Podcast
Questions and Answers
What is the maximum gestation period during which holders of a LAPL medical certificate may exercise their license privileges under routine antenatal care?
What is the maximum gestation period during which holders of a LAPL medical certificate may exercise their license privileges under routine antenatal care?
- 24 weeks of gestation
- 20 weeks of gestation
- 26 weeks of gestation (correct)
- 30 weeks of gestation
When can a pregnant cabin crew member be assessed as fit to perform duties?
When can a pregnant cabin crew member be assessed as fit to perform duties?
- After 20 weeks of gestation
- At any time during pregnancy
- During the first 16 weeks of gestation (correct)
- During the first 12 weeks of gestation
What recommendation should be considered for a pregnant cabin crew member?
What recommendation should be considered for a pregnant cabin crew member?
- To perform duties as the sole cabin crew member
- To conduct long-haul flights without limitations
- To resume full duties after 12 weeks
- To avoid performing duties as a single cabin crew member (correct)
What is the status of cabin crew members who have undergone a major gynaecological operation?
What is the status of cabin crew members who have undergone a major gynaecological operation?
What is required for a pregnant individual to be declared fit for flying duties?
What is required for a pregnant individual to be declared fit for flying duties?
What is the status of applicants who have undergone a major gynaecological operation?
What is the status of applicants who have undergone a major gynaecological operation?
What is the maximum gestation period during which a pregnant licence holder may be assessed as fit?
What is the maximum gestation period during which a pregnant licence holder may be assessed as fit?
What should happen after a pregnancy termination regarding the resumption of licence privileges?
What should happen after a pregnancy termination regarding the resumption of licence privileges?
Which of the following medications is not allowed for class 2 hypertensive therapy?
Which of the following medications is not allowed for class 2 hypertensive therapy?
Under what condition may applicants assessed as unfit due to gynaecological surgery regain their fitness for duty?
Under what condition may applicants assessed as unfit due to gynaecological surgery regain their fitness for duty?
What is required for a pregnant licence holder to be assessed as fit?
What is required for a pregnant licence holder to be assessed as fit?
What is a key requirement for applicants post-gynaecological surgery before being deemed fit?
What is a key requirement for applicants post-gynaecological surgery before being deemed fit?
After what event can licence privileges be resumed for a pregnant licence holder?
After what event can licence privileges be resumed for a pregnant licence holder?
What is a requirement for flying up to 26 GA with OML restriction?
What is a requirement for flying up to 26 GA with OML restriction?
Which factor is NOT considered when evaluating a woman for flying during pregnancy?
Which factor is NOT considered when evaluating a woman for flying during pregnancy?
What is emphasized regarding the follow-up of the pregnancy?
What is emphasized regarding the follow-up of the pregnancy?
What condition must be met regarding the type of pregnancy for flying?
What condition must be met regarding the type of pregnancy for flying?
What should be avoided when considering the thromboembolic risk?
What should be avoided when considering the thromboembolic risk?
What should be considered regarding the ability to face inflight incidents?
What should be considered regarding the ability to face inflight incidents?
What aspect of the pregnancy is linked to external perception in a professional setting?
What aspect of the pregnancy is linked to external perception in a professional setting?
What is one of the first steps to take when considering flying during pregnancy?
What is one of the first steps to take when considering flying during pregnancy?
What is a crucial consideration for flying during the first 16 weeks of gestation?
What is a crucial consideration for flying during the first 16 weeks of gestation?
Which condition requires an early declaration for safe flying?
Which condition requires an early declaration for safe flying?
What type of surgery is recommended more frequently for conditions like fibroma and endometriosis?
What type of surgery is recommended more frequently for conditions like fibroma and endometriosis?
What is essential for patients considering therapy for conditions like fibroma and endometriosis?
What is essential for patients considering therapy for conditions like fibroma and endometriosis?
Which risk factor is NOT mentioned as a consideration for pregnancies in remote countries?
Which risk factor is NOT mentioned as a consideration for pregnancies in remote countries?
What should be delivered to document considerations for flying during early pregnancy?
What should be delivered to document considerations for flying during early pregnancy?
What neurological condition requires consultant review before flying?
What neurological condition requires consultant review before flying?
What does the term 'early echographic scanning' refer to in the context of pregnancy considerations?
What does the term 'early echographic scanning' refer to in the context of pregnancy considerations?
What must crew members consider regarding the ability to manage an inflight incident during a woman's pregnancy?
What must crew members consider regarding the ability to manage an inflight incident during a woman's pregnancy?
Which of the following is NOT a consideration regarding tiredness and stress for pregnant women when flying?
Which of the following is NOT a consideration regarding tiredness and stress for pregnant women when flying?
What should be considered when assessing someone with a single episode of disturbance of consciousness?
What should be considered when assessing someone with a single episode of disturbance of consciousness?
Under what condition should an applicant with migraines be assessed as unfit?
Under what condition should an applicant with migraines be assessed as unfit?
What is emphasized as being rare during in-flight medical incapacitations?
What is emphasized as being rare during in-flight medical incapacitations?
What should be taken into account when assessing someone with a migraine diagnosis?
What should be taken into account when assessing someone with a migraine diagnosis?
What is the primary role in an aviation context related to medical assessments?
What is the primary role in an aviation context related to medical assessments?
What happens to an applicant with a high propensity for cerebral dysfunction during the assessment process?
What happens to an applicant with a high propensity for cerebral dysfunction during the assessment process?
What is suggested regarding communication during clinical decision-making?
What is suggested regarding communication during clinical decision-making?
What does the phrase 'Time is brain' imply in medical emergency contexts?
What does the phrase 'Time is brain' imply in medical emergency contexts?
Study Notes
Aeromedical Assessment
- Furosemide (loop diuretic) is prohibited for treating Class 2 hypertension.
- Gynaecological surgery may render applicants unfit until full recovery, asymptomatic status, and low recurrence risk are confirmed.
- Pregnant pilots may be deemed fit up to 26 weeks of gestation if obstetric evaluation is satisfactory, with resumption privileges post-recovery.
- LAPL medical certificate holders can only exercise privileges until the end of the 26th week of pregnancy under routine care.
Obstetrics and Gynecology
- Cabin crew who have major gynaecological surgery are deemed unfit until recovery.
- Pregnant cabin crew assessed as fit only during the first 16 weeks of gestation, with recommendations to avoid single crew duties.
- Considerations for flying during pregnancy include no invalid symptoms, low-risk status, and ergonomic work conditions.
Considerations for Female Aircrew
- Early follow-up is essential for pregnant aircrew to ascertain pregnancy progression.
- Key factors include exposure to radiation (<1 mSv/y), thromboembolic risk, and ergonomic work conditions.
- Regular evaluations with obstetricians needed for ongoing fitness assessment during pregnancy.
Gynecology
- Conditions such as fibroids, endometriosis, and adenomyosis may require surgical intervention to prevent sudden incapacitation due to pain or bleeding.
- Informed consent regarding medical treatment is imperative, particularly when professional necessity impacts therapy decisions.
Neurology and Aviation
- A history of severe head injury warrants evaluation by a neurologist, focusing on full recovery and epilepsy risk.
- A single episode of disturbance in consciousness may allow for fit assessment if satisfactorily explained; recurrences are disqualifying.
- Conditions predisposing to cerebral dysfunction require a thorough evaluation before a fit assessment is considered.
Migraine
- Established migraine diagnoses or severe periodic headaches pose flight safety hazards and result in unfit assessments.
- Evaluation considers aura presence, visual field loss, attack frequency, severity, and treatment plan.
Urological Health
- Although urological in-flight medical incapacitations are rare, urological symptoms are common during aeromedical exams.
- Effective communication and clinical decision-making are critical for ensuring aviation safety.
Take Home Messages
- Rigorous assessment processes are essential for ensuring the fitness of aircrew and pilots regarding obstetrics, gynecology, neurology, and urological health.
- Detailed consideration must be given to individual health conditions, risks, and their potential impact on flight safety.
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Description
This quiz covers essential aeromedical guidelines for female aircrew, focusing on conditions affecting their fitness to fly during and after pregnancy. Topics include the effects of gynaecological surgeries, considerations for pregnant cabin crew, and applicable medical assessments for maintaining aircrew certification. Understanding these factors is crucial for ensuring the safety and health of air personnel.
