USCIS Communicable Disease Screening & Reporting

Question 1

Which communicable disease classification results in a mandatory finding of inadmissibility during the USCIS immigration medical examination?

Accepted Answer

Class A condition

Answer

Class B1 condition

Answer

Class B2 condition

Answer

Class B other condition

Question 2

Which screening method is specified by CDC Technical Instructions as the initial test for tuberculosis in USCIS immigration medical examinations?

Accepted Answer

Tuberculin skin test (TST) or interferon-gamma release assay (IGRA)

Answer

Chest X-ray alone

Answer

Sputum smear and culture

Answer

Chest CT scan with contrast

Question 3

Which serologic tests are used to screen for syphilis during the USCIS immigration medical examination?

Accepted Answer

VDRL or RPR tests

Answer

FTA-ABS and TPHA tests

Answer

ELISA and Western blot tests

Answer

PCR and culture tests

Question 4

Under current USCIS policy, which of the following diseases is no longer classified as a communicable disease of public health significance for immigration inadmissibility purposes?

Accepted Answer

HIV infection

Answer

Active pulmonary tuberculosis

Answer

Infectious gonorrhea

Answer

Active infectious syphilis

Question 5

What is the required next step when an immigration applicant has a positive tuberculin skin test (TST) result during the USCIS medical examination?

Accepted Answer

Perform a chest X-ray to evaluate for active pulmonary tuberculosis

Answer

Classify the applicant as Class A and recommend inadmissibility

Answer

Repeat the TST in two weeks to confirm the result

Answer

Prescribe LTBI treatment immediately before completing Form I-693

Question 6

Which CDC-approved IGRA tests are acceptable alternatives to the TST for tuberculosis screening in USCIS medical examinations?

Accepted Answer

QuantiFERON-TB Gold Plus and T-SPOT.TB

Answer

QuantiFERON-TB Classic and Mantoux IGRA

Answer

T-SPOT.TB and ELISA-TB Gold

Answer

QuantiFERON-TB Silver and T-SPOT.Gold

Question 7

What action must a civil surgeon take when an immigration applicant is found to have active, infectious gonorrhea during the USCIS medical examination?

Accepted Answer

Classify the condition as Class A, rendering the applicant inadmissible

Answer

Record it as a Class B condition and complete the I-693

Answer

Treat the infection and clear the applicant immediately on the same visit

Answer

Defer the I-693 indefinitely until the applicant undergoes treatment