NRCME Study Sheet Questions with Correct Answers
What is the maximum certification period for blood pressure >140/90 and the following: follow-up 3 months certificate or history of stage III hypertension - Answer-None, driver is disqualified
Define Stage II hypertension. - Answer-BP is ≥ 1...
NRCME Study Sheet Questions
with Correct Answers
What is the maximum certification period for blood pressure >140/90 and the following:
follow-up 3 months certificate or history of stage III hypertension - Answer-None, driver
is disqualified
Define Stage II hypertension. - Answer-BP is ≥ 160 to <180 SYSTOLIC, and is ≥100 to
< 110 Diastolic
What is the maximum certification period for Stage II hypertension with blood pressure
>140/90? - Answer-3 months
What is the maximum certification period for Stage II hypertension with blood pressure
</140/90? - Answer-1 year
Define Stage III hypertension. - Answer-BP >180 Systolic and > 110 Diastolic
What is the maximum certification period for Stage III hypertension with blood pressure
>140/90? - Answer-1 time certificate for 3 months in accordance with stage 1 or 2 HTN
guidelines, as determined by a case by case basis.
What is the maximum certification period for a driver with a history of Stage III
hypertension but t exam his BP is at or less 140/90 and treatment is well tolerated? -
Answer-6 months
What is the maximum certification period for Stage III hypertension with blood pressure
>180/110? - Answer-None, driver is disqualified.
What is the waiting period and maximum certification period for surgical correction of
secondary hypertension? - Answer-3 months and 1 year postsurgical correction
What is the waiting period and maximum certification period for driver on anticoagulants
for cardiovascular cause? - Answer-1 month stabilized and 1 year with monthly INRs
What is the waiting period and maximum certification period for driver on anticoagulants
for neurlogical condition? - Answer-None, driver is disqualified.
5 reasons to disqualify a driver with AAA - Answer-1. Symptomatic
2. AAA >5cm
3. AAA 4-5 cm and does not have clearance from a cardiologist
4. AAA increased in size 0.5cm in 6 months
5. Surgical repair was recommended but not done
,Maximum certification period for driver with AAA that is asymptomatic or <4cm, >4cm
and <5cm but has clearance from cardiologist - Answer-1 year
Maximum certification period for Acute DVT - Answer-1 year
Maximum certification period for Chronic DVT - Answer-2 years
Waiting period and maximum certification period for intermittent claudication if driver
has no resting pain. - Answer-3 months for post-surgical repair and 1 year
Waiting period and maximum certification for aneurysms of visceral, peripheral arteries
or venous vessels - Answer-3 months post-surgical repair and 1 year with clearance
from cardiologist
Waiting period and maximum certification for peripheral vascular disease - Answer-3
months post-surgical repair and 1 year without resting pain
Waiting period and maximum certification for pulmonary emboli - Answer-3 months with
no pulmonary embolism and 1 year if asymptomatic
Maximum certification period for superficial phlebitis - Answer-2 years
Waiting period and maximum certification for thoracic aneurysm <3.5cm - Answer-3
months post surgical repair and 1 year
True or false: having an ICD is automatic disqualification - Answer-true
Min waiting period for pacemaker implantation for sinus node dysfunction or AV block -
Answer-1 month
Min waiting period for pacemaker implantation for neurocardiogenic syncope or
hypersensitive carotid sinus with syncope - Answer-3 months
In order for a driver to receive maximum certification period of 1 year for pacemaker the
driver must: - Answer-Comply with pacemaker center scheduled function checks and
provide documentation of pacemaker function checks at examination.
Minimum waiting period for atrial fibrillation - Answer-1 month with adequate
anticoagulation
Minimum waiting period for atrial flutter - Answer-1 month post-isthmus ablation
Minimum waiting period for AV nodal reentrant tachycardia, AV reentrant tachycardia
and Wolff-Parkinson-White syndrome, Atrial tachycardia, Junctional tachycardia -
Answer-1 month without symptoms
, Maximum certification period for SVT with adequate rate control, anticoagulation if
indicated, and clearance from a cardiologist. - Answer-1 year
Minimum waiting period for VT caused by coronary heart disease, right ventricular
outflow VT, Idiopathic LV VT. - Answer-1 month after drug or other therapy
Maximum certification for VT if patient is asymptomatic, NSVT with LVEF >40% and has
clearance from a cardiologist - Answer-1 year
Driver is to be disqualified if VT and the following: - Answer-symptomatic, sustained VT,
NSVT with LVEF <40% or diagnosis of hypertrophic cardiomyopathy, long QT interval
syndrome or Brugada syndrome
Waiting period and maximum certification for Acute MI is - Answer-Waiting period 2
months post MI and maximum certification is 1 year
What is required for initial certification following MI? - Answer-In-patient post-MI
echocardiogram showing LVEF 40%
What are the requirements for certifying driver with history of MI? - Answer-
Asymptomatic, satisfactory ETT every 2 years, LVEF >/40%, no electrocardiogram
ischemic changes and clearance by cardiologist
Waiting period and maximum certification for angina in a driver without resting angina or
change in angina pattern and 1 year with satisfactory ETT every 2 years and clearance
by cardiologist - Answer-3 months
CHD risk-equivalent conditions include: - Answer-DM, PVD, Framingham risk score
predicting 20% CHD event risk over the next 10 years or being over 45 years of age
with multiple risk factors for CHF
Maximum certification of multiple CHD risk-equivalent is - Answer-1 year
Waiting period and maximum certification for CABG if the driver is asymptomatic, LVEF
>/40%, healed sternum and cleared by cardiology - Answer-3 months after CABG and 1
year
5 years post-CABG, what routine tests need to be completed - Answer-Annual ETT and
imaging stress test if indicated
vision requirements - Answer-Distant vision 20/40 each eye and 20/40 both eyes,
Peripheral vision at least 70 degrees, Ability to recognize and distinguish betwen the
colors of traffic signals and devices.
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