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It is mandated by federal guidelines that anyone applying for a commercial drivers license must pass the Department of Transportation physical exam. The purpose of this test is to check whether a potential driver is physically capable of driving safely at the present time as well as in the foreseeable future. Successfully passing the exam usually means you have 24 month before you need to do it again, although in some cases this period might be shortened in case that serious health issues might arise in the future.
Here are the basic requirements for passing the DOT physical exam.