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Head, Face, Neck, and Scalp

FAA Guidance to AMEs on the Exam

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Guide for Aviation Medical Examiners
Application Process for Medical Certification


Exam Techniques and Criteria for Qualification
Item 25. Head, Face, Neck, and Scalp

  1. Code of Federal Regulations
    1. First-Class: 14 CFR 67.105(b)(c)
    2. Second-Class: 14 CFR 67.205(b)(c)
    3. Third-Class: 14 CFR 67.305(b)(c)
  2. FAA Approved Examination Techniques Used by FAA Designated AMEs


Decision Considerations


III. Item 25. Head, Face, Neck, and Scalp
Aerospace Medical Dispositions


The following lists the most common conditions of aeromedical significance, and course of action that should be taken by the examiner as defined by the protocol and disposition in the table. Medical certificates must not be issued to an applicant with medical conditions that require deferral, or for any condition not listed that may result in sudden or subtle incapacitation without consulting the AMCD or the RFS. Medical documentation must be submitted for any condition in order to support an issuance of an airman medical certificate.

Disease/Condition Class Evaluation Data Disposition
Active fistula of neck, either congenital or acquired, including tracheostomy All Submit all pertinent medical information and current status report Requires FAA Decision
Loss of bony substance involving the two tables of the cranial vault All Submit all pertinent medical information and current status report Requires FAA Decision
Deformities of the face or head that would interfere with the proper fitting and wearing of an oxygen mask 1st & 2nd Submit all pertinent medical information and current status report Requires FAA Decision
3rd Submit all pertinent medical information If deformity does not interfere with administration of supplemental O2 - Issue

Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

25. Head, Face, Neck, and Scalp 42. Upper and Lower Extremities
26. Nose 43. Spine and other Musculoskeletal
27. Sinuses 44. Identifying Body Marks, Scars, Tattoos
28. Mouth and Throat 45. Lymphatics
29. Ear 46. Neurologic
30. Ear Drums 47. Psychiatric Conditions
31. Eyes 48. General Systemic
32. Ophthalmoscopic 49. Hearing
33. Pupils 50. Distant Vision
34. Ocular Motility 51. Near and Intermediate Vision
35. Lungs and Chest 52. Color Vision
36. Heart 53. Field of Vision
37. Vascular System 54. Heterophoria
38. Abdomen and Viscera 55. Blood Pressure
39. Anus (No Disposition) 56. Pulse
40. Skin 57. Urinalysis
41. G-U System 58. ECG (No Disposition)

Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8

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