NRCME CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ VertigoWaiting PeriodCertification Time.
Answer: 2 months
◍ Vision Requirements.
Answer: 20/40 in each and both eyes with or without corrective lenses
◍ Meniere's DiseaseLabyrinthe FistulaNonfunctioning LabryrinthsWaiting
PeriodCertification Time.
Answer: DO NOT CERTIFY
◍ CADHow often exam?.
Answer: Annually
◍ Vision Peripheral.
Answer: 70
◍ Acute MIWaiting PeriodCertification TimeHow often exam?.
Answer: 2 months1 year1 year
◍ Vision Color.
Answer: red, green and amber
◍ Vision and DM disqualified if.
Answer: dx with unstable proliferative retinopathy
◍ Vision PE.
Answer: distant acuityhorizontal fieldscolor recognitionmonocular
visionreactivity to lightEOMsfundoscopic exam
◍ Angina PectorisWaiting PeriodCertification TimeHow often exam?.
, Answer: 3 months1 year-
◍ Distant acuity.
Answer: Snellen 20 ftCannot have contacts that are one for distance and one
for near (monovision)20/40 to pass
◍ CABGWaiting PeriodCertification TimeHow often exam?.
Answer: 3 months1 year-
◍ Refer out if signs of.
Answer: RetinopathyMacular Degeneration
◍ Hearing qualifications.
Answer: Hears forced whisper at 5 ftDoes not have average hearing loss in
the good ear >40db at 500, 1000 and 2000 hzOnly has to pass in 1 ear
◍ Hearing 2 month sx free waiting for.
Answer: BPPVAcute or chronic peripheral vestibulopathy
◍ Hearing do not certify if.
Answer: Uncontrolled vertigoMenieresLabrynthine fistulaNonfunctioning
fistula
◍ AAA certify if.
Answer: < 4 cm> 4 cm but less than 5 cmSurgically repaired1 year cert
◍ AAA do not certify if.
Answer: Symptomatic regardless of sizeSurgery is recommended
◍ DVT certify if.
Answer: treated with anticoagulationetiology knownno active DVT
◍ DVT do not certify if.
Answer: Still has DVT on meds
◍ Chronic thrombus certify if.
Answer: No sxsMax 2 years
◍ Intermittent claudication certify if.
Answer: Etiology known and tx working1 year cert
, ◍ Intermittent claudication waiting.
Answer: 3 months after surgery
◍ Percutaneous Coronary Intervention (Post-op)Waiting PeriodCertification
TimeHow often exam?.
Answer: 1 week1 yearBiannually
◍ Intermittent claudication don't certify if.
Answer: pain at rest
◍ Aneurysms certify if.
Answer: has had surgeryclearance from cards1 year cert
◍ Implantable Cardioverter-Defibrilllators (ICDs)Waiting PeriodCertification
TimeHow often exam?.
Answer: DO NOT CERTIFY
◍ Aneurysms waiting period.
Answer: 3 months after surgery
◍ Aneurysms don't certify if.
Answer: surgery recommended
◍ Pacemaker (Sinus Node Dysfunction or AV Block) (post-op)Waiting
PeriodCertification TimeHow often exam?.
Answer: 1 month1 year-
◍ PVD certify.
Answer: Don't if pain at rest3 month wait after surgery1 year cert
◍ Pacemaker (Hypersensitive Carotid Sinus w/ Syncope)Waiting
PeriodCertification TimeHow often exam?.
Answer: 3 months1 year-
◍ Thoracic aneurysms certify.
Answer: <3.5 cmsurgically repaired if greatermedical clearance from cards
◍ Supraventricular TachycardiaWaiting PeriodCertification TimeExam?.
Answer: - 1 month- 1 year
QUESTIONS WITH SOLUTIONS
GRADED A+
◍ VertigoWaiting PeriodCertification Time.
Answer: 2 months
◍ Vision Requirements.
Answer: 20/40 in each and both eyes with or without corrective lenses
◍ Meniere's DiseaseLabyrinthe FistulaNonfunctioning LabryrinthsWaiting
PeriodCertification Time.
Answer: DO NOT CERTIFY
◍ CADHow often exam?.
Answer: Annually
◍ Vision Peripheral.
Answer: 70
◍ Acute MIWaiting PeriodCertification TimeHow often exam?.
Answer: 2 months1 year1 year
◍ Vision Color.
Answer: red, green and amber
◍ Vision and DM disqualified if.
Answer: dx with unstable proliferative retinopathy
◍ Vision PE.
Answer: distant acuityhorizontal fieldscolor recognitionmonocular
visionreactivity to lightEOMsfundoscopic exam
◍ Angina PectorisWaiting PeriodCertification TimeHow often exam?.
, Answer: 3 months1 year-
◍ Distant acuity.
Answer: Snellen 20 ftCannot have contacts that are one for distance and one
for near (monovision)20/40 to pass
◍ CABGWaiting PeriodCertification TimeHow often exam?.
Answer: 3 months1 year-
◍ Refer out if signs of.
Answer: RetinopathyMacular Degeneration
◍ Hearing qualifications.
Answer: Hears forced whisper at 5 ftDoes not have average hearing loss in
the good ear >40db at 500, 1000 and 2000 hzOnly has to pass in 1 ear
◍ Hearing 2 month sx free waiting for.
Answer: BPPVAcute or chronic peripheral vestibulopathy
◍ Hearing do not certify if.
Answer: Uncontrolled vertigoMenieresLabrynthine fistulaNonfunctioning
fistula
◍ AAA certify if.
Answer: < 4 cm> 4 cm but less than 5 cmSurgically repaired1 year cert
◍ AAA do not certify if.
Answer: Symptomatic regardless of sizeSurgery is recommended
◍ DVT certify if.
Answer: treated with anticoagulationetiology knownno active DVT
◍ DVT do not certify if.
Answer: Still has DVT on meds
◍ Chronic thrombus certify if.
Answer: No sxsMax 2 years
◍ Intermittent claudication certify if.
Answer: Etiology known and tx working1 year cert
, ◍ Intermittent claudication waiting.
Answer: 3 months after surgery
◍ Percutaneous Coronary Intervention (Post-op)Waiting PeriodCertification
TimeHow often exam?.
Answer: 1 week1 yearBiannually
◍ Intermittent claudication don't certify if.
Answer: pain at rest
◍ Aneurysms certify if.
Answer: has had surgeryclearance from cards1 year cert
◍ Implantable Cardioverter-Defibrilllators (ICDs)Waiting PeriodCertification
TimeHow often exam?.
Answer: DO NOT CERTIFY
◍ Aneurysms waiting period.
Answer: 3 months after surgery
◍ Aneurysms don't certify if.
Answer: surgery recommended
◍ Pacemaker (Sinus Node Dysfunction or AV Block) (post-op)Waiting
PeriodCertification TimeHow often exam?.
Answer: 1 month1 year-
◍ PVD certify.
Answer: Don't if pain at rest3 month wait after surgery1 year cert
◍ Pacemaker (Hypersensitive Carotid Sinus w/ Syncope)Waiting
PeriodCertification TimeHow often exam?.
Answer: 3 months1 year-
◍ Thoracic aneurysms certify.
Answer: <3.5 cmsurgically repaired if greatermedical clearance from cards
◍ Supraventricular TachycardiaWaiting PeriodCertification TimeExam?.
Answer: - 1 month- 1 year
