2026 NRCME FINAL EXAMS PAPER QUESTIONS AND
ANSWERS SURE A+
✔✔6 neuromuscular conditions that are automatic DQ - ✔✔1. congenital myopathies
2. metabolic muscle diseases
3. motor neuron diseases
4. muscular dystrophies
5. neuromuscular junction disorders
6. peripheral neuropathies
✔✔Max certification for single unprovoked seizure - ✔✔1 year
✔✔Max certification for embolic/ thrombotic stroke - ✔✔1 year and they have to be
cleared by neuro
✔✔Max certification for TIA - ✔✔1 year
✔✔If you have a fixed (not progressive) deficit of an extremity, you can be certified
normally if you have this thing - ✔✔Skill Performance Evaluation (SPE) certificate
✔✔Max certification for adult ADHD - ✔✔1 year (needs clearance from a mental health
professional)
, ✔✔Min waiting period for bipolar disorder (there are 2 different ones) - ✔✔6 months
after depressive episode with no suicidal behavior. 1 year after severe depressive
episode, suicidal attempt, or manic episode
✔✔Max certification for schizophrenia and related disorders - ✔✔1 year, but it has to be
well controlled (no side effects from meds, no active psychosis or compromised
judgment)
✔✔Max certification for personality disorders - ✔✔1 year
✔✔Max certification for alcoholism - ✔✔2 years but only for history of alcoholism, not
current dx of alcoholism
✔✔max certification for history of drug abuse - ✔✔2 years
✔✔Glaucoma causes what main clinical concern? - ✔✔loss of peripheral vision
✔✔Diabetics on insulin who have an exemption certificate should test sugars when? -
✔✔before driving and every 2-4 hours while driving
✔✔Min waiting period for thoracic aneurysm repair - ✔✔3 months
✔✔Min waiting period for stable angina - ✔✔3 months with no rest angina or change in
pattern
✔✔Min waiting period for post acute MI - ✔✔2 months
✔✔Max certification for history of stage 3 hypertension (>180/110) - ✔✔6 months
✔✔3 requirements for a passing ETT - ✔✔1. increased SBP of at least 20 without
angina
2. workload capacity >6 METs
3. no significant ST depression
✔✔Min waiting period for bypass graft in extremity - ✔✔3 months
✔✔Max certification for a diabetic on insulin with a federal exemption - ✔✔1 year
✔✔Recommended max certification for diabetic not on insulin - ✔✔2 years
✔✔min waiting period for valve surgery - ✔✔3 months
✔✔Min waiting period post MI - ✔✔2 months
ANSWERS SURE A+
✔✔6 neuromuscular conditions that are automatic DQ - ✔✔1. congenital myopathies
2. metabolic muscle diseases
3. motor neuron diseases
4. muscular dystrophies
5. neuromuscular junction disorders
6. peripheral neuropathies
✔✔Max certification for single unprovoked seizure - ✔✔1 year
✔✔Max certification for embolic/ thrombotic stroke - ✔✔1 year and they have to be
cleared by neuro
✔✔Max certification for TIA - ✔✔1 year
✔✔If you have a fixed (not progressive) deficit of an extremity, you can be certified
normally if you have this thing - ✔✔Skill Performance Evaluation (SPE) certificate
✔✔Max certification for adult ADHD - ✔✔1 year (needs clearance from a mental health
professional)
, ✔✔Min waiting period for bipolar disorder (there are 2 different ones) - ✔✔6 months
after depressive episode with no suicidal behavior. 1 year after severe depressive
episode, suicidal attempt, or manic episode
✔✔Max certification for schizophrenia and related disorders - ✔✔1 year, but it has to be
well controlled (no side effects from meds, no active psychosis or compromised
judgment)
✔✔Max certification for personality disorders - ✔✔1 year
✔✔Max certification for alcoholism - ✔✔2 years but only for history of alcoholism, not
current dx of alcoholism
✔✔max certification for history of drug abuse - ✔✔2 years
✔✔Glaucoma causes what main clinical concern? - ✔✔loss of peripheral vision
✔✔Diabetics on insulin who have an exemption certificate should test sugars when? -
✔✔before driving and every 2-4 hours while driving
✔✔Min waiting period for thoracic aneurysm repair - ✔✔3 months
✔✔Min waiting period for stable angina - ✔✔3 months with no rest angina or change in
pattern
✔✔Min waiting period for post acute MI - ✔✔2 months
✔✔Max certification for history of stage 3 hypertension (>180/110) - ✔✔6 months
✔✔3 requirements for a passing ETT - ✔✔1. increased SBP of at least 20 without
angina
2. workload capacity >6 METs
3. no significant ST depression
✔✔Min waiting period for bypass graft in extremity - ✔✔3 months
✔✔Max certification for a diabetic on insulin with a federal exemption - ✔✔1 year
✔✔Recommended max certification for diabetic not on insulin - ✔✔2 years
✔✔min waiting period for valve surgery - ✔✔3 months
✔✔Min waiting period post MI - ✔✔2 months
