USCIS Risk Assessment & Management 5

Question 1

A civil surgeon is uncertain whether an applicant's chest X-ray abnormality represents active TB or an old healed lesion. What is the safest risk management approach?

Accepted Answer

Order sputum AFB smear and culture to rule out active disease before completing the form

Answer

Ambiguous radiographic findings require microbiologic confirmation to rule out active infectious TB before the civil surgeon can complete Form I-693.

Question 2

How long is a completed Form I-693 valid for submission to USCIS after the civil surgeon signs and dates it?

Accepted Answer

2 years

Answer

Form I-693 is generally valid for 2 years from the date the civil surgeon signs it, provided it is submitted to USCIS within that period.

Question 3

An applicant is a known contact of a person with active pulmonary TB but has a negative IGRA and no symptoms. What is the correct risk management action?

Accepted Answer

Document the exposure, repeat IGRA testing in 8–10 weeks to rule out recent infection, and defer final classification

Answer

A negative IGRA immediately after TB exposure may represent a window period before seroconversion; a repeat test 8–10 weeks after last exposure is needed to rule out recent infection.

Question 4

Which of the following best describes the civil surgeon's obligation when documenting a Class B condition on Form I-693?

Accepted Answer

Describe the condition, note its clinical status, and indicate whether follow-up is needed after admission

Answer

Class B conditions must be accurately described on Form I-693 with clinical details and an indication of whether the condition requires follow-up care after the applicant arrives in the US.

Question 5

A civil surgeon determines that an applicant has a communicable disease of public health significance. Who is responsible for notifying the local health department?

Accepted Answer

The civil surgeon, following applicable state and local mandatory reporting laws

Answer

Civil surgeons are licensed physicians bound by state and local mandatory disease reporting laws; they must report notifiable conditions to the health department independent of the immigration process.

USCIS - Medical Exam Practice Test

USCIS - Medical Exam Practice Test

USCIS Risk Assessment & Management 5