NRCME Prep Exam: NRCME Certification Exam Review: Questions & Answers

The minimum waiting period following PCI is: (Ans- 1 week The minimum waiting period after pacemaker implantation is: (Ans- 1 month The maximum thoracic aneurysm size allowable for certification is: (Ans- 3.5 cm After heart replacement surgery the minimum waiting period is: (Ans- 1 year After heart transplant surgery the maximum certification period is: (Ans- 6 months For mild aortic stenosis, how often should an echocardiogram be repeated? (Ans- 5 years For moderate aortic stenosis, how often should an echocardiogram be repeated? (Ans- 1-2 years What is the waiting period for pacemaker implantation related to syncope? (Ans- 3 months The waiting period following CABG is: (Ans- 3 months Anticoagulation for a cardiac condition may be certified up to: (Ans- 1 year Anticoagulation for a neurologic condition may be certified up to: (Ans- DO NOT CERTIFY What is the minimum LVEF for certification with respect to any cardiovascular condition? (Ans- >40% The minimum waiting period after surgical repair of an AAA is: (Ans- 3 months The maximum certification after surgical repair of an AAA is: (Ans- 1 year The maximum certification of a patient with CHF is: (Ans- 1 year Drivers should exercise to a minimum of ___ MET on stress test. (Ans- 6 MET For drivers on coumadin, how often should they have their INR rechecked? (Ans- monthly What is the waiting period for an implanted cardiac defibrillator? (Ans- NONE. DO NOT CERTIFY What is the waiting period for WPW with a fib? (Ans- NONE. DO NOT CERTIFY What is the waiting period for stable angina? (Ans- 3 months What is the waiting period following MI? (Ans- 2 months What is the waiting period for hypertrophic cardiomyopathy? (Ans- NONE. DO NOT CERTIFY How often should a patient go for ETT following an MI? (Ans- 2 years How often should a patient go for ETT following PCI? (Ans- 3-6 months following procedure and 2 years thereafter How often should a patient go for ETT following CABG? (Ans- 5 years after procedure, and annually thereafter Abdominal aneurysms greater than ___ cm are disqualifying (Ans- 5 cm The maximum period any driver with a cardiovascular condition should be certified is: (Ans- 1 year How long can a driver with stable angina be certified for? (Ans- 1 year An increase in what aneurysm size over a 6 month period is disqualifying? (Ans- 0.5 cm What is the waiting period following a pulmonary embolism? (Ans- 3 months What is the maximum certification for a driver following AV valve surgery? (Ans- 1 year Drivers with IDDM must present glucose monitoring for how long to their treating clinician? (Ans- 3 months What is the maximum certification for a driver with peripheral neuropathy? (Ans- NONE. DO NOT CERTIFY What is the maximum certification for a driver with non-insulin dependent diabetes? (Ans- 1 year If glucose is detected on UA, what is the appropriate next step? (Ans- Blood glucose level How does the FMCA define severe hypoglycemia? (Ans- episode involving coma, seizure, loss of consciousness, or requiring assistance from another person. What is the maximum certification interval for a driver with nephropathy? (Ans- 2 years What must be included on a driver urinalysis? (Ans- specific gravity, protein, blood, and glucose What is the maximum certification for drivers with a history of marijuana use, or a drug test positive for marijuana? (Ans- Marijuana use is disqualifying. Drivers must undergo a substance abuse medical assessment and any associated rehab. Marijuana is a schedule ___ drug. (Ans- Schedule 1 How may a driver with a history of alcoholism be certified? (Ans- Completion of counseling/treatment and not with any alcohol related disorders A breath alcohol level of ___ renders a driver disqualified. (Ans- 0.02%