Section 68.5

14 CFR Ch. I (1-1-19 Edition)

to operate the aircraft in a safe manner. - .

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Section 68.5 Comprehensive medical examination.
(a) Prior to the medical examination
required by Section 61.23(c)(3) of this chapter,
an individual must - 
(1) Complete the individual-s section
of the checklist described in Section 68.7; and
(2) Provide the completed checklist
to the State-licensed physician performing the medical examination.
(b) The physician must - 
(1) Conduct the medical examination
in accordance with the checklist set
forth in Section 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.
Section 68.7 Comprehensive medical examination checklist.
The comprehensive medical examination required to conduct operations
under Section 61.113(i) must include a checklist 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 individual 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 regulations from acting as pilot in command, or any other capacity as a required flight crew member, if he or she
knows or has reason to know of any
medical deficiency or medically disqualifying 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 prohibition on operations during medical deficiency and has no medically disqualifying conditions in accordance with applicable 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
Section 68.5; and
(c) A section, for the physician to
complete, that instructs the physician - 
(1) To perform a clinical examination
of - 
(i) Head, face, neck, and scalp;
(ii) Nose, sinuses, mouth, and throat;
(iii) Ears, general (internal and external canals), and eardrums (perforation);
(iv) Eyes (general), ophthalmoscopic,
pupils (equality and reaction), and ocular motility (associated parallel movement, nystagmus);
(v) Lungs and chest (not including
breast examination);
(vi)
Heart
(precordial
activity,
rhythm, sounds, and murmurs);
(vii) Vascular system (pulse, amplitude, and character, and arms, legs,
and others);
(viii) Abdomen and viscera (including
hernia);
(ix) Anus (not including digital examination);
(x) Skin;
(xi) G-U system (not including pelvic
examination);
(xii) Upper and lower extremities
(strength and range of motion);
(xiii) Spine and other musculoskeletal;
(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, behavior, mood, communication, and
memory);
(xviii) General systemic;
(xix) Hearing;
(xx) Vision (distant, near, and intermediate vision, field of vision, color vision, 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 determining whether any medical tests are

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