Board Review Course Aerospace Medicine Breakout - Study Materials (Study Questions, Slides and Reference Materials)-Clinical Aerospace Medicine Study Materials

Clinical Aerospace Medicine Study Materials

Pdf Summary

The course on Clinical Aerospace Medicine aims to educate attendees on disqualifying conditions for an FAA medical certificate, the FAA's stance on acceptable medications, and the certification process for complex medical and psychiatric cases. Key learning points through MOC questions include:<br /><br />1. **Disqualifying Conditions**: Specific conditions like having a permanent cardiac pacemaker are explicitly disqualifying under 14 CFR Part 67. Other conditions such as depressive disorders, sickle cell disease, and AIDS are generally but not specifically disqualifying.<br /><br />2. **Hypertension**: The AME Guide permits certification of airmen with blood pressure up to 155/95.<br /><br />3. **Medication Use**: It is the underlying medical condition, not the medication, that primarily concerns the FAA. "Off-label" use of medication is allowed within safe dosage limits.<br /><br />4. **Melanomas**: AMEs can issue certificates if melanomas are less than Breslow 0.75 mm.<br /><br />5. **Vasovagal Syncope**: Symptoms include nausea, deep breathing, tunnel vision, sweating, and dry mouth, while amnesia is more associated with seizures.<br /><br />6. **Spontaneous Pneumothorax**: Recurrence is the main concern, with a higher likelihood following multiple occurrences.<br /><br />7. **Diabetes**: All classes may receive Special Issuance if controlled with oral hypoglycemics.<br /><br />8. **Renal Colic**: Stones less than 8-10 mm typically pass within weeks; AMEs may issue certificates if no residual stone is present.<br /><br />9. **Hearing Concerns**: Normal conversation levels range from 45 to 60 dB, while loud noises (over 120 dB) may cause sensorineural hearing loss.<br /><br />10. **HIV Positive Airmen**: Requires COG Screen or neurocognitive testing for certification.<br /><br />11. **Deep Venous Thrombosis**: Concerns include the uncommon occurrence of massive pulmonary embolism in healthy individuals.<br /><br />12. **Refractive Error**: Poor correction can affect stereopsis and contrast sensitivity.<br /><br />13. **Visual Standards**: First-class certificates require near visual acuity of 20/40 or better.<br /><br />14. **Bundle Branch Block**: Radionuclide stress testing needed where treadmill tests are uninterpretable.<br /><br />15. **SVT**: Defined as 3+ consecutive beats, with rates commonly ranging from 140-250 bpm.<br /><br />16. **Pregnancy**: Limits fetal exposure to radiation to 1 millisievert during pregnancy.<br /><br />17. **Acoustic Neuroma**: Vertigo occurs less frequently than tinnitus.<br /><br />18. **Glaucoma**: Risks include vision loss and blindness if inadequately treated.<br /><br />19. **Sinusitis**: Streptococcus pneumoniae and Haemophilus influenza are common agents in adults.<br /><br />20. **Anemia**: Airmen can fly if hemoglobin levels are ≥10 gm %.<br /><br />References include standard texts in Aerospace Medicine and official FAA and ASAMS guidelines.

Keywords

Clinical Aerospace Medicine

FAA medical certificate

disqualifying conditions

acceptable medications

certification process

hypertension

medication use

melanomas

diabetes

hearing concerns