AME Cardiovascular Evaluation & Electrocardiography 3

Question 1

Which ECG finding, if present on a routine First Class examination, would generally be considered a benign normal variant not requiring deferral?

Accepted Answer

Isolated right bundle branch block with normal QRS axis

Answer

Isolated right bundle branch block is generally considered a common benign variant and does not require deferral in asymptomatic pilots without other cardiac pathology.

Question 2

A pilot applicant takes a statin medication for hypercholesterolemia and otherwise meets all FAA medical standards. What is the appropriate certification action?

Accepted Answer

Issue the certificate; statins and hypercholesterolemia are covered under CACI protocols

Answer

Statins are acceptable under FAA policy; hypercholesterolemia treated with statins is a CACI-eligible condition that does not preclude standard certification if all other criteria are met.

Question 3

Which condition is explicitly identified in 14 CFR Part 67 cardiovascular standards as potentially disqualifying when it makes a person unable to safely perform airman duties?

Accepted Answer

Coronary heart disease

Answer

14 CFR §67.111/67.211/67.311 explicitly identifies coronary heart disease as potentially disqualifying when found to impair safe performance of airman duties.

Question 4

An applicant underwent percutaneous coronary intervention (PCI) with stent placement six months ago and has fully recovered. What does the FAA typically require for First Class certification?

Accepted Answer

Comprehensive cardiovascular evaluation for Special Issuance, including stress testing at least six months post-procedure

Answer

Post-PCI applicants require Special Issuance with comprehensive cardiovascular evaluation, typically including stress testing at least six months after the procedure demonstrating no residual ischemia.

Question 5

Which combination of factors would most appropriately elevate an AME's concern for underlying coronary artery disease requiring further cardiovascular workup?

Accepted Answer

Age 55, male, active smoker, hypertension, positive family history, hypercholesterolemia

Answer

Multiple concurrent Framingham risk factors (advanced age, male sex, smoking, hypertension, family history, hyperlipidemia) substantially elevate cardiac risk and may warrant further cardiovascular workup.

(AME) Aviation Medical Examiner Certification Practice Test

(AME) Aviation Medical Examiner Certification Practice Test

AME Cardiovascular Evaluation & Electrocardiography 3