ESAM AME Class 2 - Mock Exams Part II (39 Questions)

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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?

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?

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?

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?

They should be assessed as unfit until recovery. Signup and view all the answers

What is required for a pregnant individual to be declared fit for flying duties?

A review from an AME or OHMP Signup and view all the answers

What is the status of applicants who have undergone a major gynaecological operation?

They are assessed as unfit until recovery is complete. Signup and view all the answers

What is the maximum gestation period during which a pregnant licence holder may be assessed as fit?

26 weeks Signup and view all the answers

What should happen after a pregnancy termination regarding the resumption of licence privileges?

Privileges may resume with satisfactory confirmation of full recovery. Signup and view all the answers

Which of the following medications is not allowed for class 2 hypertensive therapy?

Furosemide Signup and view all the answers

Under what condition may applicants assessed as unfit due to gynaecological surgery regain their fitness for duty?

When the applicant is asymptomatic and risks are minimal. Signup and view all the answers

What is required for a pregnant licence holder to be assessed as fit?

A satisfactory obstetric evaluation. Signup and view all the answers

What is a key requirement for applicants post-gynaecological surgery before being deemed fit?

They should demonstrate they are free from symptoms. Signup and view all the answers

After what event can licence privileges be resumed for a pregnant licence holder?

After satisfactory recovery reports. Signup and view all the answers

What is a requirement for flying up to 26 GA with OML restriction?

A voluntary demand from the woman Signup and view all the answers

Which factor is NOT considered when evaluating a woman for flying during pregnancy?

Her husband's travel preferences Signup and view all the answers

What is emphasized regarding the follow-up of the pregnancy?

Monthly follow-ups at AeMC Signup and view all the answers

What condition must be met regarding the type of pregnancy for flying?

Singleton intrauterine pregnancy without clinical obstetrical signs Signup and view all the answers

What should be avoided when considering the thromboembolic risk?

Long durations of immobility Signup and view all the answers

What should be considered regarding the ability to face inflight incidents?

Physical preparedness and training Signup and view all the answers

What aspect of the pregnancy is linked to external perception in a professional setting?

Human factors related to pregnancy Signup and view all the answers

What is one of the first steps to take when considering flying during pregnancy?

Early echographic scanning Signup and view all the answers

What is a crucial consideration for flying during the first 16 weeks of gestation?

Low risk pregnancy factors Signup and view all the answers

Which condition requires an early declaration for safe flying?

Singleton intrauterine pregnancy Signup and view all the answers

What type of surgery is recommended more frequently for conditions like fibroma and endometriosis?

Surgery over medical treatment Signup and view all the answers

What is essential for patients considering therapy for conditions like fibroma and endometriosis?

Informed consent Signup and view all the answers

Which risk factor is NOT mentioned as a consideration for pregnancies in remote countries?

Family medical history Signup and view all the answers

What should be delivered to document considerations for flying during early pregnancy?

Documentation on considerations Signup and view all the answers

What neurological condition requires consultant review before flying?

Severe head injury with loss of consciousness Signup and view all the answers

What does the term 'early echographic scanning' refer to in the context of pregnancy considerations?

Ultrasound to confirm healthy development in early gestation Signup and view all the answers

What must crew members consider regarding the ability to manage an inflight incident during a woman's pregnancy?

Emergency evacuation protocols Signup and view all the answers

Which of the following is NOT a consideration regarding tiredness and stress for pregnant women when flying?

Traveling with companions Signup and view all the answers

What should be considered when assessing someone with a single episode of disturbance of consciousness?

A fit assessment can be reconsidered if the episode can be explained. Signup and view all the answers

Under what condition should an applicant with migraines be assessed as unfit?

If there is an established diagnosis of migraine likely to pose a hazard. Signup and view all the answers

What is emphasized as being rare during in-flight medical incapacitations?

Urological in-flight medical incapacitations. Signup and view all the answers

What should be taken into account when assessing someone with a migraine diagnosis?

Frequency, severity, and therapy of the migraines. Signup and view all the answers

What is the primary role in an aviation context related to medical assessments?

To maintain aviation safety. Signup and view all the answers

What happens to an applicant with a high propensity for cerebral dysfunction during the assessment process?

They should be assessed as unfit initially. Signup and view all the answers

What is suggested regarding communication during clinical decision-making?

It's important to communicate thoughts and decisions. Signup and view all the answers

What does the phrase 'Time is brain' imply in medical emergency contexts?

Delays in treatment can cause further brain damage. Signup and view all the answers

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.