NRCME DOT [ACTUAL EXAM] LATEST VERSION [QUESTIONS
AND ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
Angina - - CORRECT ANSWER ✔✔✔✔✔ Needs 3 month wait after angina.
Maximum of 1 year certification
Biennial ETT (Q2Y)
Cardiology clearance
Clearly delineate cardiac cause vs other cause. If this is transient and noncardiac, treat
the patient as if they do not have a condition. Not all chest pain is cardiac angina.
CABG - - CORRECT ANSWER ✔✔✔✔✔ Sternum must be completely healed after
this.
Minimum 3 month return
Maximum 1 year certification.
Annual ETT
Cardiology clearance.
PCI - - CORRECT ANSWER ✔✔✔✔✔ 1 week waiting time.
Maximum of 1 year clearance.
Cardiology clearance.
Biennial ETT
Pacemakers - CORRECT ANSWER ✔✔✔✔✔ Minimum 1 month wait if sinus node
dysfunction / AV block
Minimum 3 month wait if hypersensitive carotid sinus with syncope
Maximum cert of 1 year
Needs routine pacemaker checks. Patient needs documentation.
SVT - CORRECT ANSWER ✔✔✔✔✔ Minimum 1 month wait on anticoagulation and
asymptomatic
1 month wait post isthmus ablation and diagnosis is atrial flutter
1 month wait if asymptomatic if AV reentrant tachycardia, WPW, atrial tachycardia,
junctional tachycardia
Maximum certification of 1 year.
Cardiology clearance + Annual cardiology visit.
, Ventricular arrhythmias - CORRECT ANSWER ✔✔✔✔✔ Minimum 1 month wait if
coronary heart disease, RV outflow V-tach, Idiopathic LV V-tach
Maximum 1 year cert.
Cannot be sustained, nonsustained requires LVEF >/=40%
CANNOT CERTIFY hypertrophic cardiomyopathy, Long QT, Brugada
Heart Failure - CORRECT ANSWER ✔✔✔✔✔ Use NYHA classes (Only certify class
1)
Maximum 1 year certification.
Syncope - CORRECT ANSWER ✔✔✔✔✔ Requires a 3 month waiting period.
Maximum cert of 1 year.
Ebstein Anomaly - CORRECT ANSWER ✔✔✔✔✔ Downward tricuspid displacement)
Must be asymptomatic, everything about it must be mild.
Annual cardiology + echo
Cannot certify if there are comorbid issues.
Maximum of 1 year cert.
Heart Transplant - CORRECT ANSWER ✔✔✔✔✔ Wait period of 1 year post
transplant.
Max 6 month certification.
Need cardiology evaluation every 6 months as well as medical examination.
Cardiomyopathies - CORRECT ANSWER ✔✔✔✔✔ Cannot certify drivers with
hypertrophic or restrictive cardiomyopathy.
AAA - CORRECT ANSWER ✔✔✔✔✔ Certify if <4cm and asymptomatic
Certification is 4-5cm and asymptomatic and cardiology clearance.
Following surgical repair, 3 month wait.
Max cert of 1 year.
If it has increased in size by 0.5cm during the 6 month period, cannot certify.
Thoracic Aneurysm - CORRECT ANSWER ✔✔✔✔✔ <5cm and asymptomatic
required.
3 months after surgery wait period.
1 year max cert.
DVT - CORRECT ANSWER ✔✔✔✔✔ 1 year max cert
Meet anticoagulation guidelines.
Chronic Thrombotic Venous Disease - CORRECT ANSWER ✔✔✔✔✔ Maximum cert
of 2 years only if asymptomatic.
Clinical judgment otherwise.
AND ANSWERS] DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
(BRAND NEW!!)
Angina - - CORRECT ANSWER ✔✔✔✔✔ Needs 3 month wait after angina.
Maximum of 1 year certification
Biennial ETT (Q2Y)
Cardiology clearance
Clearly delineate cardiac cause vs other cause. If this is transient and noncardiac, treat
the patient as if they do not have a condition. Not all chest pain is cardiac angina.
CABG - - CORRECT ANSWER ✔✔✔✔✔ Sternum must be completely healed after
this.
Minimum 3 month return
Maximum 1 year certification.
Annual ETT
Cardiology clearance.
PCI - - CORRECT ANSWER ✔✔✔✔✔ 1 week waiting time.
Maximum of 1 year clearance.
Cardiology clearance.
Biennial ETT
Pacemakers - CORRECT ANSWER ✔✔✔✔✔ Minimum 1 month wait if sinus node
dysfunction / AV block
Minimum 3 month wait if hypersensitive carotid sinus with syncope
Maximum cert of 1 year
Needs routine pacemaker checks. Patient needs documentation.
SVT - CORRECT ANSWER ✔✔✔✔✔ Minimum 1 month wait on anticoagulation and
asymptomatic
1 month wait post isthmus ablation and diagnosis is atrial flutter
1 month wait if asymptomatic if AV reentrant tachycardia, WPW, atrial tachycardia,
junctional tachycardia
Maximum certification of 1 year.
Cardiology clearance + Annual cardiology visit.
, Ventricular arrhythmias - CORRECT ANSWER ✔✔✔✔✔ Minimum 1 month wait if
coronary heart disease, RV outflow V-tach, Idiopathic LV V-tach
Maximum 1 year cert.
Cannot be sustained, nonsustained requires LVEF >/=40%
CANNOT CERTIFY hypertrophic cardiomyopathy, Long QT, Brugada
Heart Failure - CORRECT ANSWER ✔✔✔✔✔ Use NYHA classes (Only certify class
1)
Maximum 1 year certification.
Syncope - CORRECT ANSWER ✔✔✔✔✔ Requires a 3 month waiting period.
Maximum cert of 1 year.
Ebstein Anomaly - CORRECT ANSWER ✔✔✔✔✔ Downward tricuspid displacement)
Must be asymptomatic, everything about it must be mild.
Annual cardiology + echo
Cannot certify if there are comorbid issues.
Maximum of 1 year cert.
Heart Transplant - CORRECT ANSWER ✔✔✔✔✔ Wait period of 1 year post
transplant.
Max 6 month certification.
Need cardiology evaluation every 6 months as well as medical examination.
Cardiomyopathies - CORRECT ANSWER ✔✔✔✔✔ Cannot certify drivers with
hypertrophic or restrictive cardiomyopathy.
AAA - CORRECT ANSWER ✔✔✔✔✔ Certify if <4cm and asymptomatic
Certification is 4-5cm and asymptomatic and cardiology clearance.
Following surgical repair, 3 month wait.
Max cert of 1 year.
If it has increased in size by 0.5cm during the 6 month period, cannot certify.
Thoracic Aneurysm - CORRECT ANSWER ✔✔✔✔✔ <5cm and asymptomatic
required.
3 months after surgery wait period.
1 year max cert.
DVT - CORRECT ANSWER ✔✔✔✔✔ 1 year max cert
Meet anticoagulation guidelines.
Chronic Thrombotic Venous Disease - CORRECT ANSWER ✔✔✔✔✔ Maximum cert
of 2 years only if asymptomatic.
Clinical judgment otherwise.
