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NRCME DOT FINAL EXAM/ NRCME FINAL TEST
QUESTIONS AND CORRECT ANSWERS/ MOST
RECENT AND CORRECT ANSWERS ALREADY
GRADED A+| BRAND NEW
The waiting period after pacemaker implantation for treatment of sinus node
dysfunction is __________.
One week.
Two weeks.
One month.
Three months. - ANSWER: One month.
The maximum thoracic aneurysm size that allows driver certification is _
3.0 cm
3.5 cm
4.0 cm
5.0 cm - ANSWER: 3.5cm
Which of the following is a qualification recommendation following coronary
artery bypass graft (CABG) surgery?
A. Exercise tolerance testing (ETT) every two years after five years.
B. Echocardiogram or radionuclide stress testing is indicated if the driver is not
able to achieve a satisfactory ETT result, has an abnormal resting
electrocardiogram, or a dysrhythmia.
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C. Resting echocardiogram left ventricular ejection fraction (LVEF) greater than or
equal to 45%.
D. Normal electrocardiogram. - ANSWER: Echocardiogram or radionuclide stress
testing is indicated if the driver is not able to achieve a satisfactory ETT result, has
an abnormal resting electrocardiogram, or a dysrhythmia.
Which of the following is a requirement in order for a driver with congestive heart
failure (CHF) to be qualified?
A. The driver must have a normal electrocardiogram.
B. The driver must have completed an exercise tolerance test (ETT) to at least 10
METS. (metabolic equivalents).
C. The driver must have a left ventricular ejection fraction (LVEF) of greater than
or equal to 45%.
D. The driver must be asymptomatic and tolerate medications. - ANSWER: The
driver must be asymptomatic and tolerate medications.
Which of the following guidelines for medical certification following device
implantation is true?
A. Six months after implantation of cardiac defibrillator.
B. Three months after pacemaker implantation for atrioventricular block.
C. One month after pacemaker implantation for neurocardiogenic syncope.
D. Three months after pacemaker implantation for hypersensitive carotid sinus
with syncope. - ANSWER: Three months after pacemaker implantation for
hypersensitive carotid sinus with syncope.
Waiting periods for now stable cardiovascular conditions include __________.
A. Three months for myocardial infarction (MI).
B. Three months for angina.
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C. Two weeks for percutaneous coronary intervention (PCI).
D. Two months for coronary artery bypass surgery (CABG). - ANSWER: Three
months for angina.
Cardiovascular disease not-to-certify diagnoses include __________.
A. Hypertrophic cardiomyopathy.
B. Angina.
C. Left ventricular ejection fraction (LVEF) < 50%.
D. Congestive heart failure (CHF). - ANSWER: Hypertrophic cardiomyopathy.
Certification outcome is a maximum of ________ for a driver with history of heart
attack - myocardial infarction (MI).
Three months.
Six months.
One year.
Two months. - ANSWER: One year.
For a driver with moderate aortic stenosis, an echocardiogram should be repeated
every _________ years; for a driver with mild aortic stenosis, an echocardiogram
should be repeated every _________ years.
One-two, five.
Three, three.
Two, four.
One, three. - ANSWER: One-two, five.
Drivers with insulin dependent diabetes __________.
A. May be certified for a maximum of six months.
NRCME DOT FINAL EXAM/ NRCME FINAL TEST
QUESTIONS AND CORRECT ANSWERS/ MOST
RECENT AND CORRECT ANSWERS ALREADY
GRADED A+| BRAND NEW
The waiting period after pacemaker implantation for treatment of sinus node
dysfunction is __________.
One week.
Two weeks.
One month.
Three months. - ANSWER: One month.
The maximum thoracic aneurysm size that allows driver certification is _
3.0 cm
3.5 cm
4.0 cm
5.0 cm - ANSWER: 3.5cm
Which of the following is a qualification recommendation following coronary
artery bypass graft (CABG) surgery?
A. Exercise tolerance testing (ETT) every two years after five years.
B. Echocardiogram or radionuclide stress testing is indicated if the driver is not
able to achieve a satisfactory ETT result, has an abnormal resting
electrocardiogram, or a dysrhythmia.
,2|P a g e
C. Resting echocardiogram left ventricular ejection fraction (LVEF) greater than or
equal to 45%.
D. Normal electrocardiogram. - ANSWER: Echocardiogram or radionuclide stress
testing is indicated if the driver is not able to achieve a satisfactory ETT result, has
an abnormal resting electrocardiogram, or a dysrhythmia.
Which of the following is a requirement in order for a driver with congestive heart
failure (CHF) to be qualified?
A. The driver must have a normal electrocardiogram.
B. The driver must have completed an exercise tolerance test (ETT) to at least 10
METS. (metabolic equivalents).
C. The driver must have a left ventricular ejection fraction (LVEF) of greater than
or equal to 45%.
D. The driver must be asymptomatic and tolerate medications. - ANSWER: The
driver must be asymptomatic and tolerate medications.
Which of the following guidelines for medical certification following device
implantation is true?
A. Six months after implantation of cardiac defibrillator.
B. Three months after pacemaker implantation for atrioventricular block.
C. One month after pacemaker implantation for neurocardiogenic syncope.
D. Three months after pacemaker implantation for hypersensitive carotid sinus
with syncope. - ANSWER: Three months after pacemaker implantation for
hypersensitive carotid sinus with syncope.
Waiting periods for now stable cardiovascular conditions include __________.
A. Three months for myocardial infarction (MI).
B. Three months for angina.
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C. Two weeks for percutaneous coronary intervention (PCI).
D. Two months for coronary artery bypass surgery (CABG). - ANSWER: Three
months for angina.
Cardiovascular disease not-to-certify diagnoses include __________.
A. Hypertrophic cardiomyopathy.
B. Angina.
C. Left ventricular ejection fraction (LVEF) < 50%.
D. Congestive heart failure (CHF). - ANSWER: Hypertrophic cardiomyopathy.
Certification outcome is a maximum of ________ for a driver with history of heart
attack - myocardial infarction (MI).
Three months.
Six months.
One year.
Two months. - ANSWER: One year.
For a driver with moderate aortic stenosis, an echocardiogram should be repeated
every _________ years; for a driver with mild aortic stenosis, an echocardiogram
should be repeated every _________ years.
One-two, five.
Three, three.
Two, four.
One, three. - ANSWER: One-two, five.
Drivers with insulin dependent diabetes __________.
A. May be certified for a maximum of six months.
