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NRCME CARDIAC EXAM WITH CORRECT ANSWERS
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NRCME CARDIAC EXAM WITH CORRECT ANSWERS What is the waiting period time after peripheral vascular surgery? - Answer-3 months Severe mitral stenosis - Answer-Disqualify What is the waiting period for a surgical valve replacement? - Answer-Three months, with cards clearance and proof of antico...

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  • August 25, 2024
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  • 2024/2025
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NRCME CARDIAC EXAM WITH
CORRECT ANSWERS
What is the waiting period time after peripheral vascular surgery? - Answer-3 months

Severe mitral stenosis - Answer-Disqualify

What is the waiting period for a surgical valve replacement? - Answer-Three months,
with cards clearance and proof of anticoagulation tolerance

Congenital heart disease requirement to certify - Answer-Must certify annually with
specialist clearance

Congenital heart disease post surgical waiting period - Answer-Three months with
specialist clearance

General heart valve disease criteria for clearance - Answer-Let ventricular ejection
fraction < 40%,
asymptomatic
absence of pulmonary hypertension (pressure less than 50% of the systemic SBP)

If a driver presents with a BP of 178/108, how long can he or she be certified? - Answer-
One time for three months. If on recheck the are > 149/99 then DQ until prove BP
control with clearance and med tolerance if needed.

If a driver presents with a BP greater then 180/110 how long is their certification.? -
Answer-Disqualify. At recheck the drivers blood pressure must be less than 140/90 and
they will be certified for six months. After six months the medical examiner makes
decisions on case-by-case basis

An individual with a ventricular arrhythmia should be evaluated for what? - Answer-
Underlying cardiac disease

When is A driver with a history of SVT disqualifying? - Answer-Loss of consciousness,
impaired cerebral function, and a history of resuscitation

What a driver has a ventricular arrhythmia and coronary heart disease, what are
reasons to DQ? - Answer-Sustained VT greater than 30 seconds
hx of nonsustained VT with a left ventricular ejection fraction of less than 40%

, Certify a driver with hx of VT that: - Answer-Non-sustained VT Hx with left ventricular
ejection fraction less than 40%,
asymptomatic,
cards clearance, and
one month has passed with successful medication therapy

If a driver has a cardiac defibrillator - Answer-Disqualify

Can a driver be certified with a pacemaker? - Answer-Yes if there one month postop,
cards clearance with documentary pacer functioning and
no underlying disqualify diseases.
Pacemaker must be monitor it every year or with every certification with documentation
of pacemaker interrogation.
Driver must be asymptomatic.

Disqualify for symptoms

CHF disqualifications - Answer-Symptomatic, ventricular arrhythmias with ejection
fraction less than 50% or asymptomatic with Cliff and trick killer ejection fraction less
than 40%

Hypertrophic cardio myopathy - Answer-Disqualifying

Restrictive cardiomyopathy - Answer-decreased ventricular filling due to myocardial
rigidity
Disqualify

What must be present in order to certify a driver with CHF? - Answer-Asymptomatic, no
ventricular arrhythmias and ejection fraction greater than 40 to 50%. Greater than 40%
with no history of arrhythmias


HTN stage 1 - Answer-140-159/90-99

HTN stage 2 - Answer-160-179/100-109

HTN stage 3 - Answer->180/110

Driver presents with BP 140-159/90-99 and has no HTN hx - Answer-Certify for one
year

Driver presents with stage 1 HTN and has Hx, is being tx or/and has already been
certified for 1 year - Answer-3 mos certificate

Driver w/ stage 1 HTN presents after 3 mos w/ BP> 140/90 - Answer-DQ until BP under
control, tolerating meds

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