AME HIMS AME & Special Issuance Processes 2

Question 1

What laboratory tests does the FAA typically require as part of the initial HIMS evaluation package for an airman with alcohol use disorder?

Accepted Answer

CBC, comprehensive metabolic panel, liver function tests, carbohydrate-deficient transferrin (CDT), and urinalysis

Answer

The HIMS alcohol evaluation package typically includes comprehensive liver function tests and CDT - a glycoprotein marker of chronic heavy alcohol use - along with CBC and metabolic panel to assess alcohol-related organ damage.

Question 2

An airman with a history of coronary artery bypass graft surgery presents for AASI re-issuance. Their blood pressure today reads 162/100 and they admit to stopping their medication 2 months ago. What must the AME do?

Accepted Answer

Defer to AMCD - the airman no longer meets the Authorization's specified criteria for issuance, and the case requires AMCD review

Answer

When an AASI applicant no longer meets the criteria specified in their Authorization, the AME cannot issue under AASI and must defer to AMCD with full documentation of the current non-compliance.

Question 3

For an airman with insulin-treated Type 1 diabetes seeking Special Issuance Authorization for Third-Class certification, what monitoring requirements does the FAA typically mandate?

Accepted Answer

Continuous glucose monitoring (CGM) or frequent SMBG before and during flight, HbA1c within target range, no hypoglycemic episodes, cardiac and ophthalmic evaluations, and regular endocrinology follow-up

Answer

The FAA's insulin-treated diabetes Authorization protocol for Third-Class requires comprehensive glucose monitoring during flight, absence of hypoglycemic events, and periodic specialist evaluations to manage the complex risks of hypoglycemia in flight.

Question 4

A First-Class applicant discloses treatment for depression 3 years ago with escitalopram, which was discontinued after 1 year with full remission and no recurrence. What is the correct certification approach?

Accepted Answer

Defer to AMCD with a current psychiatric evaluation report confirming full remission

Answer

Any history of major depression, even in full remission with no current medications, requires AMCD evaluation with a current psychiatric report before First-Class certification can proceed.

Question 5

What is the purpose of the MMPI-2 (Minnesota Multiphasic Personality Inventory-2) in the FAA HIMS evaluation?

Accepted Answer

It is a standardized psychological assessment of personality structure and psychopathology, used in HIMS evaluations to identify psychological factors affecting recovery and flight fitness

Answer

The MMPI-2 is a comprehensive standardized psychological test measuring personality characteristics and psychopathology, used in HIMS evaluations to provide objective psychological assessment of the airman's mental fitness and recovery stability.

(AME) Aviation Medical Examiner Certification Practice Test

(AME) Aviation Medical Examiner Certification Practice Test

AME HIMS AME & Special Issuance Processes 2