Examination algorithm of a pilot by AME-R or AME-Z

1) Family and personal history focused mainly on incidents of risk diseases
2) Internal physical examination

• height, weight
• blood pressure, heart rate
• ECG (possibly with evaluation of internal medicine specialist)
• haemoglobin value, results of urinalysis (performed at the laboratory unit)
• examination of the head, neck, chest, abdomen, extremities, genitals and the anus via the sight, percussion, auscultation and palpation

3) Neurologic examination

• sensation, motor skills, eye movements (nystagmus)
• mobility of the spine during bending forward, leaning back and slants
  • after finding an abnormality Mingazzini and Lasségue menauvers, Babinski reflex
• standing, walking (I, II, III)
• roughly reflexes on upper and lower extremities, possibly abdominal reflexes
• diadochokinesis

4) ETC examination

• mouth, pharynx, teeth
• nose
• ears
• hearing (colloquial speech at 2 m with back turned to the examiner)
• audiology (initial, 2nd Class instrument rating, up to 40 years every 5 years, after 40 years every 2 years; provides the ETC department

5) Ophthalmological examination

• roughly: orbit, adnexa, visual field, eye's movement (nystagmus)
• pupil, iris colour, eye's fundus (roughly)
  • without correction, with correction
  • in case of need of correction - send to preferential eye examination
• visual acuity for near vision (table N 5 at a distance of 30 - 50 cm)
  • in case of need of correction (presbyopia) - send to preferential eye examination
• visual acuity for middle distance (table N 14 for 100 cm)
• refraction
• colour vision

6) Summary and conclusions

• diagnoses, eventual medication
• medical fitness

7) Writing, signing and stamping of a Medical Certificate by AME (+ making a copy for CAA)