Exam (elaborations)
NRCME EXAM
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Exam of 10 pages for the course NRCME at NRCME (NRCME EXAM ...)
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NRCME EXAM 2024-2025Vision requirements: 20/40 in each eye and 20/40 in both eyes.
peripheral vision - ANSWER 70 degrees
Federal exemption for monocular vision: how long can you certify? - Answer: One
year.
Hearing requirements: ANSWER whisper at least 5 feet better ear, or average
hearing loss of little more than 40 dB at 500Hz, 1000Hz, and 2000Hz.
Identify four otic disorders that are automatic DQs: Meniere's, uncontrolled vertigo,
labyrinthine fistula, and nonfunctioning labyrinth
The maximum certification time for syncope is one year.
Post-MI drivers can be certified for one year with all five of the following criteria:
(Almost the same criteria for post-CABG). (The first four also apply for CHF
drivers.) - ANSWER: 1. Asymptomatic
2. Tolerating medications.
3. Satisfactory ETT with workload capability of 6 METs (must have this
biennially).
4. LVEF >=40%
5. There is no ST depression on the ECG, which is replaced by a completely healed
sternal incision after CABG.
Stable angina: maximum certificate period - 1 year
, Minimum waiting period after CABG - ANSWER: 3 months
Minimum waiting period for post-heart transplant - ANSWER: 1 year
The maximum certification period for post-heart transplant - ANSWER 6 months
The minimum waiting period after percutaneous coronary intervention (PCI) is one
week.
Minimum waiting period for pacemaker implantation for sinus node dysfunction -
ANSWER: one month
The minimum waiting period for pacemaker placement for neurocardiogenic
syncope or hypersensitive carotid sinus with syncope is three months.
Minimum waiting period after AAA repair: 3 months
The maximum certification period for being on anticoagulation for cardiovascular
disease is one year.
3 requirements for certification if a patient on anticoagulation for a CV problem -
ANSWER 1. Stable on medication for one month.
2. Provide a copy of the INR at the exam.
3. Have the INR checked and monitored at least monthly.
True or false: A driver on anticoagulation for CVA can be qualified for a maximum
of one year. False. Should not be certified due to the significant risk of bleeding.
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