NRCME exam questions with verified
solutions8
vision requirements - ANSWERS-20/40 each eye and 20/40 both eyes
peripheral vision - ANSWERS-70 degrees
Federal exemption for monocular vision: can certify for how long? - ANSWERS-1 year
hearing requirements - ANSWERS-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 - ANSWERS-Meniere's, uncontrolled vertigo,
labyrinthine fistula, nonfunctioning labyrinth
Max cert period for Syncope - ANSWERS-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) - ANSWERS-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 - ANSWERS-1 year
, minimum waiting period post CABG - ANSWERS-3 months
Min waiting period for post heart transplant - ANSWERS-1 year
Max cert period for post heart transplant - ANSWERS-6 months
Min waiting period post PCI (percutaneous coronary intervention) - ANSWERS-1 week
Min waiting period for pacemaker implantation for sinus node dysfunction - ANSWERS-1 month
Min waiting period for pacemaker implantation for neurocardiogenic syncope or hypersensitive
carotid sinus with syncope - ANSWERS-3 months
Min waiting period post AAA repair - ANSWERS-3 months
Max cert period for being on anticoagulation for a CV condition - ANSWERS-1 year
3 criteria for certification if patient on anticoagulation for a CV condition - ANSWERS-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 - ANSWERS-False.
Should not be certified due to high risk of bleeding
5 reasons to DQ a driver with AAA - ANSWERS-1. Symptomatic
solutions8
vision requirements - ANSWERS-20/40 each eye and 20/40 both eyes
peripheral vision - ANSWERS-70 degrees
Federal exemption for monocular vision: can certify for how long? - ANSWERS-1 year
hearing requirements - ANSWERS-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 - ANSWERS-Meniere's, uncontrolled vertigo,
labyrinthine fistula, nonfunctioning labyrinth
Max cert period for Syncope - ANSWERS-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) - ANSWERS-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 - ANSWERS-1 year
, minimum waiting period post CABG - ANSWERS-3 months
Min waiting period for post heart transplant - ANSWERS-1 year
Max cert period for post heart transplant - ANSWERS-6 months
Min waiting period post PCI (percutaneous coronary intervention) - ANSWERS-1 week
Min waiting period for pacemaker implantation for sinus node dysfunction - ANSWERS-1 month
Min waiting period for pacemaker implantation for neurocardiogenic syncope or hypersensitive
carotid sinus with syncope - ANSWERS-3 months
Min waiting period post AAA repair - ANSWERS-3 months
Max cert period for being on anticoagulation for a CV condition - ANSWERS-1 year
3 criteria for certification if patient on anticoagulation for a CV condition - ANSWERS-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 - ANSWERS-False.
Should not be certified due to high risk of bleeding
5 reasons to DQ a driver with AAA - ANSWERS-1. Symptomatic
