High blood pressure is common among commercial drivers, and it can raise concerns when it’s time for a DOT Physical Test. This blog explains how blood pressure is evaluated during a DOT physical, what levels may affect certification, and what drivers can do to prepare. If you’re scheduling your DOT exam at NYUCC (New York Urgent Care Center), this guide will help you know what to expect and how to improve your chances of passing.
What Is a DOT Physical Test?
A DOT Physical Test is required by the Federal Motor Carrier Safety Administration (FMCSA) for commercial drivers. The purpose is to confirm you are medically fit to operate a commercial vehicle safely. During the exam, a certified medical examiner checks key areas such as vision, hearing, heart and lung function, neurological health, and blood pressure.
At NYUCC, DOT physicals are designed to be clear, efficient, and focused on helping drivers understand the requirements.
How Blood Pressure Is Evaluated During the DOT Exam
What the Numbers Mean
Blood pressure is measured using:
- Systolic (top number): pressure when your heart beats
- Diastolic (bottom number): pressure when your heart rests
DOT Blood Pressure Guidance
Medical examiners generally follow FMCSA guidance:
- Below 140/90: Often qualifies for full certification (up to 2 years)
- 140–159 / 90–99: May qualify, but often with shorter certification
- 160/100 or higher: Usually needs treatment and control before certification
Can You Pass the DOT Physical Test with High Blood Pressure?
Yes, many drivers pass even with high blood pressure, especially if it is managed well. The key factor is whether your hypertension is controlled and whether it creates a safety risk while driving.
What Helps You Pass
- Taking medications consistently if prescribed
- Monitoring your blood pressure before the exam
- Bringing a medication list and relevant medical notes
At NYUCC, drivers are encouraged to bring any documents that help the examiner clearly understand your health history and treatment plan.
Tips to Prepare Before Your DOT Physical
- Get good sleep the night before
- Avoid heavy caffeine right before the exam
- Stay hydrated
- Take your medication as directed
- If you’re borderline, consider checking your BP ahead of time at home or with your provider
Conclusion
High blood pressure does not automatically mean you will fail a DOT Physical Test. Many drivers pass by managing their condition, staying consistent with treatment, and preparing properly. If you need a DOT exam, NYUCC offers DOT physical services and can guide you through what to bring and what to expect.
