No surprises live here: the federal examination follows the Medical Examination Report form (MCSA-5875), and its items are public. This is the exam, item by item, so the room holds nothing you have not already seen.
The checker reads your verdict. The Kit gets you through the exam: documentation packets for your condition, the two 45-day form clocks run as a calendar, the official medication form packet, waiting-period calendars, failure recovery, and the examiner phone script.
You complete the driver portion of the form: conditions, surgeries, medications, hospitalizations, and the specific history questions the form asks (fainting, seizures, heart disease, sleep disorders, and the rest). The history is signed under the federal fraud rules — answer it completely. Half the "surprise failures" drivers report are actually history-versus-records mismatches, and they are all avoidable by answering straight.
The form's examination section walks the body systems: general appearance, eyes, ears, mouth and throat, heart, lungs and chest, abdomen — including a hernia check, which is a routine named item on the form (most of the internet's hernia anxiety is process curiosity; there is no hernia pass/fail standard) — spine and musculoskeletal, extremities, neurological, skin, and mental status.
The examiner — who must be a certified medical examiner listed on FMCSA's National Registry — records one of the determination outcomes: certified (with the certificate length the standards produce), certified with a variance or exemption, a determination pending (a defined short window for a missing piece), or not certified. Your result is transmitted as medical status to your state; your certificate is the card you carry.
Federal source: Medical Examination Report form MCSA-5875; 49 CFR 391.41–391.45 · Rules checked October 2026