USCIS Regulatory Frameworks & Compliance 4 — Questions and Answers
Question 1: Which of the following scenarios requires a new I-693 medical examination rather than using the original form?
- Applicant moves to a different state within 2 years of signing
- The I-693 was signed more than 4 years before USCIS adjudicates the case (Correct answer)
- Applicant changes their name legally after the exam
- A civil surgeon retires after completing the form
Correct answer: The I-693 was signed more than 4 years before USCIS adjudicates the case
If USCIS adjudication occurs more than 4 years after the civil surgeon signed the I-693, a new medical examination is required.
Question 2: Under USCIS regulations, which of the following is a civil surgeon required to verify before conducting an immigration medical exam?
- The applicant's employment history
- The applicant's identity using a government-issued photo ID (Correct answer)
- The applicant's prior immigration attorney
- The applicant's country of birth
Correct answer: The applicant's identity using a government-issued photo ID
Civil surgeons must verify an applicant's identity using a government-issued photo ID to ensure the medical record matches the correct individual.
Question 3: What is the consequence of a civil surgeon completing an I-693 form for an applicant they did not personally examine?
- A $500 administrative fine
- Potential criminal liability and loss of civil surgeon designation (Correct answer)
- A formal written warning on first offense
- Required remedial training course
Correct answer: Potential criminal liability and loss of civil surgeon designation
Signing an I-693 without personally examining the applicant constitutes fraud, which can result in criminal charges and permanent loss of civil surgeon authorization.
Question 4: Which of the following diseases was added to the CDC's list of communicable diseases of public health significance as a ground of inadmissibility in 2009?
- HIV/AIDS (Correct answer)
- Hepatitis C
- COVID-19
- SARS
Correct answer: HIV/AIDS
HIV/AIDS was added to the list of inadmissible communicable diseases in 2009 after decades of being a ground for inadmissibility, then was removed as a ground of inadmissibility when the HIV travel ban was lifted.
Question 5: When must a civil surgeon refer an applicant to a public health authority during the immigration medical exam process?
- When the applicant requests it
- When the applicant lacks health insurance
- When findings suggest a communicable disease requiring follow-up treatment (Correct answer)
- When the applicant is over age 60
Correct answer: When findings suggest a communicable disease requiring follow-up treatment
CDC Technical Instructions require civil surgeons to refer applicants to public health authorities when findings indicate a communicable disease of public health significance that requires follow-up.
Question 6: Which form is used by applicants seeking a waiver of a Class A health-related inadmissibility ground?
- Form I-601 (Correct answer)
- Form I-693
- Form I-485
- Form I-765
Correct answer: Form I-601
Form I-601 (Application for Waiver of Grounds of Inadmissibility) is used by applicants seeking to waive a Class A health-related inadmissibility finding.
Question 7: Under CDC Technical Instructions, the Tuberculosis (TB) risk assessment for immigration purposes classifies countries based on:
- GDP per capita and healthcare spending
- TB incidence rates reported to the World Health Organization (Correct answer)
- Number of TB-related deaths in the prior year only
- Political stability and travel restrictions
Correct answer: TB incidence rates reported to the World Health Organization
The CDC uses TB incidence rates as reported to the WHO to classify countries as high or low TB burden for purposes of applying different screening protocols.
Which of the following scenarios requires a new I-693 medical examination rather than using the original form?