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DOT Exam Version A (2025) – Department of
Transportation Medical Certification Test Study Guide and
Practice Questions
Prepare for the DOT Exam Version A 2025 with updated study materials, medical examiner
guidelines, and DOT practice test questions with answers.
Get ready for the DOT Exam Version A (2025) with this complete study and review guide for
Department of Transportation certification. Covers all key areas including FMCSA medical
standards, vision and hearing requirements, cardiovascular and neurological conditions,
medication regulations, and examiner documentation. Includes practice questions, answer
explanations, and updated 2025 DOT exam content to help you master the test. Ideal for
medical examiners, CMV drivers, and healthcare professionals preparing for DOT or
NRCME certification exams.
• DOT exam version A 2025
• DOT medical certification exam version A
• DOT exam practice test with answers
• DOT physical exam study guide pdf
Recertification of the driver disqualified for alcohol abuse requires the driver to:
a) Have an evaluation by a substance abuse professional (SAP).
b) Have a referral by the driver's primary care physician stating the driveris
attending a self-help group.
c) Have a complete physical examination.
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d) Have a drug test - ANSWER-Have an evaluation by a substance abuse professional (SAP)
The Medical Examiner should be familiar with DOT drug and alcohol testing
requirements as outlined in:
a) 49 CFR Part 40.
b) 40 CFR Part 38.
c) 49 CFR Part 66.
d) 49 CFR Part 12. - ANSWER-49 CFR Part 40.
Driver Examination 02/17/2022, blood pressure 144/102. Driver given 3-month
certification to 5/17/12. The driver returns on 03/16/22 with blood pressure of 124/82 and a new
examination is performed. The driver should be certified with what expiration date?
a) Expiration date2/17/2023.
b) Expiration date3/16/2023.
c) Expiration date 8/17/2023.
d) Expiration date 2/17/2024 - ANSWER-Expiration date3/16/2023.
Requirements for completion and distribution of the Medical Examiner's
Certificate (MEC) do not include:
a) The Medical Examiner must retain a copy or electronic version of the
Medical Examiner's Certificate.
b) The Medical Examiner's Certificate may be the original certificate, a copy
of the original certificate, or a reduced-size copy of the original certificate
(e.g., wallet size).
c) The Medical Examiner's Certificate may be provided to a prospective or
current employer on request.
d) The Medical Examiner must retain a copy of driver medical
records, including the Medical Examiner's Certificate, for a
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minimum of 5 years - ANSWER-The Medical Examiner must retain a copy of driver medical records,
including the Medical Examiner's Certificate, for a minimum of 5 years
Which of the following is not a mental health professional that the Medical
Examiner may refer to or consult with?
a) Certified marijuana consultant (CMC).
b) Designated employer representative (DER).
c) Medical review officer (MRO).
d) Substance abuse professional(SAP) - ANSWER-Certified marijuana consultant (CMC)
The maximum certification interval for a driver with a history of drug abuse or
alcoholism is _______.
a) 6 months.
b) 1 year.
c) 2 years.
d) Do not certify - ANSWER-2 years.
Which of the following is true?
a) A requirement for the CMV driver physical examination istesting for
controlled substances.
b) A driver taking multiple medications reports daily, regular, or moderate use of
alcohol. The Medical Examiner should evaluate the possibility of medication
interactions with alcohol that may cause impairment.
c) Even in remission, alcoholism is disabling for a CMV driver.
d) Use of Schedule I drugs is not disqualifying - ANSWER-A driver taking multiple medications reports
daily, regular, or moderate use of alcohol. The Medical Examiner should evaluate the possibility of
medication interactions with alcohol that may cause impairment
Ongoing attendance at self-help groups:
a) Fulfills the requirement to complete a rehabilitation program.
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b) Is not disqualifying when used for maintenance of recovery.
c) Eliminates the need for follow-up testing.
d) Is mandated by FMCSA - ANSWER-Is not disqualifying when used for maintenance of recovery.
What are possible outcomes of the driver physical examination?
a) Partial certification.
b) Ineligibility.
c) Certification with Medical Examiner qualifications.
d) Time-limited certification. - ANSWER-Time-limited certification.
FMCSA medical program responsibilities include:
a) FMCSA oversight of the Department of Transportation.
b) FMCSA staff members perform examinations of CMVdrivers.
c) Provide funding for states to conduct research on CMV drivers.
d) Oversee the agency's medical exemption and certificate programs - ANSWER-Oversee the agency's
medical exemption and certificate programs.
Why is federal regulation needed to protect public safety?
a) Unhealthy CMV drivers pose an increased risk to their
trucking companies.
b) Interstate standards vary from state to state.
c) The economic cost of crashes involving CMVs is high.
d) There is a greater risk of injury lawsuit claims for CMV drivers. - ANSWER-The economic cost of
crashes involving CMVs is high.
Who is responsible for medical certification decisions?
a) The primary care physician.
b) The motor carrier.
DOT Exam Version A (2025) – Department of
Transportation Medical Certification Test Study Guide and
Practice Questions
Prepare for the DOT Exam Version A 2025 with updated study materials, medical examiner
guidelines, and DOT practice test questions with answers.
Get ready for the DOT Exam Version A (2025) with this complete study and review guide for
Department of Transportation certification. Covers all key areas including FMCSA medical
standards, vision and hearing requirements, cardiovascular and neurological conditions,
medication regulations, and examiner documentation. Includes practice questions, answer
explanations, and updated 2025 DOT exam content to help you master the test. Ideal for
medical examiners, CMV drivers, and healthcare professionals preparing for DOT or
NRCME certification exams.
• DOT exam version A 2025
• DOT medical certification exam version A
• DOT exam practice test with answers
• DOT physical exam study guide pdf
Recertification of the driver disqualified for alcohol abuse requires the driver to:
a) Have an evaluation by a substance abuse professional (SAP).
b) Have a referral by the driver's primary care physician stating the driveris
attending a self-help group.
c) Have a complete physical examination.
,2|Page
d) Have a drug test - ANSWER-Have an evaluation by a substance abuse professional (SAP)
The Medical Examiner should be familiar with DOT drug and alcohol testing
requirements as outlined in:
a) 49 CFR Part 40.
b) 40 CFR Part 38.
c) 49 CFR Part 66.
d) 49 CFR Part 12. - ANSWER-49 CFR Part 40.
Driver Examination 02/17/2022, blood pressure 144/102. Driver given 3-month
certification to 5/17/12. The driver returns on 03/16/22 with blood pressure of 124/82 and a new
examination is performed. The driver should be certified with what expiration date?
a) Expiration date2/17/2023.
b) Expiration date3/16/2023.
c) Expiration date 8/17/2023.
d) Expiration date 2/17/2024 - ANSWER-Expiration date3/16/2023.
Requirements for completion and distribution of the Medical Examiner's
Certificate (MEC) do not include:
a) The Medical Examiner must retain a copy or electronic version of the
Medical Examiner's Certificate.
b) The Medical Examiner's Certificate may be the original certificate, a copy
of the original certificate, or a reduced-size copy of the original certificate
(e.g., wallet size).
c) The Medical Examiner's Certificate may be provided to a prospective or
current employer on request.
d) The Medical Examiner must retain a copy of driver medical
records, including the Medical Examiner's Certificate, for a
,3|Page
minimum of 5 years - ANSWER-The Medical Examiner must retain a copy of driver medical records,
including the Medical Examiner's Certificate, for a minimum of 5 years
Which of the following is not a mental health professional that the Medical
Examiner may refer to or consult with?
a) Certified marijuana consultant (CMC).
b) Designated employer representative (DER).
c) Medical review officer (MRO).
d) Substance abuse professional(SAP) - ANSWER-Certified marijuana consultant (CMC)
The maximum certification interval for a driver with a history of drug abuse or
alcoholism is _______.
a) 6 months.
b) 1 year.
c) 2 years.
d) Do not certify - ANSWER-2 years.
Which of the following is true?
a) A requirement for the CMV driver physical examination istesting for
controlled substances.
b) A driver taking multiple medications reports daily, regular, or moderate use of
alcohol. The Medical Examiner should evaluate the possibility of medication
interactions with alcohol that may cause impairment.
c) Even in remission, alcoholism is disabling for a CMV driver.
d) Use of Schedule I drugs is not disqualifying - ANSWER-A driver taking multiple medications reports
daily, regular, or moderate use of alcohol. The Medical Examiner should evaluate the possibility of
medication interactions with alcohol that may cause impairment
Ongoing attendance at self-help groups:
a) Fulfills the requirement to complete a rehabilitation program.
, 4|Page
b) Is not disqualifying when used for maintenance of recovery.
c) Eliminates the need for follow-up testing.
d) Is mandated by FMCSA - ANSWER-Is not disqualifying when used for maintenance of recovery.
What are possible outcomes of the driver physical examination?
a) Partial certification.
b) Ineligibility.
c) Certification with Medical Examiner qualifications.
d) Time-limited certification. - ANSWER-Time-limited certification.
FMCSA medical program responsibilities include:
a) FMCSA oversight of the Department of Transportation.
b) FMCSA staff members perform examinations of CMVdrivers.
c) Provide funding for states to conduct research on CMV drivers.
d) Oversee the agency's medical exemption and certificate programs - ANSWER-Oversee the agency's
medical exemption and certificate programs.
Why is federal regulation needed to protect public safety?
a) Unhealthy CMV drivers pose an increased risk to their
trucking companies.
b) Interstate standards vary from state to state.
c) The economic cost of crashes involving CMVs is high.
d) There is a greater risk of injury lawsuit claims for CMV drivers. - ANSWER-The economic cost of
crashes involving CMVs is high.
Who is responsible for medical certification decisions?
a) The primary care physician.
b) The motor carrier.
