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)

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