USCIS Risk Assessment & Management 2

Question 1

A civil surgeon finds an applicant has a history of latent TB infection (LTBI) previously treated with 9 months of isoniazid. What is the correct risk management step?

Accepted Answer

Document the completed treatment and classify as no longer requiring follow-up

Answer

An applicant who has completed an adequate course of treatment for LTBI does not require further treatment and should be documented accordingly on Form I-693.

Question 2

During a USCIS medical exam, an applicant discloses a history of methamphetamine use that ended 3 years ago with no relapse. How should the civil surgeon classify this?

Accepted Answer

Class B condition as a substance use disorder in remission

Answer

A substance use disorder in sustained full remission (typically 1+ year) is classified as a Class B condition, not Class A, reflecting reduced but still noted risk.

Question 3

Which of the following findings would prompt a civil surgeon to place an applicant in a Class A inadmissible category under USCIS medical grounds?

Accepted Answer

Active pulmonary tuberculosis confirmed by sputum culture

Answer

Active pulmonary TB is a quarantinable communicable disease that renders an applicant inadmissible (Class A) under INA Section 212(a)(1).

Question 4

An applicant's tuberculin skin test (TST) reads 12mm induration and they report no prior BCG vaccination. The chest X-ray is normal. What is the appropriate next step?

Accepted Answer

Refer to a health department for LTBI evaluation and possible treatment

Answer

A positive TST with no active disease on chest X-ray indicates LTBI, which requires referral for evaluation and possible prophylactic treatment before Form I-693 can be completed.

Question 5

What is the purpose of the follow-up examination requirement for certain Class B tuberculosis conditions on Form I-693?

Accepted Answer

To monitor and confirm resolution or management of the condition after arrival in the US

Answer

Class B TB follow-up conditions require monitoring after arrival to protect public health and confirm that the condition is appropriately managed.

USCIS - Medical Exam Practice Test

USCIS - Medical Exam Practice Test

USCIS Risk Assessment & Management 2