DOT ACTUAL TEST PAPER FULL
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● What is the minimum passing grip strength required when using a
dynamometer?
Answer: -58 lbs
-26.3 kgs
●● Can those with peripheral neuropathy be certified?
Answer: -do not certify!
-inform the patient they can submit an appeal which will require
evaluation by a physiatrist or neurologist
●● Can those with autonomic neuropathy be certified?
Answer: -if they have resting tachycardia do not certify!
-if no resting tachycardia they can be certified for up to 2 years once
etiology is confirmed and treatment is safe/effective
●● Can those who are taking nitroglycerin be certified?
Answer: -only if angina is stable
-requires cardiology evaluation
,●● Can those with menieres disease be certified?
Answer: -no!
●● What are 3 neurologic conditions that are always disqualifying?
Answer: -myotonia
-Isaac's syndrome
-stiff person syndrome
●● What 3 factors are considered as part of the Council for Psychiatric
Disease and Commercial Driving?
Answer: -psychopharmacology
-counseling
-mental disorders
●● The sedative effects of psychotropic medications are compared to
what blood alcohol content?
Answer: -0.04
●● Which psychiatric condition is most likely to be disqualifying?
Answer: -schizophrenia
●● What are the elements of the CAGE assessment?
,Answer: -cut down (do you feel the need to?)
-annoyed (are you annoyed by the response of others?)
-guilt (do you feel guilty about drinking?)
-eye opener (do you need one?)
●● What should you do if a candidate is visibley drunk on exam?
Answer: -contact FMCSA or employer
-should not certify if you suspect alcoholism
●● Can you certify a driver who is actively in a 12-step or recovery
program?
Answer: -yes!
●● When should you submit a candidate to drug/alcohol testing?
Answer: -not part of the standard DOT exam
-only performed if required by the employer or another regulatory
agency
●● What is the 1st indication of diabetic nephropathy?
Answer: -persistent proteinuria on urine dipstick
-can certify for 2 years if etiology confirmed and treatment is safe and
effective
, ●● How often does a candidate with a hernia require examination?
Answer: -requires at least biennial medical exam
-must check for visceral/GU/abdominal hernia(s) on exam
-if painful they require further evaluation but can then be certified for up
to 2 years if appropriate
●● What should you do with a candidate who has abnormal urine
dipstick findings?
Answer: -refer back to primary care for evaluation and treatment
●● Can you certify a candidate who is using medial marijuana?
Answer: -no!
●● What should you do with a candidate who is using a disqualifying
medication?
Answer: -refer back to primary care
-they can still be qualified if approved by primary care but the ultimate
decision is left up to the medical examiner
-can certify for any time period you deem appropriate
●● Can a patient on anticoagulants be certified?
Answer: -if taking for neurovascular condition then no!
-if taking for cardiovascular condition then yes
QUESTIONS AND ACCURATE ANSWERS
GRADED APLUS
●● What is the minimum passing grip strength required when using a
dynamometer?
Answer: -58 lbs
-26.3 kgs
●● Can those with peripheral neuropathy be certified?
Answer: -do not certify!
-inform the patient they can submit an appeal which will require
evaluation by a physiatrist or neurologist
●● Can those with autonomic neuropathy be certified?
Answer: -if they have resting tachycardia do not certify!
-if no resting tachycardia they can be certified for up to 2 years once
etiology is confirmed and treatment is safe/effective
●● Can those who are taking nitroglycerin be certified?
Answer: -only if angina is stable
-requires cardiology evaluation
,●● Can those with menieres disease be certified?
Answer: -no!
●● What are 3 neurologic conditions that are always disqualifying?
Answer: -myotonia
-Isaac's syndrome
-stiff person syndrome
●● What 3 factors are considered as part of the Council for Psychiatric
Disease and Commercial Driving?
Answer: -psychopharmacology
-counseling
-mental disorders
●● The sedative effects of psychotropic medications are compared to
what blood alcohol content?
Answer: -0.04
●● Which psychiatric condition is most likely to be disqualifying?
Answer: -schizophrenia
●● What are the elements of the CAGE assessment?
,Answer: -cut down (do you feel the need to?)
-annoyed (are you annoyed by the response of others?)
-guilt (do you feel guilty about drinking?)
-eye opener (do you need one?)
●● What should you do if a candidate is visibley drunk on exam?
Answer: -contact FMCSA or employer
-should not certify if you suspect alcoholism
●● Can you certify a driver who is actively in a 12-step or recovery
program?
Answer: -yes!
●● When should you submit a candidate to drug/alcohol testing?
Answer: -not part of the standard DOT exam
-only performed if required by the employer or another regulatory
agency
●● What is the 1st indication of diabetic nephropathy?
Answer: -persistent proteinuria on urine dipstick
-can certify for 2 years if etiology confirmed and treatment is safe and
effective
, ●● How often does a candidate with a hernia require examination?
Answer: -requires at least biennial medical exam
-must check for visceral/GU/abdominal hernia(s) on exam
-if painful they require further evaluation but can then be certified for up
to 2 years if appropriate
●● What should you do with a candidate who has abnormal urine
dipstick findings?
Answer: -refer back to primary care for evaluation and treatment
●● Can you certify a candidate who is using medial marijuana?
Answer: -no!
●● What should you do with a candidate who is using a disqualifying
medication?
Answer: -refer back to primary care
-they can still be qualified if approved by primary care but the ultimate
decision is left up to the medical examiner
-can certify for any time period you deem appropriate
●● Can a patient on anticoagulants be certified?
Answer: -if taking for neurovascular condition then no!
-if taking for cardiovascular condition then yes
