NRCME EXAM 2026 COMPLETE
CERTIFICATION STUDY GUIDE
⫸ Vision Peripheral. Answer: 70
⫸ Vision Color. Answer: red, green and amber
⫸ Vision and DM disqualified if. Answer: dx with unstable proliferative
retinopathy
⫸ Vision PE. Answer: distant acuity
horizontal fields
color recognition
monocular vision
reactivity to light
EOMs
fundoscopic exam
⫸ Distant acuity. Answer: 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. Answer: Retinopathy
,Macular Degeneration
⫸ Hearing qualifications. Answer: 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. Answer: BPPV
Acute or chronic peripheral vestibulopathy
⫸ Hearing do not certify if. Answer: Uncontrolled vertigo
Menieres
Labrynthine fistula
Nonfunctioning fistula
⫸ AAA certify if. Answer: < 4 cm
> 4 cm but less than 5 cm
Surgically repaired
1 year cert
⫸ AAA do not certify if. Answer: Symptomatic regardless of size
Surgery is recommended
, ⫸ DVT certify if. Answer: treated with anticoagulation
etiology known
no active DVT
⫸ DVT do not certify if. Answer: Still has DVT on meds
⫸ Chronic thrombus certify if. Answer: No sxs
Max 2 years
⫸ Intermittent claudication certify if. Answer: Etiology known and tx
working
1 year cert
⫸ Intermittent claudication waiting. Answer: 3 months after surgery
⫸ Intermittent claudication don't certify if. Answer: pain at rest
⫸ Aneurysms certify if. Answer: has had surgery
clearance from cards
1 year cert
⫸ Aneurysms waiting period. Answer: 3 months after surgery
CERTIFICATION STUDY GUIDE
⫸ Vision Peripheral. Answer: 70
⫸ Vision Color. Answer: red, green and amber
⫸ Vision and DM disqualified if. Answer: dx with unstable proliferative
retinopathy
⫸ Vision PE. Answer: distant acuity
horizontal fields
color recognition
monocular vision
reactivity to light
EOMs
fundoscopic exam
⫸ Distant acuity. Answer: 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. Answer: Retinopathy
,Macular Degeneration
⫸ Hearing qualifications. Answer: 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. Answer: BPPV
Acute or chronic peripheral vestibulopathy
⫸ Hearing do not certify if. Answer: Uncontrolled vertigo
Menieres
Labrynthine fistula
Nonfunctioning fistula
⫸ AAA certify if. Answer: < 4 cm
> 4 cm but less than 5 cm
Surgically repaired
1 year cert
⫸ AAA do not certify if. Answer: Symptomatic regardless of size
Surgery is recommended
, ⫸ DVT certify if. Answer: treated with anticoagulation
etiology known
no active DVT
⫸ DVT do not certify if. Answer: Still has DVT on meds
⫸ Chronic thrombus certify if. Answer: No sxs
Max 2 years
⫸ Intermittent claudication certify if. Answer: Etiology known and tx
working
1 year cert
⫸ Intermittent claudication waiting. Answer: 3 months after surgery
⫸ Intermittent claudication don't certify if. Answer: pain at rest
⫸ Aneurysms certify if. Answer: has had surgery
clearance from cards
1 year cert
⫸ Aneurysms waiting period. Answer: 3 months after surgery
