DOT MEDICAL EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
Medical Standards/Regulations vs Medical Guidelines - ANS Medical Standards/Regulations -
are mandatory
Medical Guidelines - are advisory / at medical examiner discretion
Outcomes (3 results) and maxed interval - ANS 1. Certified - max is 2 years
2. Disqualified
3. Determination pending - 45 days
Minimal Retention Period for Medial Records - ANS 3 years
T/F Driver must carry valid ME Certificate - ANS True
T/F Motor carrier does not have to maintain a copy of the ME certification - ANS False - they
must maintain a copy of the ME certificate
Minimal Vision Requirements - ANS -Visual Acuity: 20/40 in each eye or both eyes (corrected
or uncorrected)
-FOV: at least 70 degrees in the horizontal meridian of EACH eye
-Color: standard red, yellow, green
1 @COPYRIGHT 2025/2026
,Monocular Vision Definition - ANS Vision worse than 20/40 in at least one eye (corrected or
uncorrected)
THIS IS DISQUALIFYING
T/F - one ear passing is ok - ANS True
Minimum Hearing Requirements - ANS Forced whisper in at least one ear at 5 feet; no less
OR
hearing loss no more than 40 db at 500, 1000, 2000 hz
Hear loss no more than what db and frequencies? - ANS No more than 40 db @ 500, 1000,
2000 hz
Audiometer should be calibrated to what standard - ANS ANSI - American National Standards
Institute
Waiting period for Acute Vestibulopathy - ANS 2 months - symptom free
Chronic Vestibulopathy - ANS Certify after waiting period of 2 months - symptom free
BPPV - ANS Certify after waiting period of 2 months - symptom free
Uncontrolled Vertigo - ANS DO NOT CERTIFY
Meniere's Disease - ANS DO NOT CERTIFY
Nonfunctioning Labyrinth - ANS DO NOT CERTIFY
2 @COPYRIGHT 2025/2026
, Nonfunctioning Fistula - ANS DO NOT CERTIFY
Stage 1, 2, 3 of HTN - ANS Stage 1: 140-159/90-99
Stage 2: 160-179/100-109
Stage 3: 180 + / 110 +
Stage 1 HTN Certification Results - ANS 1 year max
3 month extension given if uncontrolled
Stage 2 HTN Certification Results - ANS 3 month then 1 year if controlled under 140/90
Stage 3 HTN Certification Results - ANS Disqualify until controlled then only 6 month max
intervals
T/F 3 month cert can only be given once a year - ANS TRUE
Hypertrophic Cardiomyopathy - ANS DISQUALIFIED
Restrictive Cardiomyopathy - ANS DISQUALIFIED
Implantable Cardiac Defibrillator - ANS DISQUALIFIED
CABG - ANS Waiting period - 3 months (for incision to heal)
ETT after 5 years d/t risk of graft closure
3 @COPYRIGHT 2025/2026
QUESTIONS AND ANSWERS 100% PASS
Medical Standards/Regulations vs Medical Guidelines - ANS Medical Standards/Regulations -
are mandatory
Medical Guidelines - are advisory / at medical examiner discretion
Outcomes (3 results) and maxed interval - ANS 1. Certified - max is 2 years
2. Disqualified
3. Determination pending - 45 days
Minimal Retention Period for Medial Records - ANS 3 years
T/F Driver must carry valid ME Certificate - ANS True
T/F Motor carrier does not have to maintain a copy of the ME certification - ANS False - they
must maintain a copy of the ME certificate
Minimal Vision Requirements - ANS -Visual Acuity: 20/40 in each eye or both eyes (corrected
or uncorrected)
-FOV: at least 70 degrees in the horizontal meridian of EACH eye
-Color: standard red, yellow, green
1 @COPYRIGHT 2025/2026
,Monocular Vision Definition - ANS Vision worse than 20/40 in at least one eye (corrected or
uncorrected)
THIS IS DISQUALIFYING
T/F - one ear passing is ok - ANS True
Minimum Hearing Requirements - ANS Forced whisper in at least one ear at 5 feet; no less
OR
hearing loss no more than 40 db at 500, 1000, 2000 hz
Hear loss no more than what db and frequencies? - ANS No more than 40 db @ 500, 1000,
2000 hz
Audiometer should be calibrated to what standard - ANS ANSI - American National Standards
Institute
Waiting period for Acute Vestibulopathy - ANS 2 months - symptom free
Chronic Vestibulopathy - ANS Certify after waiting period of 2 months - symptom free
BPPV - ANS Certify after waiting period of 2 months - symptom free
Uncontrolled Vertigo - ANS DO NOT CERTIFY
Meniere's Disease - ANS DO NOT CERTIFY
Nonfunctioning Labyrinth - ANS DO NOT CERTIFY
2 @COPYRIGHT 2025/2026
, Nonfunctioning Fistula - ANS DO NOT CERTIFY
Stage 1, 2, 3 of HTN - ANS Stage 1: 140-159/90-99
Stage 2: 160-179/100-109
Stage 3: 180 + / 110 +
Stage 1 HTN Certification Results - ANS 1 year max
3 month extension given if uncontrolled
Stage 2 HTN Certification Results - ANS 3 month then 1 year if controlled under 140/90
Stage 3 HTN Certification Results - ANS Disqualify until controlled then only 6 month max
intervals
T/F 3 month cert can only be given once a year - ANS TRUE
Hypertrophic Cardiomyopathy - ANS DISQUALIFIED
Restrictive Cardiomyopathy - ANS DISQUALIFIED
Implantable Cardiac Defibrillator - ANS DISQUALIFIED
CABG - ANS Waiting period - 3 months (for incision to heal)
ETT after 5 years d/t risk of graft closure
3 @COPYRIGHT 2025/2026
