AME Risk Assessment & Mitigation 3

Question 1

A pilot applicant reports taking a selective serotonin reuptake inhibitor (SSRI) for depression. Under the FAA's SSRI policy, which factor is NOT part of the risk mitigation criteria?

Accepted Answer

Pilot must hold an instrument rating

Answer

The FAA's SSRI policy does not require an instrument rating; it focuses on stability of dose, absence of disqualifying diagnoses, and demonstrated clinical stability.

Question 2

When performing incapacitation risk analysis for a pilot with a single seizure 12 years ago and no recurrence, the AME should primarily assess:

Accepted Answer

Annual seizure recurrence probability and EEG findings

Answer

The key risk metric for seizure history is the probability of recurrence per year, informed by EEG findings, neuroimaging, and etiology of the initial event.

Question 3

A commercial pilot is found to have moderate mitral valve regurgitation on echocardiogram but is asymptomatic. What best describes the AME's risk-based approach?

Accepted Answer

Defer to the FAA for Special Issuance evaluation with cardiology documentation

Answer

Moderate valvular disease typically requires Special Issuance with complete cardiology evaluation including echocardiographic data to quantify hemodynamic risk.

Question 4

Which scenario best exemplifies the FAA concept of 'acceptable level of risk' in aviation medical certification?

Accepted Answer

Applying the 1% per year risk threshold for incapacitating events in single-pilot operations

Answer

The FAA's '1% rule' holds that the risk of a sudden incapacitating event must not exceed approximately 1% per year for the pilot to be certified, especially in single-pilot operations.

Question 5

A pilot with controlled hypertension on lisinopril has a blood pressure reading of 138/88 mmHg in the office. What is the most appropriate risk mitigation step?

Accepted Answer

Issue the certificate; reading is within acceptable limits for certification

Answer

Blood pressure up to 155/95 mmHg is within FAA acceptable limits for certification when medically treated, so 138/88 qualifies for certificate issuance.

(AME) Aviation Medical Examiner Certification Practice Test

(AME) Aviation Medical Examiner Certification Practice Test

AME Risk Assessment & Mitigation 3