NRCME STUDY EXAM GUIDE QUESTIONS AND
ANSWERS SURE A+
✔✔What is the waiting period after AAA repair? - ✔✔3 months
✔✔Can someone with a thoracic aneurysm be certified if it is>3.5 cm? - ✔✔no
✔✔How often is ECHO needed to monitor mild AS? - ✔✔5 years
✔✔How often is ECHO needed to monitor moderate AS? - ✔✔1-2 years
✔✔After a heart transplant, the minimum waiting period is _________ and the
maximum certification period is _________. - ✔✔One year, six months.
✔✔For mild aortic stenosis, an echocardiogram should be repeated every _________
years. For moderate aortic stenosis, an echocardogdram should be repeated every
_________ years. - ✔✔Five, one to two.
✔✔A driver underwent surgical repair of a 6 cm abdominal aortic aneurysm three
months ago. The driver may be certified for __________. - ✔✔one year
✔✔A driver with congestive heart failure (CHF) recently had an echocardiogram
demonstrating an ejection fraction of 44%. The driver may be certified for __________ if
the driver meets all other qualifications for CHF. - ✔✔1 year
✔✔Which of the following is true?
For drivers on Coumadin, INR should be measured every 3 months and records should
be provided by the driver to the medical examiner.
On exercise tolerance testing (ETT), a driver should exercise to greater than a 10 MET
capacity.
Left ventricular ejection fraction (LVEF) of at least 40% is required for certification.
The waiting period for pacemaker implantation for cardiogenic syncope is two months. -
✔✔Left ventricular ejection fraction (LVEF) of at least 40% is required for certification.
✔✔Which of the following is a common symptom of congestive heart failure (CHF)?
Chest pain.
Swelling in the legs, ankles, or other parts of the body.
Irregular pulse.
Slow pulse rate. - ✔✔Swelling in the legs, ankles, or other parts of the body
✔✔Guidelines for supraventricular tachycardias include: 1. Certification should be
granted only after adequate anticoagulation is demonstrated for three months. 2.
Certification for atrial flutter may be considered if the driver is one month following
isthmus ablation.
, 1 only.
2 only.
Both 1 and 2.
Neither 1 nor 2. - ✔✔2 only.
✔✔The waiting period for hypertrophic cardiomyopathy is __________.
One month.
Two months.
Three months.
There is no waiting period. Hypertrophic cardiomyopathy is a disqualifying condition. -
✔✔There is no waiting period. Hypertrophic cardiomyopathy is a disqualifying condition.
✔✔what is the waiting period following cerebellum or brainstem vascular lesions
strokes? - ✔✔1 year; not at risk for seizure
✔✔what is the waiting period following cortical or subcortical deficits from a stroke? -
✔✔5 years increased risk of seizures
✔✔is dementia disqualifying? - ✔✔yes
✔✔what is min waiting period seizure-free and off anticonvulsant medication following
moderate TBI without early seizures or mild TBI with early seizures.? - ✔✔2 years
✔✔what is the min waiting period seizure free and off anticonvulsant medication
following moderate TBI with early seizures. - ✔✔5 years
✔✔what is the min wait period following surgical removal of Infratentorial meningioma,
acoustic neuromas, pituitary adenomas, spinal benign tumors, benign extra-axial
tumors? - ✔✔1 year
✔✔what is the min waiting period after surgical removal of Benign supratentorial
tumors, spinal tumors? - ✔✔2 years
✔✔What is the wait period seizure free and off anticonvulsant medication following
bacterial meningitis without early seizures or viral encephalitis without early seizures? -
✔✔1 year
✔✔What is the waiting period seizure free and off anticonvulsant medication following
bacterial meningitis with early seizures.? - ✔✔5 years
✔✔What is the waiting period seizure free and off anticonvulsant medication following
viral encephalitis with early seizures? - ✔✔10 years
ANSWERS SURE A+
✔✔What is the waiting period after AAA repair? - ✔✔3 months
✔✔Can someone with a thoracic aneurysm be certified if it is>3.5 cm? - ✔✔no
✔✔How often is ECHO needed to monitor mild AS? - ✔✔5 years
✔✔How often is ECHO needed to monitor moderate AS? - ✔✔1-2 years
✔✔After a heart transplant, the minimum waiting period is _________ and the
maximum certification period is _________. - ✔✔One year, six months.
✔✔For mild aortic stenosis, an echocardiogram should be repeated every _________
years. For moderate aortic stenosis, an echocardogdram should be repeated every
_________ years. - ✔✔Five, one to two.
✔✔A driver underwent surgical repair of a 6 cm abdominal aortic aneurysm three
months ago. The driver may be certified for __________. - ✔✔one year
✔✔A driver with congestive heart failure (CHF) recently had an echocardiogram
demonstrating an ejection fraction of 44%. The driver may be certified for __________ if
the driver meets all other qualifications for CHF. - ✔✔1 year
✔✔Which of the following is true?
For drivers on Coumadin, INR should be measured every 3 months and records should
be provided by the driver to the medical examiner.
On exercise tolerance testing (ETT), a driver should exercise to greater than a 10 MET
capacity.
Left ventricular ejection fraction (LVEF) of at least 40% is required for certification.
The waiting period for pacemaker implantation for cardiogenic syncope is two months. -
✔✔Left ventricular ejection fraction (LVEF) of at least 40% is required for certification.
✔✔Which of the following is a common symptom of congestive heart failure (CHF)?
Chest pain.
Swelling in the legs, ankles, or other parts of the body.
Irregular pulse.
Slow pulse rate. - ✔✔Swelling in the legs, ankles, or other parts of the body
✔✔Guidelines for supraventricular tachycardias include: 1. Certification should be
granted only after adequate anticoagulation is demonstrated for three months. 2.
Certification for atrial flutter may be considered if the driver is one month following
isthmus ablation.
, 1 only.
2 only.
Both 1 and 2.
Neither 1 nor 2. - ✔✔2 only.
✔✔The waiting period for hypertrophic cardiomyopathy is __________.
One month.
Two months.
Three months.
There is no waiting period. Hypertrophic cardiomyopathy is a disqualifying condition. -
✔✔There is no waiting period. Hypertrophic cardiomyopathy is a disqualifying condition.
✔✔what is the waiting period following cerebellum or brainstem vascular lesions
strokes? - ✔✔1 year; not at risk for seizure
✔✔what is the waiting period following cortical or subcortical deficits from a stroke? -
✔✔5 years increased risk of seizures
✔✔is dementia disqualifying? - ✔✔yes
✔✔what is min waiting period seizure-free and off anticonvulsant medication following
moderate TBI without early seizures or mild TBI with early seizures.? - ✔✔2 years
✔✔what is the min waiting period seizure free and off anticonvulsant medication
following moderate TBI with early seizures. - ✔✔5 years
✔✔what is the min wait period following surgical removal of Infratentorial meningioma,
acoustic neuromas, pituitary adenomas, spinal benign tumors, benign extra-axial
tumors? - ✔✔1 year
✔✔what is the min waiting period after surgical removal of Benign supratentorial
tumors, spinal tumors? - ✔✔2 years
✔✔What is the wait period seizure free and off anticonvulsant medication following
bacterial meningitis without early seizures or viral encephalitis without early seizures? -
✔✔1 year
✔✔What is the waiting period seizure free and off anticonvulsant medication following
bacterial meningitis with early seizures.? - ✔✔5 years
✔✔What is the waiting period seizure free and off anticonvulsant medication following
viral encephalitis with early seizures? - ✔✔10 years
