USCIS Risk Assessment & Management 4

Question 1

A civil surgeon examines an applicant who discloses a history of inpatient psychiatric hospitalization 10 years ago for a single depressive episode, now fully recovered. What is the appropriate risk classification?

Accepted Answer

Class B — physical or mental abnormality, disease, or disability

Answer

A past psychiatric condition that is resolved and not associated with harmful behavior is a Class B notation; it does not meet the Class A threshold for mental health inadmissibility.

Question 2

Which of the following best describes the civil surgeon's risk management obligation when an applicant's vaccination records are unavailable?

Accepted Answer

Administer age-appropriate vaccines or obtain serologic evidence of immunity

Answer

When records are unavailable, the civil surgeon must either administer required vaccines or obtain serologic confirmation of immunity; self-report alone is insufficient.

Question 3

An applicant is found to have active pulmonary TB. What is the correct sequence of risk management steps before Form I-693 can be completed?

Accepted Answer

Refer for directly observed therapy (DOT), confirm treatment response, then complete the form

Answer

Active TB must be treated under a supervised regimen until the applicant is no longer infectious and clinically responding before the civil surgeon can complete Form I-693.

Question 4

An applicant applying for adjustment of status is 45 years old. Which vaccines are required as part of the USCIS medical examination for this age group?

Accepted Answer

All ACIP-recommended vaccines for the applicant's age, including influenza and Td/Tdap

Answer

USCIS requires all vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) for the applicant's age and medical history, including adult vaccines like influenza and Td/Tdap.

Question 5

A civil surgeon identifies an applicant who appears intoxicated during the physical examination. What is the most appropriate risk management response?

Accepted Answer

Reschedule the exam and document the presentation; assess for alcohol use disorder at the next visit

Answer

Conducting an accurate exam on an intoxicated applicant is not feasible; rescheduling and assessing for alcohol use disorder at a follow-up visit is the appropriate professional response.

USCIS - Medical Exam Practice Test

USCIS - Medical Exam Practice Test

USCIS Risk Assessment & Management 4