NRCME Study Questions and Answers

NRCME Study Questions and Answers The 4 Non-Discrecenary Standards - ANSWER-*Epilepsy *Hearing *Vision *Insulin Dependent Diabetes Mellitus HIVE Normal Grasp and Prehension - ANSWER-58 lbs. SPE - ANSWER-Skilled Performance Evaluation-Drivers get 2 years with fixed Untreated Sleep Apnea - ANSWER-DQ Obstructive Sleep Apnea - ANSWER-One year qualification after 3 months no symptoms post surgery or one month no symptoms using C-PAP. Urine Dipstick tests for - ANSWER-*Blood *Specific Gravity *Sugar/glucose *Protien Narcolepsy - ANSWER-DQ Active Tuberculosis - ANSWER-DQ 02 Equipment to assist in breathing - ANSWER-DQ Hypoxemia at rest - ANSWER-DQ Untreated Excessive Daytime Sleepiness - ANSWER-DQ Untreated Restless Leg Syndrome - ANSWER-DQ Primary Alveolar Hypoventilation - ANSWER-DQ Idiopathic Hypersomnolence - ANSWER-DQ Restless Leg Syndrome with Excessive Daytime Sleepiness - ANSWER-DQ Asthma with: *severe cough *Poor med tolerance *Frequent severe episodes *FCV<65% *Pa02<65mm - ANSWER-DQ Pa02(blood gas)<65mm Hg lower than 5000 ft. - ANSWER-DQ Pa02(blood gas)<60mm Hg above 5000 ft - ANSWER-DQ Carbon Dioxide > 45mm at any altitude - ANSWER-DQ Alcohol Abuse - ANSWER-DQ Severe TBI - ANSWER-DQ Moderate TBI - ANSWER-case by case; must be seizure free x 2-5 years after injury Epilepsy-2 or more unprovoked seizures - ANSWER-DQ Re-qualification epilepsy - ANSWER-Must be unprovoked seizure free x 10 years without meds Stage I hypertension (140/90-159/99) - ANSWER-One year Q first time and then must be under 140/90. Stage I hypertension diagnosed - ANSWER-one time recertification x one year, if not controlled after 3 months DQ from the date of original recertification. Stage II hypertension (160/100-179/110) - ANSWER-One time recertification for 3 months. Stage III hypertension (180/110 or greater) - ANSWER-DQ Stage III hypertension controlled with meds - ANSWER-6 month recertification. Cor Pulmonale (right sided heart hypertrophy, SOB, dizziness, hypotension) - ANSWER-DQ Stroke/TIA - ANSWER-One year certification, static symptoms Benign Supraentorial brain/spine tumors - ANSWER-2 years; all others 1 year Vertigo - ANSWER-Symptom free x 2 months Resting tachycardia and orthostatic hypotension - ANSWER-DQ Meniere's Disease - ANSWER-DQ Labyrinthe Fistula (non-functioning labyrinth) - ANSWER-DQ Benign Positional Vertigo or Peripheral Vestibulopathy - ANSWER-2 month symptom free Unstable Angina (pain at rest, poor response to meds) - ANSWER-DQ Stable Angina - ANSWER-Static with the