NRCME MAIN EXAMINATION SET QUESTIONS AND
ANSWERS RATED A+
✔✔Guidelines for supraventricular tachycardias include: 1. Certification should be
granted only after adequate anticoagulation is demonstrated for three months. 2.
Certification for atrial flutter may be considered if the driver is one month following
isthmus ablation.
1 only.
2 only.
Both 1 and 2.
Neither 1 nor 2. - ✔✔2 only.
✔✔The waiting period for hypertrophic cardiomyopathy is __________.
One month.
Two months.
Three months.
There is no waiting period. Hypertrophic cardiomyopathy is a disqualifying condition. -
✔✔There is no waiting period. Hypertrophic cardiomyopathy is a disqualifying condition.
✔✔what is the waiting period following cerebellum or brainstem vascular lesions
strokes? - ✔✔1 year; not at risk for seizure
✔✔what is the waiting period following cortical or subcortical deficits from a stroke? -
✔✔5 years increased risk of seizures
✔✔is dementia disqualifying? - ✔✔yes
✔✔what is min waiting period seizure-free and off anticonvulsant medication following
moderate TBI without early seizures or mild TBI with early seizures.? - ✔✔2 years
✔✔what is the min waiting period seizure free and off anticonvulsant medication
following moderate TBI with early seizures. - ✔✔5 years
✔✔what is the min wait period following surgical removal of Infratentorial meningioma,
acoustic neuromas, pituitary adenomas, spinal benign tumors, benign extra-axial
tumors? - ✔✔1 year
✔✔what is the min waiting period after surgical removal of Benign supratentorial
tumors, spinal tumors? - ✔✔2 years
✔✔What is the wait period seizure free and off anticonvulsant medication following
bacterial meningitis without early seizures or viral encephalitis without early seizures? -
✔✔1 year
, ✔✔What is the waiting period seizure free and off anticonvulsant medication following
bacterial meningitis with early seizures.? - ✔✔5 years
✔✔What is the waiting period seizure free and off anticonvulsant medication following
viral encephalitis with early seizures? - ✔✔10 years
✔✔A driver with a history of bacterial meningitis with early seizures or a single
unprovoked seizure requires a waiting period of __________ seizure free and off
anticonvulsant medications. - ✔✔5 years
✔✔Transient ischemic attacks (TIA's) are automatically disqualifying for __________.
After the minimum waiting period the certification depends on the interval history,
general health, neurological examination, and compliance with the treatment program. -
✔✔1 year
✔✔A driver with peripheral neuropathy __________. - ✔✔should not be certified by
guidance
✔✔Levodopa/carbidopa may cause the driver to be disqualified because it is used for
the treatment of what condition? - ✔✔parkinsons
✔✔Driver examination 6/18/2011. Driver disqualified due to benign positional vertigo
with last symptoms noted 5/15/2011. Driver advised to return after a __________
symptom free interval for a maximum __________ certification interval. - ✔✔2 months,2
years
✔✔Which of the following conditions are disqualifying?
Myotonia.
Stiffman Syndrome.
Isaac's Syndrome.
Amyotrophic lateral sclerosis (ALS).
All of the above. - ✔✔all of above
✔✔A driver with history of moderate traumatic brain injury with early seizures, stroke
with risk for seizures, or intracerebral or subarachnoid hemorrhage with risk for seizures
requires a waiting period of __________ seizure free and off anticonvulsant
medications. - ✔✔5 years
✔✔Which of the following conditions is not disqualifying?
Multiple sclerosis.
Congenital myopathies.
Metabolic muscle diseases.
ANSWERS RATED A+
✔✔Guidelines for supraventricular tachycardias include: 1. Certification should be
granted only after adequate anticoagulation is demonstrated for three months. 2.
Certification for atrial flutter may be considered if the driver is one month following
isthmus ablation.
1 only.
2 only.
Both 1 and 2.
Neither 1 nor 2. - ✔✔2 only.
✔✔The waiting period for hypertrophic cardiomyopathy is __________.
One month.
Two months.
Three months.
There is no waiting period. Hypertrophic cardiomyopathy is a disqualifying condition. -
✔✔There is no waiting period. Hypertrophic cardiomyopathy is a disqualifying condition.
✔✔what is the waiting period following cerebellum or brainstem vascular lesions
strokes? - ✔✔1 year; not at risk for seizure
✔✔what is the waiting period following cortical or subcortical deficits from a stroke? -
✔✔5 years increased risk of seizures
✔✔is dementia disqualifying? - ✔✔yes
✔✔what is min waiting period seizure-free and off anticonvulsant medication following
moderate TBI without early seizures or mild TBI with early seizures.? - ✔✔2 years
✔✔what is the min waiting period seizure free and off anticonvulsant medication
following moderate TBI with early seizures. - ✔✔5 years
✔✔what is the min wait period following surgical removal of Infratentorial meningioma,
acoustic neuromas, pituitary adenomas, spinal benign tumors, benign extra-axial
tumors? - ✔✔1 year
✔✔what is the min waiting period after surgical removal of Benign supratentorial
tumors, spinal tumors? - ✔✔2 years
✔✔What is the wait period seizure free and off anticonvulsant medication following
bacterial meningitis without early seizures or viral encephalitis without early seizures? -
✔✔1 year
, ✔✔What is the waiting period seizure free and off anticonvulsant medication following
bacterial meningitis with early seizures.? - ✔✔5 years
✔✔What is the waiting period seizure free and off anticonvulsant medication following
viral encephalitis with early seizures? - ✔✔10 years
✔✔A driver with a history of bacterial meningitis with early seizures or a single
unprovoked seizure requires a waiting period of __________ seizure free and off
anticonvulsant medications. - ✔✔5 years
✔✔Transient ischemic attacks (TIA's) are automatically disqualifying for __________.
After the minimum waiting period the certification depends on the interval history,
general health, neurological examination, and compliance with the treatment program. -
✔✔1 year
✔✔A driver with peripheral neuropathy __________. - ✔✔should not be certified by
guidance
✔✔Levodopa/carbidopa may cause the driver to be disqualified because it is used for
the treatment of what condition? - ✔✔parkinsons
✔✔Driver examination 6/18/2011. Driver disqualified due to benign positional vertigo
with last symptoms noted 5/15/2011. Driver advised to return after a __________
symptom free interval for a maximum __________ certification interval. - ✔✔2 months,2
years
✔✔Which of the following conditions are disqualifying?
Myotonia.
Stiffman Syndrome.
Isaac's Syndrome.
Amyotrophic lateral sclerosis (ALS).
All of the above. - ✔✔all of above
✔✔A driver with history of moderate traumatic brain injury with early seizures, stroke
with risk for seizures, or intracerebral or subarachnoid hemorrhage with risk for seizures
requires a waiting period of __________ seizure free and off anticonvulsant
medications. - ✔✔5 years
✔✔Which of the following conditions is not disqualifying?
Multiple sclerosis.
Congenital myopathies.
Metabolic muscle diseases.
