Limitations on heavy lifting are not an allowed driver limitation. - ✔✔Limitations on
heavy lifting are not an allowed driver limitation.
✔✔Which of the following is true with respect to FMCSA standards?
a) Medical Examiner responsibilities are found in 49 CFR391.41.
, b) Driver physical qualification standards are found in 49 CFR391.43.
c) Skill Performance Evaluation (SPE) certificate requirements are foundin
49 CFR 391.47.
d) Grandfathering provisions for vision exemptions are found in 49 CFR Part
391.64 - ✔✔Grandfathering provisions for vision exemptions are found in 49 CFR Part
391.64
✔✔Which of the following is true?
a) The Medical Examiner may choose not to follow regulations or medical
guidance but should document the rationale in the Medical Examination
Report when this occurs.
b) When an examiner disqualifies a driver, it is a good practice to verify any
staff-reported medical evidence that contributes to the decision.
c) The Medical Examiner should defer certain certification decisions to an
appropriate specialist.
d) The Medical Examiner may extend medical certification to 5 years for
drivers with no significant health conditions - ✔✔When an examiner disqualifies a driver,
it is a good practice to verify any staff-reported medical evidence that contributes to the
decision.
✔✔The FMCSA does not directly regulate:
a) Interstate commercial motor vehicle operations, including the driver.
b) Interstate commercial motor vehicle operation, including the vehicle and
motor carrier.
c) Interstate commercial motor vehicle operations, including the transport of
hazardous materials.
d) Intrastate commercial motor vehicle operations, including the driver. - ✔✔Intrastate
commercial motor vehicle operations, including the driver
✔✔Most commercial drivers do not experience:
a) Interruption of normal sleep, exercise, and eating patterns.
b) Access to healthy eating choices while on the road.
c) Limited access to social support networks resulting in fatigue,obesity,
and/or alienation of affection.
d) Environment that may have excessive vibration, noise, and extremes in
temperature, and/or adverse road or traffic conditions that can interfere
with driver ability to recognize a driving hazard, cause temporary or
permanent physical damage to sensory perception or affect driver
behavior - ✔✔Access to healthy eating choices while on the road.
✔✔Which of the following requires annual certification?
a) Use of corrective lenses
b) Drivers who require a hearing exemption.
c) Drivers who require a Skill Performance Evaluation (SPE) Certificate
SET A+
✔✔Which of the following is true?
a) All documentation related to the driver medical examination must
be submitted to the motor carrier at the time of the examination.
b) The motor carrier is required to maintain a copy of the Medical
Examiner's Certificate.
c) There is a grace period of 2 weeks after the expiration date on adriver's
medical certificate.
d) The driver must carry the original of the Medical Examiners Certificate - ✔✔The
motor carrier is required to maintain a copy of the Medical Examiner's Certificate.
✔✔How often must certified Medical Examiners report the details of CMV driver
examinations?
a) Biweekly.
b) Bimonthly.
c) Daily.
d) Yearly - ✔✔Daily.
✔✔Which of the following is true?
a) The role of the Medical Examiner is to provide medical treatment to
CMV drivers.
b) The Medical Examiner may modify the Medical Examiner certificate to
reflect the driver's health conditions such as no night driving, no heavy
lifting, etc.
c) The Medical Examiner must note the effect of an abnormality on the ability of
the driver to operate a CMV.
d) Abnormal findings should be discussed with the motor carrier
and discussion documented - ✔✔The Medical Examiner must note the effect of an
abnormality on the ability of the driver to operate a CMV.
✔✔Which of the following is true?
a) Regulations are guidance and may or may not be followed based on
,Medical Examiner discretion.
b) Driver qualification standards are found in 49 CFR391.43.
c) Medical guidelines are regulatory; the Medical Examiner must follow
all guidelines.
d) Medical guidelines are based on expert review and intended to assist the
Medical Examiner in determining driver certification - ✔✔Medical guidelines are based
on expert review and intended to assist the Medical Examiner in determining driver
certification.
✔✔Examination 11/16/2021; disqualified due to diagnosis of benign positional vertigo
last episode 10/11/2021. The driver returns to the Medical Examiner's office for a
completely new certification examination on 1/2/2022 and is noted to be asymptomatic
since 10/11/2021. The Medical Examiner determines that the driver is qualified for 2
years. What is the Medical Examiner certificate expiration date?
a) Expiration date 10/11/2023.
b) Expiration date 1/2/2023.
c) Do not certify - waiting period has not been completed.
d) Expiration date 1/2/2024 - ✔✔Expiration date 1/2/2024.
✔✔Use of which of the following medications is disqualifying?
a) Hydrocodone.
b) Tegretol for prevention of seizures.
c) Tegretol for treatment of trigeminal neuralgia.
d) Tramadol - ✔✔Tegretol for prevention of seizures.
Use of hydrocodone may be disqualifying but is not necessarily so - e.g., if the driver's
pattern of use is consistent with safe driving, e.g., use only before sleep on nights the
driver will not be driving the following day, and the driver has a signed certification by
the physician prescribing the medication that use of the medication as prescribed will
not affect safe driving. Use of Tegretol for seizure control is disqualifying - a driver must
be off anti-seizure medications for an appropriate waiting period in order to be
considered for certification, but use of Tegretol for the treatment of other conditions is
not necessarily disqualifying. Tramadol use may be disqualifying, but the Medical
Examiner may determine that tramadol use does not interfere with safe driving,
especially when not used prior to or during driving and if the physician prescribing the
tramadol indicates that the driver may perform CMV driving while using the medication
as prescribed.
✔✔Which of the following is not a requirement for the Medical Examiner if an
abnormal condition is discovered during examination.
a) Document the nature of theabnormality.
b) Discuss the abnormality with the driver.
c) Refer the driver for evaluation and/or treatment of the abnormality if indicated.
d) Treat the abnormality - ✔✔Treat the abnormality
,✔✔Additional tests above and beyond what are required should be
performed when _______.
a) The Medical Examiner considers them necessary.
b) The examination was unable to determine if the driver passed a majority of
the requirements.
c) The driver requests that additional tests be run.
d) Requested by the driver's employer. - ✔✔The Medical Examiner considers them
necessary
✔✔Which of the following is true of FMCSA exemption programs:
a) Include hearing and seizures/epilepsy.
b) Provide 5-year exemptions.
c) Require examinations every 6 months.
d) Are issued by the Medical Examiner. - ✔✔Include hearing and seizures/epilepsy.
✔✔Required urinalysis tests required for driver physical examination include:
a) Specific gravity, blood, protein, and creatinine.
b) Specific gravity, blood, protein, andglucose.
c) Specific gravity, blood, glucose, and creatinine.
d) Specific gravity, protein, creatinine, and glucose - ✔✔Specific gravity, blood, protein,
and glucose.
✔✔All of the following allow 2-year certification except:
a) Drivers who must wear corrective lenses.
b) Drivers who must wear a hearing aid.
c) Drivers with monocular vision qualified through the alternative vision
qualification standard.
d) Drivers with a Skill Performance Evaluation (SPE)certificate. - ✔✔Drivers with
monocular vision qualified through the alternative vision qualification standard
Drivers with monocular vision qualified through the alternative vision qualification
standard must be examined at least annually
✔✔Medical Examiners should certify a driver with limitations on heavy lifting for
drivers with:
a) A diagnosis of lumbar disc herniation.
b) A diagnosis of surgically repaired rotator cuff injury.
c) A diagnosis of carpal tunnel syndrome.
d) Limitations on heavy lifting are not an allowed driver limitation. - ✔✔Limitations on
heavy lifting are not an allowed driver limitation.
✔✔Which of the following is true with respect to FMCSA standards?
a) Medical Examiner responsibilities are found in 49 CFR391.41.
, b) Driver physical qualification standards are found in 49 CFR391.43.
c) Skill Performance Evaluation (SPE) certificate requirements are foundin
49 CFR 391.47.
d) Grandfathering provisions for vision exemptions are found in 49 CFR Part
391.64 - ✔✔Grandfathering provisions for vision exemptions are found in 49 CFR Part
391.64
✔✔Which of the following is true?
a) The Medical Examiner may choose not to follow regulations or medical
guidance but should document the rationale in the Medical Examination
Report when this occurs.
b) When an examiner disqualifies a driver, it is a good practice to verify any
staff-reported medical evidence that contributes to the decision.
c) The Medical Examiner should defer certain certification decisions to an
appropriate specialist.
d) The Medical Examiner may extend medical certification to 5 years for
drivers with no significant health conditions - ✔✔When an examiner disqualifies a driver,
it is a good practice to verify any staff-reported medical evidence that contributes to the
decision.
✔✔The FMCSA does not directly regulate:
a) Interstate commercial motor vehicle operations, including the driver.
b) Interstate commercial motor vehicle operation, including the vehicle and
motor carrier.
c) Interstate commercial motor vehicle operations, including the transport of
hazardous materials.
d) Intrastate commercial motor vehicle operations, including the driver. - ✔✔Intrastate
commercial motor vehicle operations, including the driver
✔✔Most commercial drivers do not experience:
a) Interruption of normal sleep, exercise, and eating patterns.
b) Access to healthy eating choices while on the road.
c) Limited access to social support networks resulting in fatigue,obesity,
and/or alienation of affection.
d) Environment that may have excessive vibration, noise, and extremes in
temperature, and/or adverse road or traffic conditions that can interfere
with driver ability to recognize a driving hazard, cause temporary or
permanent physical damage to sensory perception or affect driver
behavior - ✔✔Access to healthy eating choices while on the road.
✔✔Which of the following requires annual certification?
a) Use of corrective lenses
b) Drivers who require a hearing exemption.
c) Drivers who require a Skill Performance Evaluation (SPE) Certificate
