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Comprehensive information about the nrcme (national registry of certified medical examiners) exam, including the latest requirements and guidelines for the 2023-2024 period. It covers a wide range of topics related to the medical certification of commercial drivers, such as vision, hearing, cardiovascular conditions, neurological disorders, and mental health issues. The specific criteria, waiting periods, and maximum certification periods for various medical conditions, as well as the procedures and documentation required for drivers to be certified. This information is crucial for healthcare professionals, commercial drivers, and regulatory authorities involved in the nrcme certification process. By studying this document, individuals can gain a thorough understanding of the nrcme exam and the medical requirements for commercial drivers, enabling them to make informed decisions and ensure compliance with the relevant regulations.
Typology: Exams
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V ision requirements - 20/40 each eye and 20/40 both eyes peripheral vision - 70 degrees Federal exemption for monocular vision: can certify for how long? - 1 year hearing requirements - 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 - Meniere's, uncontrolled vertigo, labyrinthine fistula, nonfunctioning labyrinth Max cert period for Syncope - 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) - 1. Asymptomatic
minimum waiting period post CABG - 3 months Min waiting period for post heart transplant - 1 year Max cert period for post heart transplant - 6 months Min waiting period post PCI (percutaneous coronary intervention) - 1 week Min waiting period for pacemaker implantation for sinus node dysfunction - 1 month Min waiting period for pacemaker implantation for neurocardiogenic syncope or hypersensitive carotid sinus with syncope - 3 months Min waiting period post AAA repair - 3 months Max cert period for being on anticoagulation for a CV condition - 1 year 3 criteria for certification if patient on anticoagulation for a CV condition - 1. Stable on meds for 1 month
BP above which you cannot certify until lowered below 140/90 - 180/110 - and then this patient can only be certified for 6 months Max cert period for diabetic patients - Technically 2 years, but 1 year is RECOMMENDED. What the hell. The rule for DQ if they have history of hypoglycemic reactions - 1 episode in 12 months resulting in seizure, LOC, etc; or 2 episodes in 5 years that are as above or also include loss of position sensation, orthostatic hypotension, etc. Max cert period for asthma - 2 years Must DQ COPD patients if 1 of 3 things: - 1. hypoxemia at rest
Min waiting period for vertigo/ dizziness caused by dx of BPV or peripheral vestibulopathy
Max certification for personality disorders - 1 year Max certification for alcoholism - 2 years but only for history of alcoholism, not current dx of alcoholism max certification for history of drug abuse - 2 years Glaucoma causes what main clinical concern? - loss of peripheral vision Diabetics on insulin who have an exemption certificate should test sugars when? - before driving and every 2-4 hours while driving Min waiting period for thoracic aneurysm repair - 3 months Min waiting period for stable angina - 3 months with no rest angina or change in pattern Min waiting period for post acute MI - 2 months Max certification for history of stage 3 hypertension (>180/110) - 6 months 3 requirements for a passing ETT - 1. increased SBP of at least 20 without angina
min waiting period for valve surgery - 3 months Min waiting period post MI - 2 months Examiners must retain records for how many years? - 3