Code of Federal Regulations - Title 14

545

Federal Aviation Administration, DOT

§ 67.107

certificate pending the results of the
examination.

§ 67.105

Ear, nose, throat, and equi-

librium.

Ear, nose, throat, and equilibrium

standards for a first-class airman med-
ical certificate are:

(a) The person shall demonstrate ac-

ceptable hearing by at least one of the
following tests:

(1) Demonstrate an ability to hear an

average conversational voice in a quiet
room, using both ears, at a distance of
6 feet from the examiner, with the back
turned to the examiner.

(2) Demonstrate an acceptable under-

standing of speech as determined by
audiometric speech discrimination
testing to a score of at least 70 percent
obtained in one ear or in a sound field
environment.

(3) Provide acceptable results of pure

tone audiometric testing of unaided
hearing acuity according to the fol-
lowing table of worst acceptable
thresholds, using the calibration stand-
ards of the American National Stand-
ards Institute, 1969 (11 West 42d Street,
New York, NY 10036):

Frequency (Hz)

500

1000

2000

3000

Better ear (Db) .................................

Poorer ear (Db) ...............................

(b) No disease or condition of the

middle or internal ear, nose, oral cav-
ity, pharynx, or larynx that—

(1) Interferes with, or is aggravated

by, flying or may reasonably be ex-
pected to do so; or

(2) Interferes with, or may reason-

ably be expected to interfere with,
clear and effective speech communica-
tion.

fested by, or that may reasonably be
expected to be manifested by, vertigo
or a disturbance of equilibrium.

§ 67.107

Mental.

Mental standards for a first-class air-

man medical certificate are:

(a) No established medical history or

clinical diagnosis of any of the fol-
lowing:

(1) A personality disorder that is se-

vere enough to have repeatedly mani-
fested itself by overt acts.

(2) A psychosis. As used in this sec-

tion, ‘‘psychosis’’ refers to a mental
disorder in which:

(i) The individual has manifested de-

lusions, hallucinations, grossly bizarre
or disorganized behavior, or other com-
monly accepted symptoms of this con-
dition; or

(ii) The individual may reasonably be

expected to manifest delusions, hallu-
cinations, grossly bizarre or disorga-
nized behavior, or other commonly ac-
cepted symptoms of this condition.

(3) A bipolar disorder.
(4) Substance dependence, except

where there is established clinical evi-
dence, satisfactory to the Federal Air
Surgeon, of recovery, including sus-
tained total abstinence from the sub-
stance(s) for not less than the pre-
ceding 2 years. As used in this sec-
tion—

(i) ‘‘Substance’’ includes: Alcohol;

other sedatives and hypnotics;
anxiolytics; opioids; central nervous
system stimulants such as cocaine, am-
phetamines, and similarly acting
sympathomimetics; hallucinogens;
phencyclidine or similarly acting
arylcyclohexylamines; cannabis;
inhalants; and other psychoactive
drugs and chemicals; and

(ii) ‘‘Substance dependence’’ means a

condition in which a person is depend-
ent on a substance, other than tobacco
or ordinary xanthine-containing (e.g.,
caffeine) beverages, as evidenced by—

(A) Increased tolerance;
(B) Manifestation of withdrawal

symptoms;

physical health or impairment of so-
cial, personal, or occupational func-
tioning.

(b) No substance abuse within the

preceding 2 years defined as:

(1) Use of a substance in a situation

in which that use was physically haz-
ardous, if there has been at any other
time an instance of the use of a sub-
stance also in a situation in which that
use was physically hazardous;

(2) A verified positive drug test re-

sult, an alcohol test result of 0.04 or
greater alcohol concentration, or a re-
fusal to submit to a drug or alcohol
test required by the U.S. Department

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