USCIS Case Studies & Practical Application 2

Question 1

An applicant presents to a civil surgeon with a history of latent tuberculosis (LTBI) that was treated with 9 months of isoniazid 5 years ago. The civil surgeon performs a tuberculin skin test (TST) which is positive. What is the correct action?

Accepted Answer

Document the prior treatment and interpret the TST as expected; no further TB workup is required if the applicant is asymptomatic

Answer

A previously treated LTBI with a positive TST is expected; if there are no symptoms or signs of active TB, no additional workup is required and the civil surgeon documents the history.

Question 2

A 22-year-old applicant seeking a green card has never received any vaccinations due to religious beliefs. The civil surgeon explains vaccination requirements. The applicant requests a religious exemption. What is the correct process?

Accepted Answer

The applicant must submit Form I-601 and demonstrate religious opposition; USCIS adjudicates the waiver, not the civil surgeon

Answer

Religious or moral objections to vaccinations require a waiver filed with USCIS via Form I-601; the civil surgeon cannot unilaterally grant this exemption.

Question 3

During a civil surgeon exam, an applicant discloses a history of intravenous heroin use that ended 3 years ago. The applicant is currently enrolled in a methadone maintenance program. How should the civil surgeon classify this finding?

Accepted Answer

As a Class B condition if the civil surgeon determines the applicant is in remission and the addiction is not current

Answer

Past substance dependence that is in remission can be classified as Class B; current dependence would be Class A, but the civil surgeon must evaluate the current clinical status.

Question 4

A panel physician overseas completes a medical examination for an immigrant visa applicant. Upon arrival in the US, USCIS requests the applicant undergo a domestic civil surgeon exam. Which scenario most likely triggered this request?

Accepted Answer

The panel physician's examination results were incomplete or the applicant's medical condition changed significantly after the overseas exam

Answer

A domestic civil surgeon exam may be required if the overseas exam was incomplete, if new conditions arose, or if the visa validity period lapsed before adjustment.

Question 5

An applicant's I-693 is submitted to USCIS but is missing the civil surgeon's signature on the vaccination record supplement. USCIS issues an RFE. What is the correct response?

Accepted Answer

The applicant must return to the same civil surgeon to complete and re-sign the form, then resubmit it in a sealed envelope

Answer

The civil surgeon must sign all applicable sections; the applicant must return to the civil surgeon to have the form properly completed and sealed before resubmission.

USCIS - Medical Exam Practice Test

USCIS - Medical Exam Practice Test

USCIS Case Studies & Practical Application 2