NRCME exam - peripheral vision correct answer70 degrees Fede...

NRCME exam vision requirements correct answer20/40 each eye and 20/40 both eyes peripheral vision correct answer70 degrees Federal exemption for monocular vision: can certify for how long? correct answer1 year hearing requirements correct answerwhisper 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 answerMeniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth Max cert period for Syncope correct answer1 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 answer1. Asymptomatic

• Tolerating meds
• Satisfactory ETT with workload capacity of 6 METs (has to have this biennially)
• LVEF >=40%
• No ST depression on ECG - for post CABG this one is replaced by completely healed sternal incision

Stable angina: max cert period correct answer1 year

minimum waiting period post CABG correct answer3 months Min waiting period for post heart transplant correct answer1 year 1 / 2

Max cert period for post heart transplant correct answer6 months Min waiting period post PCI (percutaneous coronary intervention) correct answer1 week Min waiting period for pacemaker implantation for sinus node dysfunction correct answer1 month Min waiting period for pacemaker implantation for neurocardiogenic syncope or hypersensitive carotid sinus with syncope correct answer3 months Min waiting period post AAA repair correct answer3 months Max cert period for being on anticoagulation for a CV condition correct answer1 year

• criteria for certification if patient on anticoagulation for a CV condition correct answer1. Stable on

meds for 1 month

• Provide copy of INR at exam
• Have INR checked and monitored at least monthly

True or false: driver on anticoagulation for CVA can be certified for max 1 year correct answerFalse.Should not be certified due to high risk of bleeding

• reasons to DQ a driver with AAA correct answer1. Symptomatic
• AAA >5cm
• AAA 4-5 cm and does not have clearance from a cardiologist
• AAA increased in size 0.5cm in 6 months
• Surgical repair was recommended but not done

Max size of a thoracic aneurysm that can be certified correct answer3.5 cm Min waiting period for PE correct answer3 months

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