NRCME (DOT) CERTIFICATION EXAM PREP WITH COMPLETE 105
QUESTIONS AND CORRECT DETAILED ANSWERS ALREADY
GRADED A+ (BRAND NEW!!)
Medical Examiner ANSWER👀 Licensed, certified, registered provider who can
perform PEs in accordance with laws and regulations ; registered through NRS ;
has unique identifier ; passes MEC test
Which type of stroke only requires a 1 year waiting period? ANSWER👀
Cerebellar or brainstem, which has low risk for seizures
- And NO hx of seizure
- + Neuro clearance and normal neuro exam
What is the A1C requirement for drivers with T2DM? ANSWER👀 There is not
one
Vision requirements ANSWER👀 20/40 in each eye and both eyes (or better)
Field >70 degrees
Can see amber, red, green colors
Exam: Fundoscopic, PERRLA, ocular movements
Hearing requirements ANSWER👀 Whisper at not less than 5 feet in 1 ear, or
average hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
- Can use hearing aids - mark on paperwork
- Only 1 ear required ("the better ear")
,Blood pressure requirement for 2-year certification ANSWER👀 <140/90 with
no HTN therapy
No previous diagnosis of HTN
Blood pressure requirement for 1-year certification ANSWER👀 First finding of
Stage 1 hypertension (140-159/90-99)
or
History of Hypertension or taking 1+ HTN med and BP is controlled at <140/90
BP requirement for 3-month certification ANSWER👀 - Has not yet had
antihypertensive therapy
- Previously had a 1-year certificate for uncontrolled Stage 1 BP
- OR: first finding of Stage 2 HTN
Required Echocardiography criteria ANSWER👀 - LVEF >40%
- No Pulm HTN (Right heart pressure < 50 mmHg)
When is Echo required? ANSWER👀 - Aortic Regurg
- Aortic stenosis (Q1 year moderate, Q5 years mild)
- Mitral stenosis (annual)
- MVP (annual)
One time:
Eval of CHF, CHD
, Post CABG, MI
Which conditions require an annual Echo? ANSWER👀 - Mitral stenosis
- MVP
- Moderate aortic stenosis
Exercise Tolerance Test (ETT) requirements ANSWER👀 - Attain >85% max HR
- SBP >20 mmHg increase without sx
- Tolerate 6 METs
- No ST depression or ischemic changes
When is an ETT (stress test) required? ANSWER👀 - Unstable angina (Biennial)
- CABG (annual starting 5 years after surgery)
- Congenital heart defect (x1)
- CHF (x1)
- PCI (6 months post-procedure, then biennial)
- MI (prior to re-certification)
- Severe mitral regurg (Q6 months)
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
QUESTIONS AND CORRECT DETAILED ANSWERS ALREADY
GRADED A+ (BRAND NEW!!)
Medical Examiner ANSWER👀 Licensed, certified, registered provider who can
perform PEs in accordance with laws and regulations ; registered through NRS ;
has unique identifier ; passes MEC test
Which type of stroke only requires a 1 year waiting period? ANSWER👀
Cerebellar or brainstem, which has low risk for seizures
- And NO hx of seizure
- + Neuro clearance and normal neuro exam
What is the A1C requirement for drivers with T2DM? ANSWER👀 There is not
one
Vision requirements ANSWER👀 20/40 in each eye and both eyes (or better)
Field >70 degrees
Can see amber, red, green colors
Exam: Fundoscopic, PERRLA, ocular movements
Hearing requirements ANSWER👀 Whisper at not less than 5 feet in 1 ear, or
average hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
- Can use hearing aids - mark on paperwork
- Only 1 ear required ("the better ear")
,Blood pressure requirement for 2-year certification ANSWER👀 <140/90 with
no HTN therapy
No previous diagnosis of HTN
Blood pressure requirement for 1-year certification ANSWER👀 First finding of
Stage 1 hypertension (140-159/90-99)
or
History of Hypertension or taking 1+ HTN med and BP is controlled at <140/90
BP requirement for 3-month certification ANSWER👀 - Has not yet had
antihypertensive therapy
- Previously had a 1-year certificate for uncontrolled Stage 1 BP
- OR: first finding of Stage 2 HTN
Required Echocardiography criteria ANSWER👀 - LVEF >40%
- No Pulm HTN (Right heart pressure < 50 mmHg)
When is Echo required? ANSWER👀 - Aortic Regurg
- Aortic stenosis (Q1 year moderate, Q5 years mild)
- Mitral stenosis (annual)
- MVP (annual)
One time:
Eval of CHF, CHD
, Post CABG, MI
Which conditions require an annual Echo? ANSWER👀 - Mitral stenosis
- MVP
- Moderate aortic stenosis
Exercise Tolerance Test (ETT) requirements ANSWER👀 - Attain >85% max HR
- SBP >20 mmHg increase without sx
- Tolerate 6 METs
- No ST depression or ischemic changes
When is an ETT (stress test) required? ANSWER👀 - Unstable angina (Biennial)
- CABG (annual starting 5 years after surgery)
- Congenital heart defect (x1)
- CHF (x1)
- PCI (6 months post-procedure, then biennial)
- MI (prior to re-certification)
- Severe mitral regurg (Q6 months)
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
