{"id":114953,"date":"2023-08-23T10:44:44","date_gmt":"2023-08-23T10:44:44","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=114953"},"modified":"2023-08-23T10:44:46","modified_gmt":"2023-08-23T10:44:46","slug":"nrcme-question-bank-with-100-correct-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/nrcme-question-bank-with-100-correct-answers\/","title":{"rendered":"NRCME QUESTION BANK WITH 100% CORRECT ANSWERS."},"content":{"rendered":"\n<p>NRCME EXAM<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Driver 6 weeks post-MI, has cardio cleared to return to work without restrictions. ETT<br>12 METs, echo EF 65%. Examiner should:<br>Temporarily disqualify driver until driver meets waiting period of 2 months<\/li>\n\n\n\n<li>Driver is distant, lacks eye contact and shows absolutely no emotional response<br>during the exam. The examiner&#8217;s best response should be:<br>Disqualify and refer to SAP prior to consideration (flat affect seen in severe depression<br>and schizophrenia)<\/li>\n\n\n\n<li>A driver has a blood pressure of 136\/92 mm Hg. This is what stage of HTN?<br>Stage I. BP 140-159\/90-99<\/li>\n\n\n\n<li>A driver is taking Celexa for the treatment of what he calls a &#8220;mild depression.&#8221; He<br>reports he has not considered or attempted suicide. The examiner should?<br>-Temporarily disqualify the driver until he obtains written clearance for the depression<br>and the medication from the treating provider.<br>-Medical clearance is required for all mental health disorders<\/li>\n\n\n\n<li>A driver reports that he had a hunting accident wherein he suffered a left orbital<br>fracture. He presents a note at the time of the examination from an ophthalmologist<br>stating &#8220;may drive&#8221;. His exam is unremarkable except for a limitation in peripheral vision<br>in his left eye, which was inconclusive. His distance vision was 20\/20 right and 20\/40<br>left. The medical examiner should?<br>Disqualify the driver pending vision exam to determine if meets peripheral vision<br>requirements<\/li>\n\n\n\n<li>A driver is taking Topamax for the treatment of migraine headaches. He reports good<br>management of his headaches and they never seem to interfere with his driving ability<br>with the medication. The medical examiner should<br>Obtain medical clearance for the condition and the medication<br>-Topamax is a medication that is used for seizure control. The examiner should confirm<br>with the prescribing provider that the driver does not take it to control seizures.<\/li>\n\n\n\n<li>Positive Babinski&#8221;reflex indicates what? What is examiner&#8217;s next step?<br>Indicative of abnormalities in the motor control pathways leading from the cerebral<br>cortex; obtain clearance from a neurologist prior to reconsidering the driver for<br>certification<\/li>\n\n\n\n<li>Epilepsy 14 years ago but stopped taking antiepileptic medication on his own 11<br>years ago. Has not seen a neurologist nor a health care provider in over 10 years and<br>reports no seizures during this period. The examiner should:<br>Disqualify driver. Even though the driver reports exceeding the 10-year waiting period, it<br>was not under medical supervision and the driver discontinued medication use and<br>treatment outside of medical oversight.<\/li>\n\n\n\n<li>Waiting period following MI<br>2 months<\/li>\n\n\n\n<li>Waiting period following CABG<br>3 months<\/li>\n\n\n\n<li>The driver uses hearing aids during the whisper test. He is able to hear at 5 feet on<br>the right and 4 feet on the left. Certification or no?<br>Certify x 2 yrs.<\/li>\n<\/ol>\n\n\n\n<p>-The driver is able to use hearing aids during the whisper test (and this should be<br>marked on the form). A driver must only qualify in 1 ear to certify.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"12\">\n<li>Moderate TBI that occurred 3 years ago. neurologist confirmed no seizures and<br>cleared driver. Examiner should<br>Certify x 1 yr<br>-Waiting period is 2 years, max cert for mod TBI without seizure is 1 yr.<\/li>\n\n\n\n<li>Waiting period and max cert in driver with depression with suicide attempt 10<br>months ago. Reports feeling fine now and compliant with meds. Examiner should<br>Disqualify.<br>-Waiting period is 1 yr, max cert 1 yr<\/li>\n\n\n\n<li>History a back injury that had occurred 4 years earlier. He states that he was out of<br>work following back surgery for over a year, but since has returned to driving and his<br>last certification was good for 2 years. He lists as his only medication Oxycodone, which<br>he takes only as needed. He reports seeing his &#8220;pain doctor&#8221; every few months for<br>evaluation. He also reports he has had a steroid injection (series of 3) about a year ago,<br>which &#8220;helped a lot.&#8221; The examiner should:<br>Request medical clearance<\/li>\n\n\n\n<li>Waiting period for ECT<br>6 months; maintenance ECT is disqualifying<\/li>\n\n\n\n<li>SPE for below knee amputation, max cert for?<br>2 years<\/li>\n\n\n\n<li>MI 6 months ago. How often for recertification? How often for ETT for monitoring?<br><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>NRCME EXAM -The driver is able to use hearing aids during the whisper test (and this should bemarked on the form). A driver must only qualify in 1 ear to certify.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-114953","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114953","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=114953"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/114953\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=114953"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=114953"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=114953"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}