NRCME Exam Questions with Correct Answers 2024 New Update
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Course
NRCME
Institution
NRCME
NRCME Exam Questions with Correct Answers 2024 New Update
How many of these rules are stupid and arbitrary as hell? - Answer-I'm gonna say 40%
Max cert period for pulmonary hypertension - Answer-1 year
4 reasons to DQ a pulmonary hypertension patient - Answer-1. dyspnea at rest
2. dizziness...
NRCME Exam Questions with Correct
Answers 2024 New Update
How many of these rules are stupid and arbitrary as hell? - Answer-I'm gonna say 40%
Max cert period for pulmonary hypertension - Answer-1 year
4 reasons to DQ a pulmonary hypertension patient - Answer-1. dyspnea at rest
2. dizziness
3. hypotension
4. PaO2 <65mmHg
Name 3 reasons you should check PFTs/ spirometry prior to certifying - Answer-1. Hx of
specific lung disease (asthma, CF, COPD)
2. symptoms of SOB, cough, chest tightness, wheezing, etc
3. Smokers over age 35
If pulse oximetry is less than blank, you have to do ABG - Answer-92% (you would do
the pulse ox if FEV1 <65% of predicted or FEV1/FVC ratio <65%)
Apnea-hypopnea index of [blank] or more episodes per hour is diagnostic of OSA -
Answer-30
Min waiting period for diagnosis of epilepsy or viral encephalitis with early seizures -
Answer-10 years
Min waiting period for dx of bacterial meningitis with early seizures or single unprovoked
seizures - Answer-5 years with no seizures and no seizure meds (or for single
unprovoked seizure, they can be cleared by a neurologist sooner)
Min waiting period for acute seizure secondary to acute structural insult to CNS -
Answer-2 years
Max certification for acute seizure secondary to acute structural insult to CNS - Answer-
1 year
Min waiting period for TBI with early seizures, stroke with risk for seizures, intracranial
bleed with risk for seizures - Answer-5 years
Min waiting period for TIA or stroke with no risk for seizures - Answer-1 year
, Min waiting period for vertigo/ dizziness caused by dx of BPV or peripheral
vestibulopathy - Answer-2 months
6 neuromuscular conditions that are automatic DQ - Answer-1. congenital myopathies
2. metabolic muscle diseases
3. motor neuron diseases
4. muscular dystrophies
5. neuromuscular junction disorders
6. peripheral neuropathies
Max certification for single unprovoked seizure - Answer-1 year
Max certification for embolic/ thrombotic stroke - Answer-1 year and they have to be
cleared by neuro
Max certification for TIA - Answer-1 year
If you have a fixed (not progressive) deficit of an extremity, you can be certified normally
if you have this thing - Answer-Skill Performance Evaluation (SPE) certificate
Max certification for adult ADHD - Answer-1 year (needs clearance from a mental health
professional)
Min waiting period for bipolar disorder (there are 2 different ones) - Answer-6 months
after depressive episode with no suicidal behavior. 1 year after severe depressive
episode, suicidal attempt, or manic episode
vision requirements - Answer-20/40 each eye and 20/40 both eyes
peripheral vision - Answer-70 degrees
Federal exemption for monocular vision: can certify for how long? - Answer-1 year
hearing requirements - Answer-whisper at not less than 5 feet better ear, or average
hearing loss no greater than 40 dB at 500Hz, 1000Hz, 2000 Hz.
name 4 otic conditions that are automatic DQs - Answer-Meniere's, uncontrolled vertigo,
labyrinthine fistula, nonfunctioning labyrinth
Max cert period for Syncope - Answer-1 year (needs neurologist clearance)
Post MI drivers can be certified for 1 year with all 5 of these criteria: (almost the same
criteria for post CABG) (first 4 also apply for CHF drivers) - Answer-1. Asymptomatic
2. Tolerating meds
3. Satisfactory ETT with workload capacity of 6 METs (has to have this biennially)
4. LVEF >=40%
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