NRCME Exam Test Questions with Complete Answers. Graded A+

Vision Requirements - 20/40 in each and both eyes with or without corrective lenses Vision Peripheral - 70 Vision Color - red, green and amber Vision and DM disqualified if - dx with unstable proliferative retinopathy Vision PE - distant acuity horizontal fields color recognition monocular vision reactivity to light EOMs fundoscopic exam Distant acuity - Snellen 20 ft Cannot have contacts that are one for distance and one for near (monovision) 20/40 to pass Refer out if signs of - Retinopathy Macular Degeneration Hearing qualifications - Hears forced whisper at 5 ft Does not have average hearing loss in the good ear 40db at 500, 1000 and 2000 hz Only has to pass in 1 ear Hearing 2 month sx free waiting for - BPPV Acute or chronic peripheral vestibulopathy Hearing do not certify if - Uncontrolled vertigo Menieres Labrynthine fistula Nonfunctioning fistula AAA certify if - 4 cm 4 cm but less than 5 cm Surgically repaired 1 year cert AAA do not certify if - Symptomatic regardless of size Surgery is recommended DVT certify if - treated with anticoagulation etiology known no active DVT DVT do not certify if - Still has DVT on meds Chronic thrombus certify if - No sxs Max 2 years Intermittent claudication certify if - Etiology known and tx working 1 year cert Intermittent claudication waiting - 3 months after surgery Intermittent claudication don't certify if - pain at rest Aneurysms certify if - has had surgery clearance from cards 1 year cert Aneurysms waiting period - 3 months after surgery Aneurysms don't certify if - surgery recommended PVD certify - Don't if pain at rest 3 month wait after surgery 1 year cert Thoracic aneurysms certify - 3.5 cm surgically repaired if greater medical clearance from cards Arrythmia don't certify if - has ICD or dual 1 year if cert Pacemaker waiting period - 1 month if for SA dysfunction or AV block 3 months if for neurocardiogenic syncope, hypersensitive carotid sinus with syncope Pacemaker certify if - has documentation of functioning pacemaker with routine checks is not for a disqualifying disease SVT and afib certify if - HR controlled anticoagulated cards clearance 1 month wait after starting anticoags or ablation SVT and afib don't certify if - LOC cerebral hypoperfusion sudden death resuscitation Ventricular arrythmias don't certify if - is symptomatic has sustained VT Has NSVT with LVEF 40 Echo results for certify - LVEF 40 no pulmonary HTN Exercise tolerance test certify - Must be able to -exercise to workload capacity 6METS -attain HT =85% predicted max -Have increase in SBP = 20mmhg without angina -no ST depression MI certify if - no symptoms tolerates meds passes ETT with no ischemia or LVD Echo with LVEF 40 no EKG ischemic changes 2 month waiting 1 year cert Angina certify if - stable angina no sxs passes ETT 1 year cert cards clearance biannual ETT Angina don't certify if - unstable angina within 3 months of exam CHD risk equivalent - DM PVD Framingham risk 20% 45 with multiple risk factors cert 1 year