1 | P a g e DOT NRCME (NATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINERS) TRAINING INSTITUTE 2024 - 2025 EXAM QUESTIONS WITH CORRECT ANSWERS 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 2 | P a g e Waiti ng 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 bri ght 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 retinal hemorrhages, microaneurysms, scotomas affecting central vision - CORRECT ANSWER >>>retinopathy 3 | P a g e 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/ch ronic peripheral vestibulopathy - CORRECT ANSWER >>>2 months sx free 3 disqualifying otic conditions: - CORRECT ANSWER >>>1 - menieres disease 2- labyrinthe fistula 3- nonfunctioning labyrinths 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 4 | P a g e 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
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