BRAINSCAPE1
NRCME Exam with complete solutions
latest version
vision requirements - CORRECT ANSWER-20/40 each eye and 20/40 both eyes
peripheral vision - CORRECT ANSWER-70 degrees
Federal exemption for monocular vision: can certify for how long? - CORRECT
ANSWER-1 year
hearing requirements - CORRECT ANSWER-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 - CORRECT ANSWER-Meniere's,
uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
Max cert period for Syncope - CORRECT ANSWER-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) - CORRECT ANSWER-1.
Asymptomatic
2. Tolerating meds
3. Satisfactory ETT with workload capacity of 6 METs (has to have this biennially)
4. LVEF >=40%
5. No ST depression on ECG - for post CABG this one is replaced by completely healed
sternal incision
Stable angina: max cert period - CORRECT ANSWER-1 year
minimum waiting period post CABG - CORRECT ANSWER-3 months
BRAINSCAPE1
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Min waiting period for post heart transplant - CORRECT ANSWER-1 year
Max cert period for post heart transplant - CORRECT ANSWER-6 months
Min waiting period post PCI (percutaneous coronary intervention) - CORRECT
ANSWER-1 week
Min waiting period for pacemaker implantation for sinus node dysfunction - CORRECT
ANSWER-1 month
Min waiting period for pacemaker implantation for neurocardiogenic syncope or
hypersensitive carotid sinus with syncope - CORRECT ANSWER-3 months
Min waiting period post AAA repair - CORRECT ANSWER-3 months
Max cert period for being on anticoagulation for a CV condition - CORRECT ANSWER-
1 year
3 criteria for certification if patient on anticoagulation for a CV condition - CORRECT
ANSWER-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 -
CORRECT ANSWER-False. Should not be certified due to high risk of bleeding
5 reasons to DQ a driver with AAA - CORRECT ANSWER-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 - CORRECT ANSWER-3.5 cm
Min waiting period for PE - CORRECT ANSWER-3 months
True or false: having an ICD is automatic DQ - CORRECT ANSWER-true
True or false: dx of severe aortic stenosis is automatic DQ - CORRECT ANSWER-true
Max certification post aortic valve repair - CORRECT ANSWER-1 year
Do not certify for moderate aortic stenosis if they have 1 of these 5 things - CORRECT
ANSWER-angina, CHF, A fib, LVEF <50%, thromboembolic disease
How often to repeat echo for aortic stenosis? (answer for both mild and moderate AS) -
CORRECT ANSWER-Mild: 5 years
BRAINSCAPE1
NRCME Exam with complete solutions
latest version
vision requirements - CORRECT ANSWER-20/40 each eye and 20/40 both eyes
peripheral vision - CORRECT ANSWER-70 degrees
Federal exemption for monocular vision: can certify for how long? - CORRECT
ANSWER-1 year
hearing requirements - CORRECT ANSWER-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 - CORRECT ANSWER-Meniere's,
uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth
Max cert period for Syncope - CORRECT ANSWER-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) - CORRECT ANSWER-1.
Asymptomatic
2. Tolerating meds
3. Satisfactory ETT with workload capacity of 6 METs (has to have this biennially)
4. LVEF >=40%
5. No ST depression on ECG - for post CABG this one is replaced by completely healed
sternal incision
Stable angina: max cert period - CORRECT ANSWER-1 year
minimum waiting period post CABG - CORRECT ANSWER-3 months
BRAINSCAPE1
, BRAINSCAPE1
Min waiting period for post heart transplant - CORRECT ANSWER-1 year
Max cert period for post heart transplant - CORRECT ANSWER-6 months
Min waiting period post PCI (percutaneous coronary intervention) - CORRECT
ANSWER-1 week
Min waiting period for pacemaker implantation for sinus node dysfunction - CORRECT
ANSWER-1 month
Min waiting period for pacemaker implantation for neurocardiogenic syncope or
hypersensitive carotid sinus with syncope - CORRECT ANSWER-3 months
Min waiting period post AAA repair - CORRECT ANSWER-3 months
Max cert period for being on anticoagulation for a CV condition - CORRECT ANSWER-
1 year
3 criteria for certification if patient on anticoagulation for a CV condition - CORRECT
ANSWER-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 -
CORRECT ANSWER-False. Should not be certified due to high risk of bleeding
5 reasons to DQ a driver with AAA - CORRECT ANSWER-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 - CORRECT ANSWER-3.5 cm
Min waiting period for PE - CORRECT ANSWER-3 months
True or false: having an ICD is automatic DQ - CORRECT ANSWER-true
True or false: dx of severe aortic stenosis is automatic DQ - CORRECT ANSWER-true
Max certification post aortic valve repair - CORRECT ANSWER-1 year
Do not certify for moderate aortic stenosis if they have 1 of these 5 things - CORRECT
ANSWER-angina, CHF, A fib, LVEF <50%, thromboembolic disease
How often to repeat echo for aortic stenosis? (answer for both mild and moderate AS) -
CORRECT ANSWER-Mild: 5 years
BRAINSCAPE1
