NRCME DOT EXAM QUESTIONS WITH
CORRECT ANSWERS
CAD b- bcorrect banswers✔✔At bleast bannual bexamination, band bbe bon bboard bwith
bcardiology, btolerate band bcomply bwith bmeds. bNo bneed bto bdisqualify bright baway.
Acceptable bEcho b-
LVEF b>/= b40%
Pulmonary bartery bpressure b<50% bsystemic bsystolic bBP.
Acceptable bexercise btolerance b-
Achieve b>6 bmets bthrough bBruce bstage b2 bor bequivalent b(medium bwork bup bto b50 blb
bcarrying)
Attain bHR bof b>/=85% bpredicted bmaximum bunless bon bbeta bblockers
Rise bin bsystolic bBP b>/= b20 bmm/hg bwithout bangina.
No bST bsegment bdepression
Post bMI b- bcorrect banswers✔✔drivers bmust bwait b2 bmonths bminimum. b1 byear
bmaximum.
Must bbe basymptomatic.
Tolerate bmeds
Acceptable bETT bafter bthe bMI, band bbiennial bafter bthat
LVEF b>/=40 b(REQUIRES bECHO)
Needs bcardiology bclearance
Angina b- b- bcorrect banswers✔✔Needs b3 bmonth bwait bafter bangina.
Maximum bof b1 byear bcertification
Biennial bETT b(Q2Y)
Cardiology bclearance
Clearly bdelineate bcardiac bcause bvs bother bcause. bIf bthis bis btransient band
bnoncardiac, btreat bthe bpatient bas bif bthey bdo bnot bhave ba bcondition. bNot ball bchest
bpain bis bcardiac bangina.
CABG b- b- bcorrect banswers✔✔Sternum bmust bbe bcompletely bhealed bafter bthis.
Minimum b3 bmonth breturn
Maximum b1 byear bcertification.
Annual bETT
Cardiology bclearance.
, PCI b- b- bcorrect banswers✔✔1 bweek bwaiting btime.
Maximum bof b1 byear bclearance.
Cardiology bclearance.
Biennial bETT
Pacemakers b- bcorrect banswers✔✔Minimum b1 bmonth bwait bif bsinus bnode
bdysfunction b/ bAV bblock
Minimum b3 bmonth bwait bif bhypersensitive bcarotid bsinus bwith bsyncope
Maximum bcert bof b1 byear
Needs broutine bpacemaker bchecks. bPatient bneeds bdocumentation.
SVT b- bcorrect banswers✔✔Minimum b1 bmonth bwait bon banticoagulation band
basymptomatic
1 bmonth bwait bpost bisthmus bablation band bdiagnosis bis batrial bflutter
1 bmonth bwait bif basymptomatic bif bAV breentrant btachycardia, bWPW, batrial
btachycardia, bjunctional btachycardia
Maximum bcertification bof b1 byear.
Cardiology bclearance b+ bAnnual bcardiology bvisit.
Ventricular barrhythmias b- bcorrect banswers✔✔Minimum b1 bmonth bwait bif bcoronary
bheart bdisease, bRV boutflow bV-tach, bIdiopathic bLV bV-tach
Maximum b1 byear bcert.
Cannot bbe bsustained, bnonsustained brequires bLVEF b>/=40%
CANNOT bCERTIFY bhypertrophic bcardiomyopathy, bLong bQT, bBrugada
Heart bFailure b- bcorrect banswers✔✔Use bNYHA bclasses b(Only bcertify bclass b1)
Maximum b1 byear bcertification.
Syncope b- bcorrect banswers✔✔Requires ba b3 bmonth bwaiting bperiod.
Maximum bcert bof b1 byear.
Ebstein bAnomaly b- bcorrect banswers✔✔Downward btricuspid bdisplacement)
Must bbe basymptomatic, beverything babout bit bmust bbe bmild.
Annual bcardiology b+ becho
Cannot bcertify bif bthere bare bcomorbid bissues.
Maximum bof b1 byear bcert.
Heart bTransplant b- bcorrect banswers✔✔Wait bperiod bof b1 byear bpost btransplant.
Max b6 bmonth bcertification.
Need bcardiology bevaluation bevery b6 bmonths bas bwell bas bmedical bexamination.
Cardiomyopathies b- bcorrect banswers✔✔Cannot bcertify bdrivers bwith bhypertrophic bor
brestrictive bcardiomyopathy.
AAA b- bcorrect banswers✔✔Certify bif b<4cm band basymptomatic
Certification bis b4-5cm band basymptomatic band bcardiology bclearance.
CORRECT ANSWERS
CAD b- bcorrect banswers✔✔At bleast bannual bexamination, band bbe bon bboard bwith
bcardiology, btolerate band bcomply bwith bmeds. bNo bneed bto bdisqualify bright baway.
Acceptable bEcho b-
LVEF b>/= b40%
Pulmonary bartery bpressure b<50% bsystemic bsystolic bBP.
Acceptable bexercise btolerance b-
Achieve b>6 bmets bthrough bBruce bstage b2 bor bequivalent b(medium bwork bup bto b50 blb
bcarrying)
Attain bHR bof b>/=85% bpredicted bmaximum bunless bon bbeta bblockers
Rise bin bsystolic bBP b>/= b20 bmm/hg bwithout bangina.
No bST bsegment bdepression
Post bMI b- bcorrect banswers✔✔drivers bmust bwait b2 bmonths bminimum. b1 byear
bmaximum.
Must bbe basymptomatic.
Tolerate bmeds
Acceptable bETT bafter bthe bMI, band bbiennial bafter bthat
LVEF b>/=40 b(REQUIRES bECHO)
Needs bcardiology bclearance
Angina b- b- bcorrect banswers✔✔Needs b3 bmonth bwait bafter bangina.
Maximum bof b1 byear bcertification
Biennial bETT b(Q2Y)
Cardiology bclearance
Clearly bdelineate bcardiac bcause bvs bother bcause. bIf bthis bis btransient band
bnoncardiac, btreat bthe bpatient bas bif bthey bdo bnot bhave ba bcondition. bNot ball bchest
bpain bis bcardiac bangina.
CABG b- b- bcorrect banswers✔✔Sternum bmust bbe bcompletely bhealed bafter bthis.
Minimum b3 bmonth breturn
Maximum b1 byear bcertification.
Annual bETT
Cardiology bclearance.
, PCI b- b- bcorrect banswers✔✔1 bweek bwaiting btime.
Maximum bof b1 byear bclearance.
Cardiology bclearance.
Biennial bETT
Pacemakers b- bcorrect banswers✔✔Minimum b1 bmonth bwait bif bsinus bnode
bdysfunction b/ bAV bblock
Minimum b3 bmonth bwait bif bhypersensitive bcarotid bsinus bwith bsyncope
Maximum bcert bof b1 byear
Needs broutine bpacemaker bchecks. bPatient bneeds bdocumentation.
SVT b- bcorrect banswers✔✔Minimum b1 bmonth bwait bon banticoagulation band
basymptomatic
1 bmonth bwait bpost bisthmus bablation band bdiagnosis bis batrial bflutter
1 bmonth bwait bif basymptomatic bif bAV breentrant btachycardia, bWPW, batrial
btachycardia, bjunctional btachycardia
Maximum bcertification bof b1 byear.
Cardiology bclearance b+ bAnnual bcardiology bvisit.
Ventricular barrhythmias b- bcorrect banswers✔✔Minimum b1 bmonth bwait bif bcoronary
bheart bdisease, bRV boutflow bV-tach, bIdiopathic bLV bV-tach
Maximum b1 byear bcert.
Cannot bbe bsustained, bnonsustained brequires bLVEF b>/=40%
CANNOT bCERTIFY bhypertrophic bcardiomyopathy, bLong bQT, bBrugada
Heart bFailure b- bcorrect banswers✔✔Use bNYHA bclasses b(Only bcertify bclass b1)
Maximum b1 byear bcertification.
Syncope b- bcorrect banswers✔✔Requires ba b3 bmonth bwaiting bperiod.
Maximum bcert bof b1 byear.
Ebstein bAnomaly b- bcorrect banswers✔✔Downward btricuspid bdisplacement)
Must bbe basymptomatic, beverything babout bit bmust bbe bmild.
Annual bcardiology b+ becho
Cannot bcertify bif bthere bare bcomorbid bissues.
Maximum bof b1 byear bcert.
Heart bTransplant b- bcorrect banswers✔✔Wait bperiod bof b1 byear bpost btransplant.
Max b6 bmonth bcertification.
Need bcardiology bevaluation bevery b6 bmonths bas bwell bas bmedical bexamination.
Cardiomyopathies b- bcorrect banswers✔✔Cannot bcertify bdrivers bwith bhypertrophic bor
brestrictive bcardiomyopathy.
AAA b- bcorrect banswers✔✔Certify bif b<4cm band basymptomatic
Certification bis b4-5cm band basymptomatic band bcardiology bclearance.
