NRCME Exam Questions and Answers
1. vision requirements: 20/40 each eye and 20/40 both eyes
2. peripheral vision: 70 degrees
3. Federal exemption for monocular vision: can certify for how long?:
1 year
4. hearing requirements: whisper at not less than 5 feet better ear, or average hearing loss no
greater than 40 dB at 500Hz, 1000Hz, 2000 Hz.
5. name 4 otic conditions that are automatic DQs: Meniere's, uncontrolled vertigo,
labyrinthine fistula, nonfunctioning labyrinth
6. Max cert period for Syncope: 1 year (needs neurologist clearance)
7. Post MI drivers can be certified for 1 year with all 5 of these
criteria: (almost the same criteria for post CABG) (first 4 also apply
for CHF drivers): 1. Asymptomatic
2. Tolerating meds
3. Satisfactory ETT with workload capacity of 6 METs (has to have this biennially)
4. LVEF >=40%
5. No ST depression on ECG - for post CABG this one is replaced by completely healed sternal incision
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, 8. Stable angina: max cert period: 1 year
9. minimum waiting period post CABG: 3 months
10. Min waiting period for post heart transplant: 1 year
11. Max cert period for post heart transplant: 6 months
12. Min waiting period post PCI (percutaneous coronary
intervention): 1 week
13. Min waiting period for pacemaker implantation for sinus node
dysfunction: 1 month
14. Min waiting period for pacemaker implantation for
neurocardiogenic syn- cope or hypersensitive carotid sinus with
syncope: 3 months
15. Min waiting period post AAA repair: 3 months
16. Max cert period for being on anticoagulation for a CV condition:
1 year
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1. vision requirements: 20/40 each eye and 20/40 both eyes
2. peripheral vision: 70 degrees
3. Federal exemption for monocular vision: can certify for how long?:
1 year
4. hearing requirements: whisper at not less than 5 feet better ear, or average hearing loss no
greater than 40 dB at 500Hz, 1000Hz, 2000 Hz.
5. name 4 otic conditions that are automatic DQs: Meniere's, uncontrolled vertigo,
labyrinthine fistula, nonfunctioning labyrinth
6. Max cert period for Syncope: 1 year (needs neurologist clearance)
7. Post MI drivers can be certified for 1 year with all 5 of these
criteria: (almost the same criteria for post CABG) (first 4 also apply
for CHF drivers): 1. Asymptomatic
2. Tolerating meds
3. Satisfactory ETT with workload capacity of 6 METs (has to have this biennially)
4. LVEF >=40%
5. No ST depression on ECG - for post CABG this one is replaced by completely healed sternal incision
1/
10
, 8. Stable angina: max cert period: 1 year
9. minimum waiting period post CABG: 3 months
10. Min waiting period for post heart transplant: 1 year
11. Max cert period for post heart transplant: 6 months
12. Min waiting period post PCI (percutaneous coronary
intervention): 1 week
13. Min waiting period for pacemaker implantation for sinus node
dysfunction: 1 month
14. Min waiting period for pacemaker implantation for
neurocardiogenic syn- cope or hypersensitive carotid sinus with
syncope: 3 months
15. Min waiting period post AAA repair: 3 months
16. Max cert period for being on anticoagulation for a CV condition:
1 year
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