NRCME Exam 2022 Questions with Correct Answers
What is tested for in urine? - Answer-USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical Certificate? - Answer-3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? - ...
What is tested for in urine? - Answer-USG
PRO
BLO
GLU
How long are you (the provider) required to keep a copy of a driver's Medical
Certificate? - Answer-3 years
After a reading of Stage 3 hypertension, how often can a driver be certified? - Answer-
Only every 6 months max
- Disqualify until BP <140/90
- 3 month cert if <160/100 and they are initiating treatment for the first time
- May certify Q1 year post surgical correction of secondary HTN
Which generation of antihistamines should be used for drivers? - Answer-2nd gen
- Nonsedating
A driver must wait ___ hours after taking a sedating med before driving - Answer-12+
hours
Urine drug testing includes: - Answer-MJ
Tobacco
Amphetamines
Cocaine
Opiates
Which type of stroke only requires a 1 year waiting period? - Answer-Cerebellar or
brainstem, which has low risk for seizures
- And NO hx of seizure
- + Neuro clearance and normal neuro exam
What is the A1C requirement for drivers with T2DM? - Answer-There is not one
Vision requirements - Answer-20/40 in each eye and both eyes (or better)
Field >70 degrees
Can see amber, red, green colors
Exam: Fundoscopic, PERRLA, ocular movements
, Hearing requirements - Answer-Whisper at not less than 5 feet in 1 ear, or average
hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz in 1 ear.
- Can use hearing aids - mark on paperwork
- Only 1 ear required ("the better ear")
Blood pressure requirement for 2-year certification - Answer-<140/90 with no HTN
therapy
No previous diagnosis of HTN
Blood pressure requirement for 1-year certification - Answer-First finding of Stage 1
hypertension (140-159/90-99)
or
History of Hypertension or taking 1+ HTN med and BP is controlled at <140/90
BP requirement for 3-month certification - Answer-- Has not yet had antihypertensive
therapy
- Previously had a 1-year certificate for uncontrolled Stage 1 BP
- OR: first finding of Stage 2 HTN
When is Echo required? - Answer-- Aortic Regurg
- Aortic stenosis (Q1 year moderate, Q5 years mild)
- Mitral stenosis (annual)
- MVP (annual)
One time:
Eval of CHF, CHD
Post CABG, MI
Which conditions require an annual Echo? - Answer-- Mitral stenosis
- MVP
- Moderate aortic stenosis
Exercise Tolerance Test (ETT) requirements - Answer-- Attain >85% max HR
- SBP >20 mmHg increase without sx
- Tolerate 6 METs
- No ST depression or ischemic changes
When is an ETT (stress test) required? - Answer-- Unstable angina (Biennial)
- CABG (annual starting 5 years after surgery)
- Congenital heart defect (x1)
- CHF (x1)
- PCI (6 months post-procedure, then biennial)
- MI (prior to re-certification)
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