Cardiovascular Evaluation & Electrocardiography Flashcards
7 cards from real AME practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Cardiovascular Evaluation & Electrocardiography flashcards as text
A pilot with a permanent cardiac pacemaker seeks First Class medical certification. Which statement best reflects the FAA's approach?
Answer: Special Issuance may be considered after comprehensive evaluation demonstrating no disqualifying underlying condition
Implanted pacemakers require Special Issuance authorization; certification depends on the underlying cardiac condition and demonstrated clinical stability.
An applicant had coronary artery bypass graft (CABG) surgery 18 months ago and is now clinically stable. What is typically required before certification?
Answer: Comprehensive workup including stress testing and LVEF measurement for Special Issuance
Post-CABG applicants require Special Issuance evaluation including exercise stress testing, echocardiography, and documentation of preserved cardiac function.
Which antihypertensive medication classes are generally acceptable for pilot use under the FAA CACI protocol for hypertension?
Answer: Most standard agents including ACE inhibitors, ARBs, calcium channel blockers, and thiazide diuretics
The FAA CACI protocol for hypertension accepts most standard antihypertensive medications, subject to demonstrated tolerability and effective blood pressure control.
Wolff-Parkinson-White (WPW) syndrome discovered incidentally on ECG in an asymptomatic pilot applicant would typically require what before certification?
Answer: Electrophysiologic study and cardiology consultation before Special Issuance consideration
WPW syndrome, even when asymptomatic, requires electrophysiologic evaluation due to the risk of life-threatening arrhythmia, before Special Issuance can be considered.
A Second Class applicant reports a single syncopal episode attributed to a vasovagal response three years ago with no recurrence. What is the most likely certification outcome?
Answer: Special Issuance following workup to confirm vasovagal etiology and no recurrence
Syncope requires evaluation to establish a benign etiology; confirmed vasovagal syncope with no recurrence can qualify for Special Issuance after appropriate workup.
Which test is most commonly required as part of the cardiovascular workup for Special Issuance after a coronary artery disease diagnosis?
Answer: Exercise treadmill stress test, with or without imaging
Exercise stress testing is the cornerstone of post-CAD cardiovascular evaluation, assessing for inducible ischemia and demonstrating adequate functional capacity.
Under FAA cardiovascular standards, which statement regarding cardiac valve replacement is correct?
Answer: Both mechanical and bioprosthetic valve replacements typically require Special Issuance with cardiologic evaluation
Both mechanical and bioprosthetic valve replacements require Special Issuance with comprehensive cardiovascular evaluation, as they indicate significant prior cardiac pathology.