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DOT CERTIFICATION EXAM / DOT CERTIFICATION EXAM
PREPARATION/DOT CERTIFICATION EXAMPRACTICE ACTUAL EXAM
100 QUESTIONS AND CORRECT ANSWERS 2025/2026 | A+GRADE
Waiting period for initial unprovoked seizure? - ......ANSWER........5 years
Waiting period for multiple seizures (no Dx of epilepsy)? - ......ANSWER........10 years
What are the differences between the medical standards and the medical guidelines?
- ......ANSWER........Standards/regulations are law. Guidelines are best practices.
What are the possible outcomes of the driver physical examination?
- ......ANSWER........Certification or disqualification
What eye conditions must the medical examiner ask the driver about and if indicated
request specialist evaluation? - ......ANSWER........Retinopathy, cataracts, aphakia
(absence of the lens), glaucoma, and macular degeneration
What happens to PaO2 at high altitudes? - ......ANSWER........It decreases. Adjust for
drivers traveling to and from varying elevations.
What is the mission of the FMCSA? - ......ANSWER........FMCSA is focused on reducing
crashes, injuries and fatalities involving large trucks and buses.
What is the purpose of the Interstate CMV driver physical exam? - ......ANSWER........To
detect the presence of physical, mental, or organic conditions of such character and
extent as to affect the driver's ability to operate a CMV safely. This examination is for public
safety determination and is considered by FMCSA to be a "medical fitness for duty"
examination.
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What objective tests and measurements are required as part of the driver physical
examination? - ......ANSWER........- Height and weight
• Vision
• Hearing
• Blood pressure and pulse
• Urine dipstick for specific gravity, protein, blood, and glucose
What tests must be order if minimum FEV1 or FVC requirements are not met?
- ......ANSWER........Oximetry or ABG
What three tests are used for initial evaluation of pulmonary function?
- ......ANSWER........1. FEV1 2. FVC 3. FEV/FVC
When is a follow-up ETT required following PCI? - ......ANSWER........3-6 months
Where is Federal Vision Examination Program cited? - ......ANSWER........49 DFR
391.41(b)(10)
Which pulmonary conditions are disqualifying? - ......ANSWER........1. Bronchiectasis w/
hemoptysis 2. Chronic TB 3. COPD w/ severe cough 4. Asthma w/ frequent hospitalizations
Which two groups require "simple pulmonary function testing"? - ......ANSWER........1.
Smokers >35 years old 2. Any Hx of SOB, CP or wheezing
Who and what does FMCSA regulate? - ......ANSWER........FMCSA regulates interstate
commercial operation, including driver, vehicle, motor carrier, and the transport of
hazardous materials.
Who reviews a positive drug screen? - ......ANSWER........MRO (Medical Review Officer)
A 62 y/o woman is seen for a recertification. She is a smoker and has osteoarthritis, treated
with Mobic, 15mg/day. On exam she has cervical ROM limited to 15o. She has a note from
DOT CERTIFICATION EXAM / DOT CERTIFICATION EXAM
PREPARATION/DOT CERTIFICATION EXAMPRACTICE ACTUAL EXAM
100 QUESTIONS AND CORRECT ANSWERS 2025/2026 | A+GRADE
Waiting period for initial unprovoked seizure? - ......ANSWER........5 years
Waiting period for multiple seizures (no Dx of epilepsy)? - ......ANSWER........10 years
What are the differences between the medical standards and the medical guidelines?
- ......ANSWER........Standards/regulations are law. Guidelines are best practices.
What are the possible outcomes of the driver physical examination?
- ......ANSWER........Certification or disqualification
What eye conditions must the medical examiner ask the driver about and if indicated
request specialist evaluation? - ......ANSWER........Retinopathy, cataracts, aphakia
(absence of the lens), glaucoma, and macular degeneration
What happens to PaO2 at high altitudes? - ......ANSWER........It decreases. Adjust for
drivers traveling to and from varying elevations.
What is the mission of the FMCSA? - ......ANSWER........FMCSA is focused on reducing
crashes, injuries and fatalities involving large trucks and buses.
What is the purpose of the Interstate CMV driver physical exam? - ......ANSWER........To
detect the presence of physical, mental, or organic conditions of such character and
extent as to affect the driver's ability to operate a CMV safely. This examination is for public
safety determination and is considered by FMCSA to be a "medical fitness for duty"
examination.
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What objective tests and measurements are required as part of the driver physical
examination? - ......ANSWER........- Height and weight
• Vision
• Hearing
• Blood pressure and pulse
• Urine dipstick for specific gravity, protein, blood, and glucose
What tests must be order if minimum FEV1 or FVC requirements are not met?
- ......ANSWER........Oximetry or ABG
What three tests are used for initial evaluation of pulmonary function?
- ......ANSWER........1. FEV1 2. FVC 3. FEV/FVC
When is a follow-up ETT required following PCI? - ......ANSWER........3-6 months
Where is Federal Vision Examination Program cited? - ......ANSWER........49 DFR
391.41(b)(10)
Which pulmonary conditions are disqualifying? - ......ANSWER........1. Bronchiectasis w/
hemoptysis 2. Chronic TB 3. COPD w/ severe cough 4. Asthma w/ frequent hospitalizations
Which two groups require "simple pulmonary function testing"? - ......ANSWER........1.
Smokers >35 years old 2. Any Hx of SOB, CP or wheezing
Who and what does FMCSA regulate? - ......ANSWER........FMCSA regulates interstate
commercial operation, including driver, vehicle, motor carrier, and the transport of
hazardous materials.
Who reviews a positive drug screen? - ......ANSWER........MRO (Medical Review Officer)
A 62 y/o woman is seen for a recertification. She is a smoker and has osteoarthritis, treated
with Mobic, 15mg/day. On exam she has cervical ROM limited to 15o. She has a note from
