NRCME EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+| latest 2024/25 exams updates |

NRCME EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+ Screening pulse oximetry/ABG is indicated when FEV1 65% Screening pulse oximetry/ABG is indicated when FEV1/FVC 65% Screening pulse oximetry/ABG is indicated when FVC 60% ABG is indicated if pulse ox is 92% Minimum required PaO2 65 mmHg Role of the SAP??? ** Exercise tolerance test: The driver should be able to: Exercise to a workload capacity 6 metabolic equivalents (through Bruce protocol stage II) Attain a HR 85% of predicted maximum (unless on beta blockers) Have a rise in SBP 20 mmHg without angina Have no significant ST segment depression Waiting period post MI 2 months Waiting period post CABG 3 months Proper exam attire Underwear and a gown Driver post MI has completed 2-month waiting period -- how long should you certify for? 1 month Audiometric testing -- how to see if they pass Average the results for the better ear (requirement only needs to be met in one ear) at 500, 1,000, and 2,000 Hz. As long as the average is less than or equal to 40 in one ear, they pass. Driver must exhibit a minimum peripheral vision of ____ degrees bilaterally 70 During examination, the medical examiner notices that the driver is distant, lacks eye contact and shows absolutely no emotional response during the exam. The examiner's best response should be: Disqualify the driver and refer him to a mental health professional prior to consideration for certification (flat affect = schizophrenia and severe depression) Stage 1 HTN is defined as 140-159 / 90-99 BP Regulations HTN Stages First time having elevated BP (153/85) -- what should you do? Certify 1 year Pt is on anti-hypertensives and BP is 139/89 or lower -- what do you do? Certify 1 year Pt with stage 1 HTN returns to office for recertification after 1 year was granted. Still has elevated BP (stage 1). What do? One-time 3-month cert Advise the pt that failure to lower BP to 140/90 will render the driver unqualified for continued certification Pt shows up with stage 2 HTN -- not on any meds -- 1. what is stage 2 HTN 2. what do? 1. ≥ 160/100 and 180/110 2. Give one-time 3 month cert and tell them follow up with PCP 3. At the 3 month exam, if the tx is well tolerated and BP is 140