USCIS Doctors Physical Examination Requirements 2 — Questions and Answers
Question 1: What is the definition of a Class B medical condition in the context of USCIS immigration medical examinations?
- A condition that automatically makes an applicant inadmissible
- A physical or mental health condition that is of public health significance but does not meet Class A criteria (Correct answer)
- A condition requiring immediate hospitalization before immigration approval
- A condition that permanently bars an applicant from obtaining a waiver
Correct answer: A physical or mental health condition that is of public health significance but does not meet Class A criteria
Class B conditions are physical or mental health conditions that are of public health significance but do not rise to the level of a Class A condition and do not by themselves render an applicant inadmissible.
Question 2: How must a completed Form I-693 be handled by the civil surgeon before being given to the applicant?
- Submitted directly to USCIS by the civil surgeon
- Emailed securely to the applicant's attorney
- Sealed in an envelope and signed across the seal by the civil surgeon (Correct answer)
- Laminated and given to the applicant for safe keeping
Correct answer: Sealed in an envelope and signed across the seal by the civil surgeon
The civil surgeon must place the completed Form I-693 in an envelope, seal it, and sign across the seal before providing it to the applicant to submit to USCIS.
Question 3: Which tuberculosis testing method is preferred by USCIS Technical Instructions for the immigration medical examination?
- Chest X-ray alone
- Tuberculin Skin Test (TST/Mantoux) only
- Interferon-Gamma Release Assay (IGRA) such as QuantiFERON-TB Gold (Correct answer)
- Sputum culture for Mycobacterium tuberculosis
Correct answer: Interferon-Gamma Release Assay (IGRA) such as QuantiFERON-TB Gold
IGRA tests such as QuantiFERON-TB Gold are preferred over TST in the USCIS Technical Instructions because they have higher specificity and are not affected by prior BCG vaccination.
Question 4: What must a civil surgeon document on Form I-693 if an applicant refuses a required vaccination?
- Mark the applicant as inadmissible immediately
- Leave the vaccination section blank
- Note the refusal and the reason, and advise the applicant to obtain a waiver (Correct answer)
- Defer the exam until the applicant agrees to vaccination
Correct answer: Note the refusal and the reason, and advise the applicant to obtain a waiver
If an applicant refuses a required vaccine, the civil surgeon must document the refusal and reason on Form I-693, and the applicant must apply for a waiver of the vaccination requirement.
Question 5: At what age does the rubella vaccination requirement become waived for female applicants in the USCIS immigration medical examination?
- 45 years (Correct answer)
- 50 years
- 55 years
- 60 years
Correct answer: 45 years
The rubella vaccination requirement is waived for female applicants who are 45 years of age or older, as they are generally past childbearing age and the primary concern is congenital rubella syndrome.
Question 6: What must the mental health evaluation during the immigration medical exam assess for?
- Intelligence quotient and cognitive ability
- Physical or mental disorders with associated harmful behavior, and substance abuse (Correct answer)
- History of depression and anxiety disorders only
- Workplace fitness and employability
Correct answer: Physical or mental disorders with associated harmful behavior, and substance abuse
The mental health evaluation must assess for physical or mental disorders associated with harmful behavior and for substance abuse or addiction, which are Class A conditions grounds of inadmissibility.
Question 7: Which of the following describes the appropriate action when a civil surgeon identifies a Class B tuberculosis condition?
- Deny the applicant and report to CDC immediately
- Complete Form I-693 with the finding noted and recommend follow-up treatment (Correct answer)
- Refuse to complete the exam until the condition is fully treated
- Issue a vaccination waiver for all TB-related vaccines
Correct answer: Complete Form I-693 with the finding noted and recommend follow-up treatment
For Class B TB conditions, the civil surgeon completes Form I-693 documenting the finding, and the applicant may be admitted with the condition noted, requiring follow-up evaluation and treatment after arrival.
USCIS Doctors Physical Examination Requirements 2
What is the definition of a Class B medical condition in the context of USCIS immigration medical examinations?