DOT Exam questions 2025
COMPREHENSIVE QUESTIONS AND 100%
CORRECT ANSWER GRADED A+/
GUARANTEED SUCCESS SURE PASS
A 21-year-old driver presents with a history of ADHD for 10 years, taking stable dosing of Adderall. He
describes no side effects. Which of the following is true?
a. A significant percentage of individuals with adult ADHD show a moderate to marked degree of
improvement on central nervous system stimulant medication.
b. ADHD is a disqualifying condition.
c. Adderall is a Schedule 1 drug.
d. Medical Examiners should test for serum drug levels of Adderall.
A significant percentage of individuals with adult ADHD show a moderate to marked degree of
improvement on central nervous system stimulant medication
Which of the following is the most important examination finding that requires additional evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
d. Verruca vulgaris.
Palpable calf cords
The driver reports taking Digoxin. What findings would raise the most significant concerns regarding
certification?
a. Arrhythmias.
,b. Anorexia.
c. Nausea and vomiting.
d. Diarrhea.
Arrhythmias.
The driver is taking theophylline. Which of the following is not true?
a. Serum levels may be checked.
b. The primary indication for theophylline is in the treatment of neurological conditions.
c. Cardiac toxicity is a significant risk of theophylline use.
d. Theophylline can be administered orally or intravenously (IV
The primary indication for theophylline is in the treatment of neurological conditions.
The driver is taking Celexa and melatonin. The Medical Examiner should:
a. Advise the driver to only take these medications more than 12 hours before driving.
b. Advise the driver to stop melatonin as it can cause drowsiness.
c. Recommend an alternative to Celexa.
d. Advise the driver to discuss benzodiazepines as an alternative treatment. with the driver's prescribing
provider
Advise the driver to only take these medications more than 12 hours before driving.
The driver tells the Medical Examiner he has recently been prescribed contact lenses. He notes that
after 3-4 hours of use the contacts cause irritation and he has to take them out. The driver passes the
vision test only with contacts and does not have eyeglasses. The Medical Examiner should:
,a. Advise the driver to carry a spare pair of contact lenses.
b. Certify the driver wearing corrective lenses.
c. Refer the driver for evaluation under the Alternative Vision Qualification standard.
d. Certify the driver without qualifications
Certify the driver wearing corrective lenses.
The driver does not indicate any medical conditions on health history. During the exam the Medical
Examiner notes the presence of a hearing aid in one ear. The driver says that he doesn't need the
hearing aid to drive and doesn't think it should be required. The next step for the Medical Examiner is:
a. Test the driver's hearing without the hearing aid.
b. Examine the driver's ears.
c. Refer the driver for hearing assessment by a specialist with specialized audiometric testing capabilities
for testing drivers while wearing a hearing aid. d. Certify the driver with the qualification "wearing
hearing aid
Test the driver's hearing without the hearing aid.
A driver has an indication for obtaining a cardiac stress test. If the driver is not taking a beta blocker,
what is the percentage of maximum heart rate that the driver should meet to indicate a satisfactory
stress test:
a. 60%.
b. 75%.
c. 85%.
d. 100%.
, 85%
The driver is missing the 4th finger of his right hand. The Medical Examiner should:
a. Refer for orthopedic evaluation.
b. Indicate the driver will need a SPE Certificate.
c. Test the driver's grasp and prehension.
d. Disqualify the driver
Test the driver's grasp and prehension.
The driver describes a history of dizzy spells. Which examination finding is not indicated?
a. Test the driver for nystagmus.
b. Romberg testing.
c. Orthostatic blood pressure measurements.
d. Liver and spleen palpation
Liver and spleen palpation
Guidance (not regulatory) recommendations are that drivers with dizziness or vertigo should not be
qualified until the driver has achieved a 2-month symptom free interval regardless of examination
findings.
Vision testing may be performed by:
COMPREHENSIVE QUESTIONS AND 100%
CORRECT ANSWER GRADED A+/
GUARANTEED SUCCESS SURE PASS
A 21-year-old driver presents with a history of ADHD for 10 years, taking stable dosing of Adderall. He
describes no side effects. Which of the following is true?
a. A significant percentage of individuals with adult ADHD show a moderate to marked degree of
improvement on central nervous system stimulant medication.
b. ADHD is a disqualifying condition.
c. Adderall is a Schedule 1 drug.
d. Medical Examiners should test for serum drug levels of Adderall.
A significant percentage of individuals with adult ADHD show a moderate to marked degree of
improvement on central nervous system stimulant medication
Which of the following is the most important examination finding that requires additional evaluation?
a. Acrochordon.
b. Hyperopia.
c. Palpable calf cords.
d. Verruca vulgaris.
Palpable calf cords
The driver reports taking Digoxin. What findings would raise the most significant concerns regarding
certification?
a. Arrhythmias.
,b. Anorexia.
c. Nausea and vomiting.
d. Diarrhea.
Arrhythmias.
The driver is taking theophylline. Which of the following is not true?
a. Serum levels may be checked.
b. The primary indication for theophylline is in the treatment of neurological conditions.
c. Cardiac toxicity is a significant risk of theophylline use.
d. Theophylline can be administered orally or intravenously (IV
The primary indication for theophylline is in the treatment of neurological conditions.
The driver is taking Celexa and melatonin. The Medical Examiner should:
a. Advise the driver to only take these medications more than 12 hours before driving.
b. Advise the driver to stop melatonin as it can cause drowsiness.
c. Recommend an alternative to Celexa.
d. Advise the driver to discuss benzodiazepines as an alternative treatment. with the driver's prescribing
provider
Advise the driver to only take these medications more than 12 hours before driving.
The driver tells the Medical Examiner he has recently been prescribed contact lenses. He notes that
after 3-4 hours of use the contacts cause irritation and he has to take them out. The driver passes the
vision test only with contacts and does not have eyeglasses. The Medical Examiner should:
,a. Advise the driver to carry a spare pair of contact lenses.
b. Certify the driver wearing corrective lenses.
c. Refer the driver for evaluation under the Alternative Vision Qualification standard.
d. Certify the driver without qualifications
Certify the driver wearing corrective lenses.
The driver does not indicate any medical conditions on health history. During the exam the Medical
Examiner notes the presence of a hearing aid in one ear. The driver says that he doesn't need the
hearing aid to drive and doesn't think it should be required. The next step for the Medical Examiner is:
a. Test the driver's hearing without the hearing aid.
b. Examine the driver's ears.
c. Refer the driver for hearing assessment by a specialist with specialized audiometric testing capabilities
for testing drivers while wearing a hearing aid. d. Certify the driver with the qualification "wearing
hearing aid
Test the driver's hearing without the hearing aid.
A driver has an indication for obtaining a cardiac stress test. If the driver is not taking a beta blocker,
what is the percentage of maximum heart rate that the driver should meet to indicate a satisfactory
stress test:
a. 60%.
b. 75%.
c. 85%.
d. 100%.
, 85%
The driver is missing the 4th finger of his right hand. The Medical Examiner should:
a. Refer for orthopedic evaluation.
b. Indicate the driver will need a SPE Certificate.
c. Test the driver's grasp and prehension.
d. Disqualify the driver
Test the driver's grasp and prehension.
The driver describes a history of dizzy spells. Which examination finding is not indicated?
a. Test the driver for nystagmus.
b. Romberg testing.
c. Orthostatic blood pressure measurements.
d. Liver and spleen palpation
Liver and spleen palpation
Guidance (not regulatory) recommendations are that drivers with dizziness or vertigo should not be
qualified until the driver has achieved a 2-month symptom free interval regardless of examination
findings.
Vision testing may be performed by:
