AME Medical Knowledge & Evaluation 2

Question 1

What audiometric standard must a First-Class medical applicant meet under 14 CFR 67.105?

Accepted Answer

Conversational voice test at 6 feet with both ears uncovered

Answer

14 CFR 67.105(b) allows AMEs to use the conversational voice test at 6 feet as the standard hearing test for all certificate classes, unless the applicant fails, in which case audiometry is required.

Question 2

What is the significance of an elevated Mean Corpuscular Volume (MCV) found on a blood test during an AME evaluation?

Accepted Answer

It may indicate macrocytic anemia or excess alcohol consumption, warranting further evaluation

Answer

Elevated MCV (macrocytosis) can indicate B12/folate deficiency, liver disease, hypothyroidism, or chronic alcohol use - all relevant to aviation medical certification and warranting follow-up.

Question 3

When performing a neurological examination for an aviation medical certificate, which finding requires mandatory deferral to the AMCD?

Accepted Answer

A positive Romberg sign with history of recent vertigo

Answer

A positive Romberg sign combined with a history of vertigo suggests a vestibular or central nervous system disorder that could impair flight safety and requires AMCD deferral with full neurological evaluation.

Question 4

An AME observes a BMI of 44 in an applicant who reports feeling well with no symptoms. What is the AME's responsibility?

Accepted Answer

Evaluate for obesity-related comorbidities such as hypertension, sleep apnea, and diabetes that may be disqualifying, and counsel on safety implications

Answer

Obesity itself is not a listed FAA disqualifying criterion, but AMEs must screen for and evaluate associated comorbidities that may be independently disqualifying or safety-relevant.

Question 5

What does a normal resting 12-lead ECG finding of 'early repolarization' in a 28-year-old pilot applicant require?

Accepted Answer

Documentation on Form 8500-8 as a normal variant with no further action required for standard issuance

Answer

Early repolarization is generally considered a benign normal variant in young individuals and does not require deferral or additional cardiac evaluation for aviation medical certification.

(AME) Aviation Medical Examiner Certification Practice Test

(AME) Aviation Medical Examiner Certification Practice Test

AME Medical Knowledge & Evaluation 2