NRCME Exam: (Prep for the examination for National Registry of Certified Medical Examiners (for driver exams) Questions & Answers

vision requirements (Ans- 20/40 each eye and 20/40 both eyes peripheral vision (Ans- 70 degrees Federal exemption for monocular vision: can certify for how long? (Ans- 1 year hearing requirements (Ans- 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 (Ans- Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth Max cert period for Syncope (Ans- 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) (Ans- 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 (Ans- 1 year minimum waiting period post CABG (Ans- 3 months Min waiting period for post heart transplant (Ans- 1 year Max cert period for post heart transplant (Ans- 6 months Min waiting period post PCI (percutaneous coronary intervention) (Ans- 1 week Min waiting period for pacemaker implantation for sinus node dysfunction (Ans- 1 month Min waiting period for pacemaker implantation for neurocardiogenic syncope or hypersensitive carotid sinus with syncope (Ans- 3 months Min waiting period post AAA repair (Ans- 3 months Max cert period for being on anticoagulation for a CV condition (Ans- 1 year 3 criteria for certification if patient on anticoagulation for a CV condition (Ans- 1. Stable on meds for 1 month 2. Provide copy of INR at exam 3. Have INR checked and monitored at least monthly True or false: driver on anticoagulation for CVA can be certified for max 1 year (Ans- False. Should not be certified due to high risk of bleeding 5 reasons to DQ a driver with AAA (Ans- 1. Symptomatic 2. AAA >5cm 3. AAA 4-5 cm and does not have clearance from a cardiologist 4. AAA increased in size 0.5cm in 6 months 5. Surgical repair was recommended but not done