Acpm - Clinical Aerospace Medicine (And Travel Med Cont)

Front 1

Of the FAA 15 specifically disqualifying conditions name the 6 cardiac conditons.

Back 1

1. MI
2. Angina
3. CAD (that required treatment or if untreated if it is asymptomatic)
4. Valve Replacement
5. Permanent pacemaker
6. Heart transplant

Front 2

Of the FAA 15 specifically disqualifying conditions name the 5 psychiatric conditons.

Back 2

1. Subatance Abuse
2. Substance Dependence
3. Psychosis
4. Personality disorder
5. Bipolar disorder

Front 3

Of the FAA 15 specifically disqualifying conditions name the 3 neurologic conditons.

Back 3

1. Epilepsy
2. Disturbance of conciousnesswithout nedicla explanation
3. Transient loss of control of nervous system function without satisfactory medical explanation

Front 4

Of the FAA 15 specifically disqualifying conditions name the 1 medical conditon.

Back 4

1. Diabetes requiring insulin or hypoglycemic med

Front 5

Physiologic

Back 5

Surface to 10,000 ft

Front 6

Physiologic deficit

Back 6

10,000 to 50,000 ft; oxygen required

Front 7

Space

Back 7

50,000 ft to 120 mi; full pressure suit or pressurized cabin required

Front 8

Altitude sickness chart

Back 8

Front 9

Definition of acute altitude sickness

Back 9

Recent ascent above 8,000 ft with headache and at least one of the followingNausea, vomiting, dizziness, anorexia, insomnia

Front 10

What are the criteria (signs and symptoms) of high altitude pulmonary edema?

Back 10

At least two of the following signs

*Crackles or wheezing in at least one lung field*Central cyanosis, tachypnea, tachycardia

*At least two of the following symptoms

* Dyspnea at rest, cough, weakness or decreased exercise performance, chest tightness or congestion

Front 11

What is the treatment of HPE?

Back 11

*OxygenHyperbaric therapy

*Nifedipine (pulmonary hypertension)

Front 12

What is the treatment of high altitude pulmonary edema?

Back 12

Emergency descentOxygenHyperbaric treatmentDexamethasone (as indicated)

Front 13

Unpressurized aircraft > 18,000 ftRapid decompression of pressurized aircraft

Back 13

High altitude decompression sickness

Front 14

Cautions for flying after diving?

Back 14

Wait 12 hours after non-decompression dive; >24 hours if compression dive

Front 15

Def: Type I decompression sickness?

Back 15

Skin and joint pain only – “Creeps” and the “Bends”

Front 16

Type II decompression sickness

Back 16

Cardiopulmonary (chokes)NeurologicCerebrum and cranial nerves, cerebellum, spinal cord, and vestibular (staggers)

Front 17

What route results in the most Jet lag:

A) East to west

B) West to east

Back 17

West to east is the most upsetting for biorhythms

Front 18

How many days to adapt to a long distance flight.

Back 18

1 day for each time zone crossed is required for adaptation

Front 19

What is the medical assistance act of 1998?

Back 19

Collect in-flight medical events dataLiability for those providing medical response to in-flight medical emergencies

Front 20

Class I physical

Back 20

Typically reserved for scheduled commercial airline transport pilots

Front 21

Class II physical

Back 21

Required for commercial pilots, including corporate aviators, crop dusters, aeromedical pilots, charter pilots, or navigators and first officers of commercial airline flights

Front 22

Class III physical

Back 22

Used for recreational or private pilots

Front 23

For how long are class I physicals good for?

Back 23

6 calendar months if older than age 40 at the time of evaluation; 12 months if younger than age 40

Front 24

For how long are class II physicals good for?

Back 24

12 calendar months

Front 25

For how long are class III physicals good for?

Back 25

60 months if younger than age 40 at the time of evaluation; 24 months if age 40 or older at the time of evaluation

Front 26

True or false? Airline attendants are certified by the FFA?

Back 26

False. Undergo examinations at a determined schedule by airlines

Front 27

2 At which of the following regions of the world is the drug of choice to treat travelers diarrhea likely to be azithromycin?(A) Mexico(B) Guatemala(C) Kenya(D) Thailand(E) RepublicofSouthAfrica

Back 27

Thailand b/c resistance

Front 28

19 Which of the following patients should be denied medical approval for travel?(A) A 55-year-old white man with stable angina pectoris(B) A 62-year-old African-American man with nocturnal dyspnea and orthopnea(C) A 58-year-old white woman whose status is 5 weeks after uncomplicated myocardial infarction(D) A 57-year-old man with chronic lung disease who is unable to climb two flights of stairs or to walk for two blocks(E) A 35-year-old woman who is 7 months into an uncomplicated pregnancy

Back 28

Cut patient

Front 29

If an aircrewmen develops a "sinus block" (barosinusitis), the most effective management which can be initiated immediately is?

Back 29

Reassend to pressure is equalized

Front 30

. Undetectable patent foramen ovale probably exists in 25-30% of the population and poses no threat to the health of the flying population with the possible exception of which aerospace medical problem?

Back 30

Decompression sickness: nitrogen bubbles pass into left heart

Front 31

The most commonly involved sinus with barosinusitis is?

Back 31

The most commonly involved sinus with barosinusitis is? THE FRONTAL Sinus

Front 32

Testicular cancer (or ho) is it a disqualifying condition?

Back 32

No. Needs to be cancer free and off treatment

Front 33

Testicular cancer (or ho) is it a disqualifying condition?

Back 33

No. Needs to be cancer free and off treatment

Front 34

Can a person with a history of Hodkgins lympoma qualify for a medical license?

Back 34

No. Concern about recurrence. Need waiver

Front 35

Infection with the Human Immunodeficiency Virus (HIV) is

Back 35

only disqualifying if AIDS has been diagnosed, or the airman is taking prophylacticmedications for the condition

Front 36

With respect to organ transplantation and civil aeromedical certification

Back 36

Select pilots may be medically certified by the FAA for all classes of medical certificatesafter undergoing organ transplantation. Exception: Heart transplant

Front 37

16. A general aviation pilot, Class 3 medical certificate holder, has recently been diagnosed with diabetes. As an aviation medicine specialist, she comes to you for advice with regards to her return to flying as a

Back 37

Inform her that diabetes is disqualifying, but she could eventually continue to fly provided she has an unremarkable medical evaluation and no complications of the diabetes exists, her diabetes is well controlled with either diet, exercise and/or oral hypoglycemic agents, control has been documented for at least three months, and no adverse medication side-effects exist. CANNOT BE ON INSLUIN

Front 38

Use of H2 blockers for GERD: is it disqualifying?

Back 38

No. However, gastric or duednal ulcers are.

Front 39

Your airline company has to operate a three shift maintenance base and asks you to recommend the best theoretical shift schedule. You suggest the following rotation:

Back 39

Shift from day to evening to night at an intervals of every three weeks.

Front 40

What is the lowest altitude where decompression sickness can occur?

Back 40

18,000 feet

Front 41

Which of the following is UNCOMMON as a sign or symptom of decompression sickness

Back 41

Cyanosis

Front 42

Generally accepted clinical applications of hyperbaric oxygen therapy include

Back 42

carbon monoxide poisoning, mandibular osteoradionecrosis, cyanide poisoning.

Front 43

International aviation health regulations

Back 43

Optional and voluntary, but ICAO Contracting States and WHO Member States, Associate States andother States bound by the IHR (2005) shall comply with the regulations unless they have indicated to ICAO and WHO that their position is not to be bound by the IHR, or to be bound with reservations only

Front 44

Regarding the risk of deep vein thrombosis (DVT) in commercial air travel, which of the following is most correct

Back 44

Low-molecular wt heparin. No evidence for aspirin.

Front 45

2 At which of the following regions of the world is the drug of choice to treat travelers diarrhea likely to be azithromycin?(A) Mexico(B) Guatemala(C) Kenya(D) Thailand(E) RepublicofSouthAfrica

Back 45

Thailand b/c resistance

Front 46

19 Which of the following patients should be denied medical approval for travel?(A) A 55-year-old white man with stable angina pectoris(B) A 62-year-old African-American man with nocturnal dyspnea and orthopnea(C) A 58-year-old white woman whose status is 5 weeks after uncomplicated myocardial infarction(D) A 57-year-old man with chronic lung disease who is unable to climb two flights of stairs or to walk for two blocks(E) A 35-year-old woman who is 7 months into an uncomplicated pregnancy

Back 46

Cut patient

Front 47

A commercial aircraft is normally pressurized to what?

Back 47

6000-8000 feet

Front 48

Boyle's law

Back 48

Gas volume will increase with altitude (low pressure ) and decrease with decreasing altitude (high pressure)

Thus, gases can get trapped in the sinuses or ear drum upon descent

Front 49

Boyle's law

Back 49

Gas volume will increase with altitude (low pressure ) and decrease with decreasing altitude (high pressure)

Thus, gases can get trapped in the sinuses or ear drum upon descent

Front 50

Henry's law

Back 50

Explains decompression sickness