USCIS Medical Exam 4 — Questions and Answers
Question 1: A 5-year-old applicant has no vaccination records. What should the civil surgeon do?
- Administer all age-appropriate vaccines that are due or give a blanket catch-up schedule (Correct answer)
- Waive all vaccinations due to lack of documentation
- Defer the exam until the parent provides records from the home country
- Classify the child as inadmissible until records are obtained
Correct answer: Administer all age-appropriate vaccines that are due or give a blanket catch-up schedule
When records are unavailable, the civil surgeon should administer vaccines needed to meet the USCIS schedule or arrange for them to be administered.
Question 2: Which of the following is a Class B medical condition in the USCIS classification system?
- A physical or mental abnormality, disease, or disability that is not Class A but is of medical significance (Correct answer)
- Any currently infectious communicable disease
- Any condition that requires immediate hospitalization
- A condition that is completely resolved with no ongoing treatment
Correct answer: A physical or mental abnormality, disease, or disability that is not Class A but is of medical significance
Class B conditions are medically significant but do not make the applicant inadmissible; they are noted for follow-up after arrival in the United States.
Question 3: What is the role of the CDC's Technical Instructions in the USCIS medical examination process?
- They set the medical examination standards that civil surgeons must follow (Correct answer)
- They are optional guidelines civil surgeons may choose to use
- They apply only to overseas medical exams, not domestic ones
- They are written by USCIS, not the CDC
Correct answer: They set the medical examination standards that civil surgeons must follow
The CDC's Technical Instructions provide the mandatory medical examination standards and procedures that USCIS-designated civil surgeons must follow.
Question 4: An applicant tests positive on an IGRA (interferon-gamma release assay) blood test for TB. The next required step is:
- Chest X-ray to rule out active TB disease (Correct answer)
- Immediate treatment with rifampin
- Automatic classification as Class A inadmissible
- A second IGRA test to confirm the result
Correct answer: Chest X-ray to rule out active TB disease
A positive IGRA indicates TB infection and requires a chest X-ray to determine whether the person has active TB disease or latent TB infection.
Question 5: Which of the following applicants is exempt from the vaccination requirements for adjustment of status?
- An applicant for whom a vaccine is medically contraindicated (Correct answer)
- Any applicant over age 65
- Applicants who hold a valid U.S. driver's license
- Applicants who have been in the U.S. for more than 5 years
Correct answer: An applicant for whom a vaccine is medically contraindicated
Vaccines that are medically contraindicated (e.g., due to allergy or immune compromise) may be waived based on the civil surgeon's medical judgment.
Question 6: What does it mean when USCIS grants a waiver for a Class A medical inadmissibility ground?
- The applicant can be admitted despite the health condition under certain conditions (Correct answer)
- The medical condition is removed from the applicant's record permanently
- All future medical exams are waived for that applicant
- The civil surgeon's findings are overturned by USCIS
Correct answer: The applicant can be admitted despite the health condition under certain conditions
A medical waiver allows an otherwise inadmissible applicant to be granted admission or adjustment despite the Class A condition, subject to any conditions USCIS imposes.
Question 7: Which of the following describes a 'panel physician' in the context of immigration medical exams?
- A physician designated by the U.S. Embassy or Consulate to conduct exams overseas for immigrant visa applicants (Correct answer)
- A physician who reviews civil surgeon findings in the United States
- A USCIS employee who approves medical forms
- A specialist physician who treats Class A conditions before the exam
Correct answer: A physician designated by the U.S. Embassy or Consulate to conduct exams overseas for immigrant visa applicants
Panel physicians are designated by U.S. embassies and consulates abroad to conduct immigration medical exams for applicants applying for immigrant visas outside the U.S.
USCIS Medical Exam 4
A 5-year-old applicant has no vaccination records.
What should the civil surgeon do?