NCRME exam 2025, NCRME practice
test, test bank questions, certified
medical examiner prep, NCRME
answers, 2025 medical exam, NCRME
study material
disqualify pulmonary (7) - answer>>>..- ABG
PaO2<65mmHg below 5,000ft
PaO2<60mmHg above 5,000ft
PaCO2>45mmHg at any altitude
- untreated symptomatic obstructive sleep apnea, restless
leg syndrome associated with excessive daytime sleepiness
(EDS), narcolepsy, hypoxemia at rest, use of supplementary
oxygen, use of antihistamines within 12 hrs
ABG testing required when (3) - answer>>>..O2<92
FEV1 or FEV1/FVC ratio <65%
FVC< 60%
Coronary heart disease (CHD) Risk-Equivalent conditions
(4) - answer>>>..Diabetes.
Peripheral vascular disease.
Framingham risk predicting 20% event risk over 10 years.
Age over 45 with multiple CVD risk factors
,ETT requirements (5) - answer>>>..6 METS (metabolic
equivalents) (through Bruce
Stage II or equivalent ), attain a heart rate > 85% of
predicted maximum (unless on beta
blockers), attain a rise in SBP > 20 mmHg without angina,
have no significant ST segment
depression or elevation and no marked T wave abnormality,
and have no ventricular dysrhythmia.
minimum EF% - answer>>>..> or equal to 40%
Coronary artery bypass grafting (CABG) requirements -
answer>>>..waiting period 3 months, incision healed, ETT
acceptable (every year beginning 5 years after CABG)
Myocardial infarction (MI) requirements (5) -
answer>>>..waiting period 2 months, cardiologist
clearance, satisfactory exercise tolerance test (q2 years), no
angina, medication tolerance
Percutaneous Coronary Intervention (PCI) requirements (6)
- answer>>>..waiting period 1 week, cleared by
cardiologist,
tolerance to medications, ETT within 3 - 6 months (may be
cleared after 1 week, but must then
have ETT between 3 and 6 months after PCI), no
evidence incomplete healing or complication at vascular site.
ETT required every 2 years.
,Heart Transplant waiting period and max certification
interval - answer>>>..waiting period 1 year asymptomatic.
Maximum certification interval 6 months.
stable angina waiting period and minimum SBP, ETT
frequency, recertification period - answer>>>..waiting
period 3 months without change in angina pattern,
medication tolerance, no SBP < 95 or change in SBP > 20
mm Hg upon standing, satisfactory
ETT (q 2 years). Annual recertification if asymptomatic.
Congestive Heart Failure (CHF) requirements -
answer>>>..secondary to Idiopathic Dilated
Cardiomyopathy, if asymptomatic. No ventricular
arrhythmias. LVEF > 40%. Requires annual cardiology
evaluation
including echocardiography and Holter monitoring.
Arrhythmia requirement - answer>>>..no sustained
ventricular tachycardia (VT), EF > 40%, asymptomatic, at
least 1
month after drug or other therapy, cardiologist clearance.
Annual cardiologist clearance
Atrial fibrillation/atrial flutter length of anticoagulation and
post surgical waiting time - answer>>>..- at least 1 month
of adequate anticoagulation
- at least 1 month after procedure, cleared by
electrophysiologist
, Pacemaker for sinus node dysfunction and/or
atrioventricular (AV) block requirements - answer>>>..at
least 1 month after implantation, documented correct pacer
function, underlying disease not disqualifying, annual
pacemaker checks required
Pacemaker for neurocardiogenic syncope requirement -
answer>>>..at least 3 months after implantation,
documented
correct pacer function, asymptomatic.
Abdominal aneurysm requirements - answer>>>..certify if
< 4.0 cm and asymptomatic, or 3 months after surgical
repair; requires cardiovascular specialist clearance. Do not
certify if driver is
symptomatic, if aneurysm is > 5.0 cm, if there has been more
than 0.5 cm increase in
size over 6 months, or if surgery has been recommended but
not performed. Ultrasound
monitoring is recommended.
Thoracic aneurysm requirements - answer>>>..certify if <
3.5 cm and asymptomatic, or 3 months after surgical repair;
requires cardiovascular specialist clearance. Do not certify if
driver is
symptomatic, if aneurysm is > 3.5 cm, if there has been more
than 0.5 cm increase in size over 6 months, or if surgery has
been recommended but not performed. Ultrasound
monitoring is recommended
test, test bank questions, certified
medical examiner prep, NCRME
answers, 2025 medical exam, NCRME
study material
disqualify pulmonary (7) - answer>>>..- ABG
PaO2<65mmHg below 5,000ft
PaO2<60mmHg above 5,000ft
PaCO2>45mmHg at any altitude
- untreated symptomatic obstructive sleep apnea, restless
leg syndrome associated with excessive daytime sleepiness
(EDS), narcolepsy, hypoxemia at rest, use of supplementary
oxygen, use of antihistamines within 12 hrs
ABG testing required when (3) - answer>>>..O2<92
FEV1 or FEV1/FVC ratio <65%
FVC< 60%
Coronary heart disease (CHD) Risk-Equivalent conditions
(4) - answer>>>..Diabetes.
Peripheral vascular disease.
Framingham risk predicting 20% event risk over 10 years.
Age over 45 with multiple CVD risk factors
,ETT requirements (5) - answer>>>..6 METS (metabolic
equivalents) (through Bruce
Stage II or equivalent ), attain a heart rate > 85% of
predicted maximum (unless on beta
blockers), attain a rise in SBP > 20 mmHg without angina,
have no significant ST segment
depression or elevation and no marked T wave abnormality,
and have no ventricular dysrhythmia.
minimum EF% - answer>>>..> or equal to 40%
Coronary artery bypass grafting (CABG) requirements -
answer>>>..waiting period 3 months, incision healed, ETT
acceptable (every year beginning 5 years after CABG)
Myocardial infarction (MI) requirements (5) -
answer>>>..waiting period 2 months, cardiologist
clearance, satisfactory exercise tolerance test (q2 years), no
angina, medication tolerance
Percutaneous Coronary Intervention (PCI) requirements (6)
- answer>>>..waiting period 1 week, cleared by
cardiologist,
tolerance to medications, ETT within 3 - 6 months (may be
cleared after 1 week, but must then
have ETT between 3 and 6 months after PCI), no
evidence incomplete healing or complication at vascular site.
ETT required every 2 years.
,Heart Transplant waiting period and max certification
interval - answer>>>..waiting period 1 year asymptomatic.
Maximum certification interval 6 months.
stable angina waiting period and minimum SBP, ETT
frequency, recertification period - answer>>>..waiting
period 3 months without change in angina pattern,
medication tolerance, no SBP < 95 or change in SBP > 20
mm Hg upon standing, satisfactory
ETT (q 2 years). Annual recertification if asymptomatic.
Congestive Heart Failure (CHF) requirements -
answer>>>..secondary to Idiopathic Dilated
Cardiomyopathy, if asymptomatic. No ventricular
arrhythmias. LVEF > 40%. Requires annual cardiology
evaluation
including echocardiography and Holter monitoring.
Arrhythmia requirement - answer>>>..no sustained
ventricular tachycardia (VT), EF > 40%, asymptomatic, at
least 1
month after drug or other therapy, cardiologist clearance.
Annual cardiologist clearance
Atrial fibrillation/atrial flutter length of anticoagulation and
post surgical waiting time - answer>>>..- at least 1 month
of adequate anticoagulation
- at least 1 month after procedure, cleared by
electrophysiologist
, Pacemaker for sinus node dysfunction and/or
atrioventricular (AV) block requirements - answer>>>..at
least 1 month after implantation, documented correct pacer
function, underlying disease not disqualifying, annual
pacemaker checks required
Pacemaker for neurocardiogenic syncope requirement -
answer>>>..at least 3 months after implantation,
documented
correct pacer function, asymptomatic.
Abdominal aneurysm requirements - answer>>>..certify if
< 4.0 cm and asymptomatic, or 3 months after surgical
repair; requires cardiovascular specialist clearance. Do not
certify if driver is
symptomatic, if aneurysm is > 5.0 cm, if there has been more
than 0.5 cm increase in
size over 6 months, or if surgery has been recommended but
not performed. Ultrasound
monitoring is recommended.
Thoracic aneurysm requirements - answer>>>..certify if <
3.5 cm and asymptomatic, or 3 months after surgical repair;
requires cardiovascular specialist clearance. Do not certify if
driver is
symptomatic, if aneurysm is > 3.5 cm, if there has been more
than 0.5 cm increase in size over 6 months, or if surgery has
been recommended but not performed. Ultrasound
monitoring is recommended
