NRCME DOT Certification Exam 2025 | Questions with
100% Correct Answers | Verified | Updated 2025 /
2026
CAD - Ans - At least annual examination, and be on board with cardiology, tolerate and comply with
meds. No need to disqualify right away.
Acceptable Echo -
LVEF >/= 40%
Pulmonary artery pressure <50% systemic systolic BP.
Acceptable exercise tolerance -
Achieve >6 mets through Bruce stage 2 or equivalent (medium work up to 50 lb carrying)
Attain HR of >/=85% predicted maximum unless on beta blockers
Rise in systolic BP >/= 20 mm/hg without angina.
No ST segment depression
Post MI - Ans - drivers must wait 2 months minimum. 1 year maximum.
Must be asymptomatic.
Tolerate meds
Acceptable ETT after the MI, and biennial after that
LVEF >/=40 (REQUIRES ECHO)
Needs cardiology clearance
Angina - - Ans - Needs 3 month wait after angina.
Maximum of 1 year certification
Biennial ETT (Q2Y)
, Cardiology clearance
Clearly delineate cardiac cause vs other cause. If this is transient and noncardiac, treat the patient
as if they do not have a condition. Not all chest pain is cardiac angina.
CABG - - Ans - Sternum must be completely healed after this.
Minimum 3 month return
Maximum 1 year certification.
Annual ETT
Cardiology clearance.
PCI - - Ans - 1 week waiting time.
Maximum of 1 year clearance.
Cardiology clearance.
Biennial ETT
Pacemakers - Ans - Minimum 1 month wait if sinus node dysfunction / AV block
Minimum 3 month wait if hypersensitive carotid sinus with syncope
Maximum cert of 1 year
Needs routine pacemaker checks. Patient needs documentation.
SVT - Ans - Minimum 1 month wait on anticoagulation and asymptomatic
1 month wait post isthmus ablation and diagnosis is atrial flutter
1 month wait if asymptomatic if AV reentrant tachycardia, WPW, atrial tachycardia, junctional
tachycardia
Maximum certification of 1 year.
Cardiology clearance + Annual cardiology visit.
100% Correct Answers | Verified | Updated 2025 /
2026
CAD - Ans - At least annual examination, and be on board with cardiology, tolerate and comply with
meds. No need to disqualify right away.
Acceptable Echo -
LVEF >/= 40%
Pulmonary artery pressure <50% systemic systolic BP.
Acceptable exercise tolerance -
Achieve >6 mets through Bruce stage 2 or equivalent (medium work up to 50 lb carrying)
Attain HR of >/=85% predicted maximum unless on beta blockers
Rise in systolic BP >/= 20 mm/hg without angina.
No ST segment depression
Post MI - Ans - drivers must wait 2 months minimum. 1 year maximum.
Must be asymptomatic.
Tolerate meds
Acceptable ETT after the MI, and biennial after that
LVEF >/=40 (REQUIRES ECHO)
Needs cardiology clearance
Angina - - Ans - Needs 3 month wait after angina.
Maximum of 1 year certification
Biennial ETT (Q2Y)
, Cardiology clearance
Clearly delineate cardiac cause vs other cause. If this is transient and noncardiac, treat the patient
as if they do not have a condition. Not all chest pain is cardiac angina.
CABG - - Ans - Sternum must be completely healed after this.
Minimum 3 month return
Maximum 1 year certification.
Annual ETT
Cardiology clearance.
PCI - - Ans - 1 week waiting time.
Maximum of 1 year clearance.
Cardiology clearance.
Biennial ETT
Pacemakers - Ans - Minimum 1 month wait if sinus node dysfunction / AV block
Minimum 3 month wait if hypersensitive carotid sinus with syncope
Maximum cert of 1 year
Needs routine pacemaker checks. Patient needs documentation.
SVT - Ans - Minimum 1 month wait on anticoagulation and asymptomatic
1 month wait post isthmus ablation and diagnosis is atrial flutter
1 month wait if asymptomatic if AV reentrant tachycardia, WPW, atrial tachycardia, junctional
tachycardia
Maximum certification of 1 year.
Cardiology clearance + Annual cardiology visit.
