NRCME EXAM 2026 PRACTICE ASSESSMENT
MATERIAL
⫸ peripheral vision Answer: 70 degrees
⫸ Federal exemption for monocular vision: can certify for how long?
Answer: 1 year
⫸ hearing requirements Answer: whisper at not less than 5 feet better
ear, or average hearing loss no greater than 40 dB at 500Hz, 1000Hz,
2000 Hz.
⫸ name 4 otic conditions that are automatic DQs Answer: Meniere's,
uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
⫸ Max cert period for Syncope Answer: 1 year (needs neurologist
clearance)
⫸ Post MI drivers can be certified for 1 year with all 5 of these criteria:
(almost the same criteria for post CABG) (first 4 also apply for CHF
drivers) Answer: 1. Asymptomatic
2. Tolerating meds
3. Satisfactory ETT with workload capacity of 6 METs (has to have this
biennially)
4. LVEF >=40%
, 5. No ST depression on ECG - for post CABG this one is replaced by
completely healed sternal incision
⫸ Stable angina: max cert period Answer: 1 year
⫸ minimum waiting period post CABG Answer: 3 months
⫸ Min waiting period for post heart transplant Answer: 1 year
⫸ Max cert period for post heart transplant Answer: 6 months
⫸ Min waiting period post PCI (percutaneous coronary intervention)
Answer: 1 week
⫸ Min waiting period for pacemaker implantation for sinus node
dysfunction Answer: 1 month
⫸ Min waiting period for pacemaker implantation for neurocardiogenic
syncope or hypersensitive carotid sinus with syncope Answer: 3 months
⫸ Min waiting period post AAA repair Answer: 3 months
⫸ Max cert period for being on anticoagulation for a CV condition
Answer: 1 year
MATERIAL
⫸ peripheral vision Answer: 70 degrees
⫸ Federal exemption for monocular vision: can certify for how long?
Answer: 1 year
⫸ hearing requirements Answer: whisper at not less than 5 feet better
ear, or average hearing loss no greater than 40 dB at 500Hz, 1000Hz,
2000 Hz.
⫸ name 4 otic conditions that are automatic DQs Answer: Meniere's,
uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
⫸ Max cert period for Syncope Answer: 1 year (needs neurologist
clearance)
⫸ Post MI drivers can be certified for 1 year with all 5 of these criteria:
(almost the same criteria for post CABG) (first 4 also apply for CHF
drivers) Answer: 1. Asymptomatic
2. Tolerating meds
3. Satisfactory ETT with workload capacity of 6 METs (has to have this
biennially)
4. LVEF >=40%
, 5. No ST depression on ECG - for post CABG this one is replaced by
completely healed sternal incision
⫸ Stable angina: max cert period Answer: 1 year
⫸ minimum waiting period post CABG Answer: 3 months
⫸ Min waiting period for post heart transplant Answer: 1 year
⫸ Max cert period for post heart transplant Answer: 6 months
⫸ Min waiting period post PCI (percutaneous coronary intervention)
Answer: 1 week
⫸ Min waiting period for pacemaker implantation for sinus node
dysfunction Answer: 1 month
⫸ Min waiting period for pacemaker implantation for neurocardiogenic
syncope or hypersensitive carotid sinus with syncope Answer: 3 months
⫸ Min waiting period post AAA repair Answer: 3 months
⫸ Max cert period for being on anticoagulation for a CV condition
Answer: 1 year
