NRCME COMPREHENSIVE EXAM ACTUAL QUESTIONS AND
ANSWERS RATED A+
✔✔Min waiting period post PCI (percutaneous coronary intervention) - ✔✔1 week
✔✔Min waiting period for pacemaker implantation for sinus node dysfunction - ✔✔1
month
✔✔Min waiting period for pacemaker implantation for neurocardiogenic syncope or
hypersensitive carotid sinus with syncope - ✔✔3 months
✔✔Min waiting period post AAA repair - ✔✔3 months
✔✔Max cert period for being on anticoagulation for a CV condition - ✔✔1 year
✔✔3 criteria for certification if patient on anticoagulation for a CV condition - ✔✔1.
Stable on meds for 1 month
2. Provide copy of INR at exam
3. Have INR checked and monitored at least monthly
✔✔True or false: driver on anticoagulation for CVA can be certified for max 1 year -
✔✔False. Should not be certified due to high risk of bleeding
✔✔5 reasons to DQ a driver with AAA - ✔✔1. Symptomatic
2. AAA >5cm
3. AAA 4-5 cm and does not have clearance from a cardiologist
4. AAA increased in size 0.5cm in 6 months
5. Surgical repair was recommended but not done
✔✔Max size of a thoracic aneurysm that can be certified - ✔✔3.5 cm
✔✔Min waiting period for PE - ✔✔3 months
✔✔True or false: having an ICD is automatic DQ - ✔✔true
✔✔True or false: dx of severe aortic stenosis is automatic DQ - ✔✔true
✔✔Max certification post aortic valve repair - ✔✔1 year
✔✔Do not certify for moderate aortic stenosis if they have 1 of these 5 things -
✔✔angina, CHF, A fib, LVEF <50%, thromboembolic disease
ANSWERS RATED A+
✔✔Min waiting period post PCI (percutaneous coronary intervention) - ✔✔1 week
✔✔Min waiting period for pacemaker implantation for sinus node dysfunction - ✔✔1
month
✔✔Min waiting period for pacemaker implantation for neurocardiogenic syncope or
hypersensitive carotid sinus with syncope - ✔✔3 months
✔✔Min waiting period post AAA repair - ✔✔3 months
✔✔Max cert period for being on anticoagulation for a CV condition - ✔✔1 year
✔✔3 criteria for certification if patient on anticoagulation for a CV condition - ✔✔1.
Stable on meds for 1 month
2. Provide copy of INR at exam
3. Have INR checked and monitored at least monthly
✔✔True or false: driver on anticoagulation for CVA can be certified for max 1 year -
✔✔False. Should not be certified due to high risk of bleeding
✔✔5 reasons to DQ a driver with AAA - ✔✔1. Symptomatic
2. AAA >5cm
3. AAA 4-5 cm and does not have clearance from a cardiologist
4. AAA increased in size 0.5cm in 6 months
5. Surgical repair was recommended but not done
✔✔Max size of a thoracic aneurysm that can be certified - ✔✔3.5 cm
✔✔Min waiting period for PE - ✔✔3 months
✔✔True or false: having an ICD is automatic DQ - ✔✔true
✔✔True or false: dx of severe aortic stenosis is automatic DQ - ✔✔true
✔✔Max certification post aortic valve repair - ✔✔1 year
✔✔Do not certify for moderate aortic stenosis if they have 1 of these 5 things -
✔✔angina, CHF, A fib, LVEF <50%, thromboembolic disease
