684 

14 CFR Ch. I (1–1–19 Edition) 

§ 68.5 

to operate the aircraft in a safe man-
ner.’’. 

§ 68.5

Comprehensive medical exam-

ination. 

(a) Prior to the medical examination 

required by § 61.23(c)(3) of this chapter, 
an individual must— 

(1) Complete the individual’s section 

of the checklist described in § 68.7; and 

(2) Provide the completed checklist 

to the State-licensed physician per-
forming the medical examination. 

(b) The physician must— 
(1) Conduct the medical examination 

in accordance with the checklist set 
forth in § 68.7, 

(2) Check each item specified during 

the examination; and 

(3) Address, as medically appropriate, 

every medical condition listed and any 
medications the individual is taking. 

§ 68.7

Comprehensive medical exam-

ination checklist. 

The comprehensive medical examina-

tion required to conduct operations 
under § 61.113(i) must include a check-
list containing the following: 

(a) A section, for the individual to 

complete that contains— 

(1) Boxes 3 through 13 and boxes 16 

through 19 of the FAA Form 8500–8 (3– 
99); and 

(2) A signature line for the individual 

to affirm that— 

(i) The answers provided by the indi-

vidual on that checklist, including the 
individual’s answers regarding medical 
history, are true and complete; 

(ii) The individual understands that 

he or she is prohibited under FAA regu-
lations from acting as pilot in com-
mand, or any other capacity as a re-
quired flight crew member, if he or she 
knows or has reason to know of any 
medical deficiency or medically dis-
qualifying condition that would make 
the individual unable to operate the 
aircraft in a safe manner; and 

(iii) The individual is aware of the 

regulations pertaining to the prohibi-
tion on operations during medical defi-
ciency and has no medically disquali-
fying conditions in accordance with ap-
plicable law; 

(b) A section with instructions for 

the individual to provide the completed 
checklist to the State-licensed physi-

cian performing the comprehensive 
medical examination required under 
§ 68.5; and 

(c) A section, for the physician to 

complete, that instructs the physi-
cian— 

(1) To perform a clinical examination 

of— 

(i) Head, face, neck, and scalp; 
(ii) Nose, sinuses, mouth, and throat; 
(iii) Ears, general (internal and ex-

ternal canals), and eardrums (perfora-
tion); 

(iv) Eyes (general), ophthalmoscopic, 

pupils (equality and reaction), and ocu-
lar motility (associated parallel move-
ment, nystagmus); 

(v) Lungs and chest (not including 

breast examination); 

(vi) Heart (precordial activity, 

rhythm, sounds, and murmurs); 

(vii) Vascular system (pulse, ampli-

tude, and character, and arms, legs, 
and others); 

(viii) Abdomen and viscera (including 

hernia); 

(ix) Anus (not including digital ex-

amination); 

(x) Skin; 
(xi) G–U system (not including pelvic 

examination); 

(xii) Upper and lower extremities 

(strength and range of motion); 

(xiii) Spine and other musculo-

skeletal; 

(xiv) Identifying body marks, scars, 

and tattoos (size and location); 

(xv) Lymphatics; 
(xvi) Neurologic (tendon reflexes, 

equilibrium, senses, cranial nerves, and 
coordination, etc.); 

(xvii) Psychiatric (appearance, be-

havior, mood, communication, and 
memory); 

(xviii) General systemic; 
(xix) Hearing; 
(xx) Vision (distant, near, and inter-

mediate vision, field of vision, color vi-
sion, and ocular alignment); 

(xxi) Blood pressure and pulse; and 
(xxii) Anything else the physician, in 

his or her medical judgment, considers 
necessary; 

(2) To exercise medical discretion to 

address, as medically appropriate, any 
medical conditions identified, and to 
exercise medical discretion in deter-
mining whether any medical tests are 

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