NRCME (DOT) ACTUAL EXAM 2026
COMPLETE QUESTIONS WITH
DETAILED VERIFIED ANSWERS |
ALREADY GRADED A+
1. Which conditions result in a max recertification period of 6 months? -
ANSWER - Heart transplant
- Stage 3 hypertension without surgical correction
- Severe Aortic regurg or Aortic stenosis without surgical correction
2. PFT requirements - ANSWER - FVC >60%
- FEV1 >65%
- FEV1/FVC ratio > 65%
- Pulse ox > 92%
3. If above are not met, do an ABG and PaO2 must be >65
4. 1 week waiting period: - ANSWER Post PCI
5. 4 week waiting period: - ANSWER Post mitral balloon valvuloplasty
6. 1 month waiting period: - ANSWER - A-fib, stabilized
- Anticoagulation, stabilized (a-fib)
- SVT
, - Post-pacemaker for AV block or SV arrythmia
7. 2 month waiting period: - ANSWER - Post MI
- BPPV or vertigo
8. 3 month waiting period: - ANSWER - Post surgery (CABG, CV, aneurysm
repair, PVD, PAD, OSA, 2ry hypertension)
- PE
- Unstable angina
- Syncopal episode
- Post-pacemaker for carotid hypersensitivity or neurogenic syncope
9. 6 month waiting period: - ANSWER ECT therapy
10.1 year waiting period: - ANSWER - TIA or Stroke with no seizure/risk
- Acute provoked seizure, mild/no insult
- Heart transplant
- Brain tumor resection with no seizure
11.2 year waiting period: - ANSWER - TBI with moderate insult (such as
LOC)
- Acute seizure, unprovoked, mild
12.5 year waiting period: - ANSWER - Seizure with moderate insult
- TBI with seizure
- Stroke/TIA with seizure
13.10 year waiting period: - ANSWER - Epilepsy
- Febrile seizures
,14.AAA requirements - ANSWER <4 cm
15.Asymptomatic
16.If symptomatic or > 4 cm, surgical eval
17.Angina requirements - ANSWER - Stable (unstable has 3 month waiting
period)
- Tolerating all meds
- Cardiac clearance
- *ETT*
18.Certification for symptomatic aortic regurg or aortic stenosis - ANSWER
Q6 months if no surgical repair
19.Q1 year if post-surgical repair (3 month waiting)
20.How often do you need an Echo for aortic stenosis: - ANSWER Mild: Q5Y
21.Moderate: Q1-2 years
22.Severe: surgical eval or disqualifying
23.Waiting period for a-fib - ANSWER 1 month
24.Requirements post-CABG - ANSWER - Tolerating meds
- Cardiac clearance
- Echo criteria (LVEF >40%)
- Healed sternal incision
- Asymptomatic
- Annual ETT starting 5 years later
, 25.Waiting period for symptomatic claudication - ANSWER Disqualify until
surgical eval - 3 months post-surgery
26.When is hypoglycemia disqualifying - ANSWER 2+ episodes of severe
hypoglycemia in the past 5 years
- (requiring assistance, LOC, AMS, syncope)
27.Requirements for recert of T2DM - ANSWER - Max 1 year
- Tolerating therapy, no AEs, maximum efficacy
- No hypoglycemia
- No peripheral neuropathy or end organ damage
28.IF on insulin: 3 months of stable CBG readings
29.Requirements for CHF - ANSWER - LVEF >40% on Echo, no pulm HTN
- Cardiac clearance
- Asymptomatic, tolerating all meds
- *ETT* requirements met
30.Requirements for MI - ANSWER - 2 month waiting
- Asymptomatic, tolerating all therapy
- Cardiac clearance
- *ETT*
- Echo meets requirements
- No CAD
- *ECG* with no ischemic changes
*ECG, ETT, Echo*
COMPLETE QUESTIONS WITH
DETAILED VERIFIED ANSWERS |
ALREADY GRADED A+
1. Which conditions result in a max recertification period of 6 months? -
ANSWER - Heart transplant
- Stage 3 hypertension without surgical correction
- Severe Aortic regurg or Aortic stenosis without surgical correction
2. PFT requirements - ANSWER - FVC >60%
- FEV1 >65%
- FEV1/FVC ratio > 65%
- Pulse ox > 92%
3. If above are not met, do an ABG and PaO2 must be >65
4. 1 week waiting period: - ANSWER Post PCI
5. 4 week waiting period: - ANSWER Post mitral balloon valvuloplasty
6. 1 month waiting period: - ANSWER - A-fib, stabilized
- Anticoagulation, stabilized (a-fib)
- SVT
, - Post-pacemaker for AV block or SV arrythmia
7. 2 month waiting period: - ANSWER - Post MI
- BPPV or vertigo
8. 3 month waiting period: - ANSWER - Post surgery (CABG, CV, aneurysm
repair, PVD, PAD, OSA, 2ry hypertension)
- PE
- Unstable angina
- Syncopal episode
- Post-pacemaker for carotid hypersensitivity or neurogenic syncope
9. 6 month waiting period: - ANSWER ECT therapy
10.1 year waiting period: - ANSWER - TIA or Stroke with no seizure/risk
- Acute provoked seizure, mild/no insult
- Heart transplant
- Brain tumor resection with no seizure
11.2 year waiting period: - ANSWER - TBI with moderate insult (such as
LOC)
- Acute seizure, unprovoked, mild
12.5 year waiting period: - ANSWER - Seizure with moderate insult
- TBI with seizure
- Stroke/TIA with seizure
13.10 year waiting period: - ANSWER - Epilepsy
- Febrile seizures
,14.AAA requirements - ANSWER <4 cm
15.Asymptomatic
16.If symptomatic or > 4 cm, surgical eval
17.Angina requirements - ANSWER - Stable (unstable has 3 month waiting
period)
- Tolerating all meds
- Cardiac clearance
- *ETT*
18.Certification for symptomatic aortic regurg or aortic stenosis - ANSWER
Q6 months if no surgical repair
19.Q1 year if post-surgical repair (3 month waiting)
20.How often do you need an Echo for aortic stenosis: - ANSWER Mild: Q5Y
21.Moderate: Q1-2 years
22.Severe: surgical eval or disqualifying
23.Waiting period for a-fib - ANSWER 1 month
24.Requirements post-CABG - ANSWER - Tolerating meds
- Cardiac clearance
- Echo criteria (LVEF >40%)
- Healed sternal incision
- Asymptomatic
- Annual ETT starting 5 years later
, 25.Waiting period for symptomatic claudication - ANSWER Disqualify until
surgical eval - 3 months post-surgery
26.When is hypoglycemia disqualifying - ANSWER 2+ episodes of severe
hypoglycemia in the past 5 years
- (requiring assistance, LOC, AMS, syncope)
27.Requirements for recert of T2DM - ANSWER - Max 1 year
- Tolerating therapy, no AEs, maximum efficacy
- No hypoglycemia
- No peripheral neuropathy or end organ damage
28.IF on insulin: 3 months of stable CBG readings
29.Requirements for CHF - ANSWER - LVEF >40% on Echo, no pulm HTN
- Cardiac clearance
- Asymptomatic, tolerating all meds
- *ETT* requirements met
30.Requirements for MI - ANSWER - 2 month waiting
- Asymptomatic, tolerating all therapy
- Cardiac clearance
- *ETT*
- Echo meets requirements
- No CAD
- *ECG* with no ischemic changes
*ECG, ETT, Echo*
