NRCME DOT TEST ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS |ALREADY GRADED A+
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NRCME DOT
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NRCME DOT
NRCME DOT TEST ACTUAL EXAM
300 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
the two disqualifying cardiomyopathies of myocardial disease -
CORRECT ANSWER restrictive and hypertrophic
When is pulse oximetry or ABG indicated? - CORRECT
ANSWER FEV1<65%, FEV1/FVC<65%, FVC&l...
NRCME DOT TEST 2024-2026 ACTUAL EXAM
300 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
the two disqualifying cardiomyopathies of myocardial disease -
CORRECT ANSWER restrictive and hypertrophic
When is pulse oximetry or ABG indicated? - CORRECT
ANSWER FEV1<65%, FEV1/FVC<65%, FVC<60%
At what pulse ox finding is ABG indicated? - CORRECT
ANSWER pulse ox <92%
Minimum required paO2 at <5000ft - CORRECT ANSWER 65
mm Hg
Minimum required paO2 at altitudes >5000 ft - CORRECT
ANSWER 60mm Hg
4 requirements that need to be met for ETT? - CORRECT
ANSWER 1- >6 METs
2- attain HR > or = 85% (unless taking BB)
3- rise in systolic bp > or = 20 without angina
4- no significant ST depression
Waiting period s/p MI - CORRECT ANSWER 2 months
waiting period s/p CABG - CORRECT ANSWER 3 months
4 requirements for vision: - CORRECT ANSWER 1- distant
visual acuity in each eye at least 20/40
2- distant binocular vision of at least 20/40 in each eye
3- field of vision at least 70 degrees in horizontal median
,4- recognize red, green, amber
Certification for pt with monocular vision and federal exemption:
how long to certify for? how long is the federal vision exemption
valid for? - CORRECT ANSWER cert for 1 yr; fed exemption
valid for 2 yrs
what is the dx of tx of: sxs- glare at night with driving, decreased
acuity and contrast, color resolution, and light scattering effects. -
CORRECT ANSWER dx- cataracts
tx- surgical removal/lens
Eye condition that causes loss of peripheral vision loss. sxs
include redirection of night vision, color vision, especially
peripherally is noticeable. - CORRECT ANSWER glaucoma
lengthened recovery from bright lights, loss of visual acuity,
leading cause of blindness. dx and tx? - CORRECT ANSWER
macular degeneration. tx- telescopic lenses but these are not
acceptable for driving
Hearing requirements - CORRECT ANSWER 1- first perceives
forced whisper test at <5 feet in the better ear
2- in better ear avg hearing < or = to40 db at 500, 1000, and 2000
Hz
waiting period symptom free after bppv, acute/chronic peripheral
vestibulopathy - CORRECT ANSWER 2 months sx free
how long is federal hearing exemption valid for? how long can
medical examiner certify? - CORRECT ANSWER 2 yrs. for both
most likely CV cause of sudden driver incapacitation - CORRECT
ANSWER arrhythmia
driver with CAD should: - CORRECT ANSWER be cleared by
CV specialist
tol CV meds
comply with treatment plan
have annual med exam
passing an echo test involves: (2) - CORRECT ANSWER LVEF
> or = or40%
no pulm htn ( pulm artery pressure >50% of systemic systolic bp
passing an ETT involves: (4) - CORRECT ANSWER exercise to
workload >6 METs
attain HR > or = to 85% predicted maximum unless on BB
rise in systolic bp > or = to 20 without angina
no significant ST depression
waiting period s/p MI - CORRECT ANSWER 2 months
max cert for MI - CORRECT ANSWER 1 year
ok to cert for MI if: (4) - CORRECT ANSWER no sxs
tol meds
satisfactory ETT and bi ennial ETT thereafter
has resting LVEF > or = to 40%
required for initial cert s/p MI - CORRECT ANSWER post-MI
echo showing > or = to 40% LVEF
, do not cert after acute MI if: (3) - CORRECT ANSWER rest
angina or change in angina within 3 months
abnl ETT
intol to CV therapy
chest pain at rest
changes in pattern of chest pain
decreased response to meds
dx is? waiting period is? max cert? - CORRECT ANSWER
unstable angina
waiting period is 3 months with no rest angina or change in
angina pattern
max cert 1 yr
ok to cert angina if: (4) - CORRECT ANSWER stable angina
tol CV meds
normal ETT
no sxs
waiting period cabg
max cert cabg - CORRECT ANSWER waiting- 3 months
max cert- 1 yr
ok to cert driver s/p cabg if: (5) - CORRECT ANSWER asxatic
tol CV meds
LVEF > or = to 40%
has been cleared by cardiologist
healed sternum
waiting period s/p PCI for elective stable angina - CORRECT
ANSWER 1 week
ok to cert s/p pci if: - CORRECT ANSWER asxatic
tol meds
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