AME Cardiovascular Evaluation & Electrocardiography

Question 1

At what age is a resting ECG first required for an initial First Class medical certificate applicant under FAA guidelines?

Accepted Answer

Age 35

Answer

FAA guidelines require a resting ECG for initial First Class certification at age 35, with annual ECGs required from age 40 onward.

Question 2

An AME measures a First Class applicant's blood pressure at 162/98 mmHg after two readings. What is the most appropriate action?

Accepted Answer

Defer the application to the AMCD for further evaluation

Answer

Blood pressure at or above 155/95 mmHg warrants deferral to the Aerospace Medical Certification Division for further cardiovascular evaluation.

Question 3

Which of the following is a CACI (Condition AMEs Can Issue) condition that allows an AME to certify without mandatory AMCD deferral if criteria are met?

Accepted Answer

Controlled hypertension on antihypertensive medication

Answer

Hypertension is a CACI condition that an AME may certify without AMCD deferral if blood pressure is controlled and the applicant meets all specified criteria.

Question 4

A pilot reports a history of paroxysmal atrial fibrillation currently in normal sinus rhythm with rate-control medication. What certification pathway typically applies?

Accepted Answer

Special Issuance Authorization following comprehensive cardiologic evaluation

Answer

Atrial fibrillation typically requires Special Issuance Authorization following comprehensive cardiovascular evaluation demonstrating rhythm stability and adequate rate control.

Question 5

Which ECG finding would most likely require immediate deferral and cardiology referral for a pilot applicant?

Accepted Answer

New complete left bundle branch block (LBBB)

Answer

Complete left bundle branch block requires deferral because it may indicate significant underlying structural heart disease necessitating further cardiovascular evaluation.

(AME) Aviation Medical Examiner Certification Practice Test

(AME) Aviation Medical Examiner Certification Practice Test

AME Cardiovascular Evaluation & Electrocardiography