NRCME EXAM FINAL STUDY GUIDE |77 QUESTIONS AND CORRECT DETAILED ANSWERS

NRCME EXAM FINAL STUDY GUIDE |77 QUESTIONS AND CORRECT DETAILED ANSWERS Vision requirements 20/40 each eye and 20/40 both eyes Peripheral vision 70 degrees Federal exemption for monocular vision: can certify for how long? 1 year Hearing requirements 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 Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth Max cert period for Syncope 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) 1. Asymptomatic2. Tolerating meds3. Satisfactory ETT with workload capacity of 6 mets (has to have this biennially)4. LVEF =40%5. No ST depression on ECG - for postcabg this one is replaced by completelyhealed sternal incision Stable angina: max cert period 1 year Minimum waiting period post CABG 3 months Min waiting period for post heart transplant 1 year Max cert period for post heart transplant 6 months 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