AME Cardiovascular Evaluation & Electrocardiography

Question 1

At what age is a resting ECG first required for an initial First Class medical certificate applicant under FAA guidelines?

Accepted Answer

Age 35

Answer

Age 30

Answer

Age 40

Answer

Age 45

Question 2

An AME measures a First Class applicant's blood pressure at 162/98 mmHg after two readings. What is the most appropriate action?

Accepted Answer

Defer the application to the AMCD for further evaluation

Answer

Issue the certificate with a limitation note

Answer

Recheck in 30 days and issue if reading normalizes

Answer

Deny the certificate outright without deferral

Question 3

Which of the following is a CACI (Condition AMEs Can Issue) condition that allows an AME to certify without mandatory AMCD deferral if criteria are met?

Accepted Answer

Controlled hypertension on antihypertensive medication

Answer

History of coronary artery bypass graft surgery

Answer

Implanted permanent cardiac pacemaker

Answer

History of myocardial infarction within 5 years

Question 4

A pilot reports a history of paroxysmal atrial fibrillation currently in normal sinus rhythm with rate-control medication. What certification pathway typically applies?

Accepted Answer

Special Issuance Authorization following comprehensive cardiologic evaluation

Answer

Automatic disqualification for all certificate classes

Answer

Standard issuance without additional cardiovascular workup

Answer

Third Class certification only, permanently restricted

Question 5

Which ECG finding would most likely require immediate deferral and cardiology referral for a pilot applicant?

Accepted Answer

New complete left bundle branch block (LBBB)

Answer

Sinus bradycardia at 54 beats per minute

Answer

Incomplete right bundle branch block

Answer

First-degree atrioventricular block

Question 6

What minimum left ventricular ejection fraction (LVEF) is generally required by the FAA for Special Issuance consideration after myocardial infarction?

Accepted Answer

50% or greater

Answer

30% or greater

Answer

40% or greater

Answer

60% or greater

Question 7

Starting at age 40, at what interval must a resting ECG be obtained for First Class medical certificate renewal?

Accepted Answer

Every 12 months (annually)

Answer

Every 24 months

Answer

Every 18 months

Answer

Every 6 months