NRCME exam UPDATED Study Guide
QUESTIONS AND CORRECT ANSWERS
vision requirements - CORRECT ANSWERS 20/40 each eye and 20/40
both eyes
peripheral vision - CORRECT ANSWERS 70 degrees
Federal exemption for monocular vision: can certify for how long? - CORRECT
ANSWERS 1 year
hearing requirements - CORRECT 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 - CORRECT ANSWERS
Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning
labyrinth
Max cert period for Syncope - CORRECT 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) -
CORRECT 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 - CORRECT ANSWERS 1 year
minimum waiting period post CABG - CORRECT ANSWERS 3 months
Min waiting period for post heart transplant - CORRECT ANSWERS 1
year
Max cert period for post heart transplant - CORRECT ANSWERS 6
months
Min waiting period post PCI (percutaneous coronary intervention) - CORRECT
ANSWERS 1 week
Min waiting period for pacemaker implantation for sinus node dysfunction -
CORRECT ANSWERS 1 month
Min waiting period for pacemaker implantation for neurocardiogenic syncope
or hypersensitive carotid sinus with syncope - CORRECT ANSWERS 3
months
Min waiting period post AAA repair - CORRECT ANSWERS 3 months
Max cert period for being on anticoagulation for a CV condition - CORRECT
ANSWERS 1 year
QUESTIONS AND CORRECT ANSWERS
vision requirements - CORRECT ANSWERS 20/40 each eye and 20/40
both eyes
peripheral vision - CORRECT ANSWERS 70 degrees
Federal exemption for monocular vision: can certify for how long? - CORRECT
ANSWERS 1 year
hearing requirements - CORRECT 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 - CORRECT ANSWERS
Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning
labyrinth
Max cert period for Syncope - CORRECT 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) -
CORRECT 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 - CORRECT ANSWERS 1 year
minimum waiting period post CABG - CORRECT ANSWERS 3 months
Min waiting period for post heart transplant - CORRECT ANSWERS 1
year
Max cert period for post heart transplant - CORRECT ANSWERS 6
months
Min waiting period post PCI (percutaneous coronary intervention) - CORRECT
ANSWERS 1 week
Min waiting period for pacemaker implantation for sinus node dysfunction -
CORRECT ANSWERS 1 month
Min waiting period for pacemaker implantation for neurocardiogenic syncope
or hypersensitive carotid sinus with syncope - CORRECT ANSWERS 3
months
Min waiting period post AAA repair - CORRECT ANSWERS 3 months
Max cert period for being on anticoagulation for a CV condition - CORRECT
ANSWERS 1 year
