AME AME Aeromedical Certification Procedures 2 — Questions and Answers
Question 1: What is a Special Issuance Authorization (SI) in FAA medical certification?
- A temporary certificate valid for one flight only
- FAA authorization allowing certification of a pilot with a disqualifying condition under specific monitoring requirements (Correct answer)
- A waiver that permanently removes a medical standard from a pilot's record
- An AME's authority to issue certificates without FAA oversight
Correct answer: FAA authorization allowing certification of a pilot with a disqualifying condition under specific monitoring requirements
A Special Issuance is an FAA authorization that allows an airman with a condition that does not meet standard medical criteria to be certificated under a specific monitoring and reporting protocol.
Question 2: Which condition typically requires a neurological evaluation before an AME can issue or defer a medical certificate?
- Controlled hypertension
- History of seizure disorder (Correct answer)
- Well-managed hypothyroidism
- Mild color vision deficiency
Correct answer: History of seizure disorder
A history of seizures is a potentially disqualifying neurological condition requiring specialist evaluation to assess current risk before the FAA will consider certification.
Question 3: What is the purpose of the CACI (Conditions AMEs Can Issue) program?
- To allow AMEs to deny certificates without FAA review
- To streamline certification by letting AMEs issue certificates for specified stable conditions without AMCD deferral (Correct answer)
- To replace Special Issuance for all conditions
- To create a new category of medical certificate
Correct answer: To streamline certification by letting AMEs issue certificates for specified stable conditions without AMCD deferral
CACI allows AMEs to issue medical certificates for a defined list of well-controlled, low-risk conditions without routing applications to AMCD, reducing processing time.
Question 4: Under what circumstances MUST an AME defer a medical application to the FAA rather than issuing the certificate?
- When the pilot requests deferral
- When the AME identifies a disqualifying condition not covered by CACI or SI protocols (Correct answer)
- When the pilot's application is late
- When the pilot has changed address since last examination
Correct answer: When the AME identifies a disqualifying condition not covered by CACI or SI protocols
If an applicant has a medical condition that is disqualifying and not on the CACI list, and no current SI exists, the AME must defer the application to AMCD for FAA determination.
Question 5: What document does the FAA issue when deferring a medical application for further review?
- Temporary Airman Certificate
- Authorization for Special Issuance
- Notice of Denial
- Deferral notification letter with AMCD case number (Correct answer)
Correct answer: Deferral notification letter with AMCD case number
When an application is deferred, AMCD issues a written notification to the applicant explaining the deferral and providing a case number for tracking the review process.
Question 6: Which color vision test is accepted by the FAA as an alternative to the Pseudoisochromatic Plates (PIP) test for pilots who fail initial color vision screening?
- Farnsworth-Munsell 100 Hue Test
- Operational Color Vision Test (OCVT) (Correct answer)
- Ishihara Color Vision Test
- City University Color Vision Test
Correct answer: Operational Color Vision Test (OCVT)
The FAA's Operational Color Vision Test (OCVT) and the Medical Flight Test (MFT) allow pilots who fail standard PIP screening to demonstrate adequate color vision for flight operations.
What is a Special Issuance Authorization (SI) in FAA medical certification?