Height-weight Chart for Women

7/27/2019 Height-weight Chart for Women

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Each weight chart below is specifically for women. But the numbers are just averages and should onlybe used as guidelines. Your ideal healthy weight may be different than what's on the weight chart.

However there is one hard and fast rule. It concerns your BMI. The BMI (body mass index) is used todetermine whether a womans health is at risk based on her weight. It's a ratio of your weight to yourheight.

A BMI of 18.5 to 25 is considered healthy, whereas a BMI of 25.1 to 29.9 is considered overweight and a30 or more BMI is considered obese.

Body Mass Index Women

Normal 18.5 - 25 percent

Overweight 25.1 - 29.9 percent

Obese Over 30 percent

You can calculate yourBMI here. And you can also have an exact measurement of body-fat done byunderwater weighing, bioelectrical impedance or skin-fold caliper.

Height Weight Age Chart for Women

*Height Ages 18-34 Ages 35 & up (BMI of 18.5-25)

Feet/Inches *Weight/lbs. *Weight/lbs. Ideal *wt. for all

4' 10" 90-121 101-131 90-121

4' 11" 93-124 104-134 93-124

5' 0" 97-128 108-138 97-128

5' 1" 101-132 111-143 101-132

5' 2" 104-137 115-148 104-137

5' 3" 107-141 119-152 107-141

5' 4" 111-146 122-157 111-146

5' 5" 114-150 126-162 114-150

5' 6" 118-155 130-167 118-155

5' 7" 121-160 134-172 121-160

5' 8" 125-164 138-178 125-164

5' 9" 129-169 142-183 129-169

5' 10" 132-174 146-188 132-174

5' 11" 136-179 151-194 136-179

6' 0" 140-184 155-199 140-184

*Wearing shoes with 1" heel and indoor clothing that weighs 3 lbs.Based on USDA and Depart. of Health and Human Services Figures

This next weight chart for women shows the range of weight with the lowest possible risk of developingweight related health problems.

Weight Height Chart for Women ages 25-59 (based on *frame size)

*Height:Feet/Inches

*WeightSmall frame

*WeightMedium frame

*WeightLarge frame

4' 10" 102-111 109-121 118-131

4' 11" 103-113 111-123 120-134

5' 0" 104-115 113-126 122-137
http://www.cdc.gov/healthyweight/assessing/bmi/http://www.cdc.gov/healthyweight/assessing/bmi/http://www.cdc.gov/healthyweight/assessing/bmi/http://www.cdc.gov/healthyweight/assessing/bmi/


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5' 1" 106-118 111-126 125-140

5' 2" 108-121 115-129 128-143

5' 3" 111-124 118-132 131-147

5' 4" 114-127 121-135 134-151

5' 5" 117-130 124-138 137-155

5' 6" 120-133 127-141 140-1595' 7" 123-136 130-144 143-163

5' 8" 126-139 133-147 146-167

5' 9" 129-142 136-150 149-170

5' 10" 132-145 142-156 152-173

5' 11" 135-148 145-159 155-176

6' 0" 138-151 148-162 158-179*Wearing shoes with 1" heel and indoor clothing that weighs 3 lbs.Source: Metropolitan Life Insurance Company weight chart based on mortality.

To quickly approximate your frame size, place your thumb and index finger around your wrist. If yourfinger overlaps your thumb, your frame is small, if they touch, it's medium and if they don't touch, it'slarge.

A more accurate way to calculate frame size is to follow these 3 steps:

1. Extend your arm in front of you bending your elbow at a 90-degree angle. Your forearm should beparallel to your body.

2. With straight fingers, turn the inside of your wrist towards your body.3. Place the thumb and index finger of your other hand on the two prominent bones either side of

your elbow and measure the distance between those bones using a tape measure or calipers.

Measurements lower than those for each height listed below indicate a small frame and highermeasurements indicate a large frame.

Elbow Measurements for Medium Frame Women

Height in 1" Heels Elbow Measurement

4'10" - 4' 11" 2-1/4" to 2-1/2"

5' 0" - 5' 3" 2-1/4" to 2-1/2"

5' 4" - 5' 7" 2-3/8" to 2-5/8"

5' 8" - 5' 11" 2-3/8" to 2-5/8"

6' 0" 2-1/2" to 2-3/4"

Even if you don't need to lose weight, it's important to establishhealthy eatingandphysical activityhabits

to stay healthy over the years
http://commonsensehealth.com/Diet-and-Nutrition/How_to_Eat_Healthy_Eating_Healthy_Foods.shtmlhttp://commonsensehealth.com/Diet-and-Nutrition/How_to_Eat_Healthy_Eating_Healthy_Foods.shtmlhttp://commonsensehealth.com/Diet-and-Nutrition/How_to_Eat_Healthy_Eating_Healthy_Foods.shtmlhttp://commonsensehealth.com/Healthy-Living/Regular_Physical_Activity_Benefits_for_Health.shtmlhttp://commonsensehealth.com/Healthy-Living/Regular_Physical_Activity_Benefits_for_Health.shtmlhttp://commonsensehealth.com/Healthy-Living/Regular_Physical_Activity_Benefits_for_Health.shtmlhttp://commonsensehealth.com/Healthy-Living/Regular_Physical_Activity_Benefits_for_Health.shtmlhttp://commonsensehealth.com/Diet-and-Nutrition/How_to_Eat_Healthy_Eating_Healthy_Foods.shtml


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Height Weight Chart for WOMEN

SlHeight

NormalFrame

Weight(kg)+/-2%

LargeFrame

Weight(kg)+/-2%

1 4'6" 43 - 47.247.2 -52.5

2 4'7" 44.2 - 48.8 48.8 - 54

3 4'8" 45.7 - 50 50 - 55.6

4 4'9" 47 - 52 52 - 57

5 4'10" 48.5 - 53.553.5 -

58.8

6 4'11" 50 - 55 55 - 60

7 5' 51.4 - 56 56 - 62

8 5'1" 52.8 - 58.258.2 -

63.5

9 5'2" 54.2 - 60 60 - 65

10 5'3" 55.7 - 61.561.5 -66.5

11 5'4" 57 - 63 63 - 68

12 5'5" 58.5 - 64.564.5 -69.1

13 5'6" 60 - 65 65 - 70.7

14 5'7" 62 - 67 67 - 72.2

15 5'8" 63.5 - 69 69 - 74.5

16 5'9" 64.9 - 72.5

17 5'10" 69 - 72.372.3 -75.4

18 5'11" 68 - 73.273.2 -78.5

19 6' 70.1 - 75 75 - 80

Height Weight Chart for MEN

SlHeight

NormalFrameWeight (kg)+/- 2%

Large FrameWeight (kg)+/- 2%

1 5'2" 54.2 - 60 60 - 65


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2 5'3" 55.7 - 61.5 61.5 - 66.5

3 5'4" 57 - 63 63 - 68

4 5'5" 58.5 - 64.5 64.5 - 69.1

5 5'6" 60 - 65 65 - 70.7

6 5'7" 62 - 67 67 - 72.2

7 5'8" 63.5 - 69 69 - 74.5

8 5'9" 64.9 - 72.5

9 5'10" 69 - 72.3 72.3 - 75.4

10 5'11" 68 - 73.2 73.2 - 78.5

11 6' 70.1 - 75 75 - 80

12 5'11" 72.6 - 77.5 77.5 - 81.6

13 6' 74 - 78.6 78.6 - 83.2

14 6'1" 75.5 - 80 80 - 84.7

15 6'2" 76.9 - 81 81 - 86.3

16 6'3" 78.4 - 83.1 83.1 - 87.8

17 6'4" 79.8 - 84.1 84.1 - 89.418 6'5" 81.2 - 86.3 86.3 - 91

19 6'6" 82.7 - 87.8 87.8 - 92.5

MEDICAL STANDARDS FOR

OFFICER CANDIDATES

CHAPTER 1

GENERAL INSTRUCTIONS

.1. In this section the medical standards of candidates for commissioning into flying, ground duty branches in th

given. For Airmen and NCs (E) also most of these standards will apply.
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.2. The basic requirements of medical fitness are essentially the same for all branches, except for aircrew whose uity, anthropometry and certain other physical standards are higher. A candidate will not be assessed physically fit

examination as a whole shows that he/ she is physically and mentally capable of withstanding severe physic

ntal strain for prolonged periods in any climate in any part of the world.

.3. The results of initial examination are recorded on AFMSF 2. The medical examination consists of: -

(a)A questionnaire, which is to be carefully and truthfully completed by the candidate and countersigned examining medical officer. The importance of all aspects of the questionnaire, including the legal aspect, sho

emphasized on all candidates. Any subsequent detection of disability, not declared earlier, will le

disqualification at any stage prior to commissioning.

(b) A complete medical and surgical examination including dental examination and gynecological examinat

women.

(c) An ophthalmic examination, and

(d) An examination of the ears, nose and throat.

.4. Each M.O/ Specialist conducting part of the examination completes the appropriate section of the form and a

/her signature at the end of each section. The President of the Medical Board then assesses the overall fitness

ndidate. To ensure that the results recorded on different candidates are comparable, it is important that standard tparatus and procedures are used.

.5. The medical standards spelt out in this section pertain to initial entry medical standards. Continuation of mness will be assessed during the periodic medical examinations held at NDA/ AFA/ AFTC prior to commissioni

wever, any disease or disability is detected during the training phase, which will have a bearing on the flight

bsequent physical fitness and medical category; such cases will be referred expeditiously to IAM (for aircrew)/SpecMH under intimation to the office of DGMS (Air): Med -7. At IAM, if the disease or disability is of a permanent nearly decision for the cadet to continue in the service / branch / stream is to be taken.

CHAPTER 2

GENERAL MEDICAL AND SURGICAL ASSESSMENT

.1. Every candidate, to be fit for the Air Force, must conform to the minimum standards laid down in the succe

agraphs. The general build should be well developed and proportionate.

rgical Sequelae and Abnormalities

2.2. Sequelae of Fractures/ Old injuries. The residual effects of such fractures/ injuries are to be asany functional limitation. If there is no effect on function, the candidate can be assessed fit. Cases of old fractu

ne are unfit. Any residual deformity of spine or compression of a vertebra will be cause for rejection. Injuries inv


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trunks of the larger nerves, resulting in loss of function, or scarring, which cause pain or cramps, indicate unsuitemployment in flying duties. The presence of large or multiple keloids will be cause for rejection.

2.3. Scars and Birth Marks. Minor scars for e.g. as resulting from the removal of tuberculous glands do nindicate unsuitability for employment on flying duties. Extensive scarring of a limb or torso that may cause func

mitation or unsightly appearance should be considered unfit.

2.4. Cervical Rib. A well fully developed unilateral cervical rib or a rudimentary large cervical rib with sigmptoms referable to the rib is a cause for rejection. Rudimentary small cervical rib without signs or symptoms ref

it may be considered fit. However, the defect is to be recorded as a minor disability in the medical board procee

ateral cervical ribs without any neurovascular compromise will be acceptable.

.5. Asymmetry of the face and head, which will interfere with proper fitting of oxygen mask and helmet, will be a

rejection for flying duties.

2.6. History relating to operations. A candidate who has undergone an abdominal operation, other mple appendicectomy, involving extensive surgical intervention or partial or total excision of any organ is, as a

suitable for flying duties. Operation involving the cranial vault (e.g.trephining), or extensive thoracic operations s

racoplasty make the candidate unfit for flying.

easurement and Physique

2.7. Chest shape and circumference. The shape of the chest is as important as its actual measuremenest should be well proportioned and well developed with the minimum range of expansion of 5 cm. Decimal fr

wer than 0.5 cm will be ignored. 0.5 cm will be recorded as such and 0.6 cm and above will be recorded as 1 cm.

2.8. Height, Sitting Height, Leg Length and Thigh Length. The minimum height for entrund duty branches will be 157.5 cm.

.9. Minimum height for Flying Branch Acceptable measurements of leg length, thigh length and sitting height fo

crew will be as under: -

Sitting height - Minimum 81.50 cm

- Maximum 96 .0 cm

(b) Leg Length - Minimum 99.0 cm

- Maximum 120.0 cm

(c) Thigh Length - Maximum 64.0 cm

.10. On account of lower age group of NDA candidates a margin of up to 5.0 cm in height, 2.5 cm in leg

inimum) and 1.0 cm in sitting height (minimum) may be given provided it is certified by the medical board thndidate is likely to grow and come up to the required standard on completion of his training at NDA. The actual gro


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be confirmed at the time of V term medical at NDA.

2.11. Weight

(a) Male Candidates (except NDA candidates). Ideal weight relative to age and heigas depicted in Appendix A to this chapter. For male candidates (except NDA candidates)maximum permissible variation from the ideal body weight is 1SD. Fraction of less thana Kg will not be noted.

(b) NDA Candidates. For NDA candidates, at entry, the weight chart prescribed by U.Pplaced at Appendix B to this chapter will be applicable. placed at Appendix B to this chwill be applicable. Fraction of less than half a Kg will not be noted. If a candidaoverweight by more than 10 % of the ideal weight, biochemical parameters will be asseto rule out any underlying pathology. Candidates with weight between 10 to 20 % of

with normal biochemical profile, normal waist circumference (< 94 cm:Males and 89Females), normal BMI range (M< 25, F< 23) and normal waist to hip ratio (< 0.9: Males 0.9 will be decunfit. If a candidate is underweight by more than 10% below the ideal, a detailed hand careful examination to rule out possible causes like tuberculosis, hyperthyroiddiabetes etc will be carried out. If no cause is detected the candidate will be declared any cause is detected the fitness of the candidate will be decided accordingly.

2.12. Physical Standards (For Females).

(a) Height. The minimum height acceptable for various branches are as follows:-

(i) Flying Branch - 162.5 cm.

(ii) Medical / Dental branches142 cm

(iii) Other Branches152 cm

Note: For other than flying branches only For candidates belonging to the North East region or hilly regi


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Uttaranchal, a lower minimum height of 142 cm will be accepted.

(b) Weight. Weight should conform to the standards given for height and age as givAppendix C to this chapter. Variations upto 1SD for female candidates are acceptable.

Appendix A

(Refers to para 1.2.11)

MALE IDEAL WEIGHTS IN KG FOR DIFFERENT AGE GROUPS

AND HEIGHTS OF NORMAL INDIVIDUALS

inmm

AGE RANGE

15-

17

18-

22

23-

27

28-

32

33-

37

38-

42

43-

47 >481520 46 47 50 54 54 54 55 54

1530 47 47 51 55 55 54 56 54

1540 47 48 51 56 55 55 57 55

1550 48 49 52 56 56 56 57 56

1560 48 49 53 57 57 56 58 56

1570 49 50 54 58 58 57 58 57

1580 49 50 54 58 58 58 59 58

1590 50 51 55 59 59 59 60 58

1600 51 52 56 59 60 59 60 591610 51 52 56 60 60 60 61 60

1620 52 53 57 61 61 61 62 60

1630 52 54 58 61 62 61 62 61

1640 53 54 59 62 63 62 63 62

1650 53 55 59 63 63 63 64 62

1660 54 56 60 63 64 64 64 63

1670 54 56 61 64 65 64 65 64

1680 55 57 61 65 65 65 65 65

1690 55 57 62 65 66 66 66 65

1700 56 58 63 66 67 67 67 66

1710 56 59 64 66 68 67 67 67

1720 57 59 64 67 68 66 68 67

1730 58 60 65 68 69 69 69 68

1740 58 61 66 68 70 69 69 69


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1750 59 61 66 69 71 70 70 69

1760 59 62 67 70 71 71 71 70

1770 60 62 68 70 72 72 71 71

1780 60 63 69 71 73 72 72 71

1790 61 64 69 72 73 73 73 721800 61 64 70 72 74 74 73 73

1810 62 65 71 73 75 75 74 73

1820 62 66 72 74 76 75 74 74

1830 63 66 72 74 76 76 75 75

1840 64 67 73 75 77 77 76 75

1850 64 68 74 75 78 77 76 76

1860 65 68 74 76 78 78 77 77

1870 65 69 75 77 79 79 78 77

1880 66 59 76 77 80 80 78 78

1890 66 70 77 78 81 80 79 79

1900 67 71 77 79 81 81 80 79

1910 67 71 78 79 82 82 80 80

1920 68 72 79 80 83 82 81 81

1930 68 73 79 81 83 83 81 82

SD 6.0 6.3 7.1 6.6 6.9 6.8 5.8 7.26

Appendix B


MALE IDEAL NUDE WEIGHTS IN KILOGRAMS FOR DIFFERENT AGE GROUPS AND HEIGHTS FO

NDA CANDIDATES ON ENTRY

(10% VARIATION ON HIGHER SIDE OF AVERAGE ACCEPTABLE)

Height incm AGE IN YEARS/WEIGHT IN KG15 16 16 17 17 18

(a) (b) (c) (d)

152 41.0 42.5 44.0

155 42.0 43.5 45.3


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157 43.0 45.0 47.0

160 45.0 46.5 48.0

162 46.5 48.0 50.0

165 48.0 50.0 52.0167 49.0 51.0 53.0

170 51.0 52.5 55.0

173 52.5 54.5 57.0

175 54.5 56.0 59.0

178 56.0 58.0 61.0

180 58.5 60.0 63.0

183 61.0 62.5 65.0

Appendix C


TABLE 5: IDEAL HEIGHT-WEIGHT CHART FOR DIFFERENT AGE GROUPS FOR FEMALE

INDIVIDUALS

CHAPTER 3

CARDIOVASCULAR SYSTEM

.1. Relevant history. History of chest pain, breathlessness, palpitation, fainting attacks, giddiness, rheumatic orea, frequent sore throats and tonsillitis should be given due consideration in assessment of the cardiovascular syst

3.2. Pulse. The normal pulse rate varies from 60-100 bpm. Persistent sinus tachycardia (> 100 bpm), after emotors and fever are excluded as causes, as well as, persistent sinus bradycardia (< 60 bpm), should be referr

cialist opinion to exclude organic causes. Sinus arrhythmia and vagotonia should be also be excluded.

.3. Candidates are quite prone to develop White Coat Hypertension, which is a transient rise of Blood Pressure, stress of medical examination. Every effort must be made to eliminate the White Coat effect by repeated reco


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der basal conditions. When indicated, ambulatory BP recording must be carried out or the candidate admitted to hoobservation before final fitness is certified. An individual with BP consistently greater than 140/90 mm Hg sh

ected.

.4. Evidence of organic cardio vascular disease will be cause for rejection. Diastolic murmurs are invariably or

ort systolic murmurs of ejection systolic nature and not associated with thrill and which diminish on standing, speciociated with a normal ECG and Chest X-Ray, are most often functional. However an echocardiogram should alwa

ne to exclude organic heart disease. In case of any doubt the case should be referred to cardiologist for opinion.

3.5. Electro Cardiograms. Assessment of a properly recorded ECG (resting14 lead) should be carried medical specialist. Note will be taken of wave patterns, the amplitude, duration and time relationship. At initial en

normalities are acceptable except incomplete RBBB in the absence of structural heart disease, which must be exc

such cases, opinion of Senior Adviser or Cardiologist will be obtained.

CHAPTER 4

RESPIRATORY SYSTEM

4.1. Pulmonary TB. Any residual scarring in pulmonary parenchyma or pleura, as evidenced by a demonsacity on chest skiagram will be a ground for rejection.

.2. Pleurisy with Effusion. Any evidence of significant residual pleural thickening will be a cause for rejectioated cases with no residual abnormality can be accepted if the diagnosis and treatment was completed more than tw

lier. In these cases, a CT scan chest and fibro optic bronchoscopy with bronchial lavage can be done alongwithR, and Mantoux test. If all the tests are normal the candidate may be considered fit.

4.3. Bronchitis. History of repeated attacks of cough/ wheezing/ bronchitis may be manifestations of cnchitis or other chronic pathology of the respiratory tract. Such cases will be assessed unfit.

.4.Bronchial Asthma. History of repeated attacks of bronchial asthma/wheezing/ allergic rhinitis will be a cau

ection.

4.5. Radiographs of the chest. Definite radiological evidence of disease of the lungs, mediastinum

urae indicates unsuitability for employment in air force.

CHAPTER 5

GASTRO INTESTINAL SYSTEM


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5.1. Relevant History. The examiner should enquire whether the candidate has any past history of ulceratection of the mouth, tongue, gums or throat. Record should be made of any major dental alteration.

.2. When discussing a candidates medical history the examiner must ask direct questions about any history ofrn, history of recurrent dyspepsia, peptic ulcer-type pain, persistent diarrhoea, jaundice or biliary colic.

5.3. Dental Standards. The following dental standard will be followed:-

(a) Candidate must have 14 dental points and the following teeth must be present in the upper jaw in good func

opposition with the corresponding teeth in the lower jaw, and these must be sound or repairable:-

(i) Any four of the six anteriors, and

(ii) Any six of the ten posteriors

(iii) They should be balancing on both sides. Unilateral mastication

is not allowed.

(iv) Any removable or wired prosthesis are not permitted.

(b) Candidate whose dental standard does not conform to the laid down standard will be rejected.

(c) Candidate with dental arches affected by advanced stage of generalized active lesions of pyorrhoea, ulcerative gingivitis, and gross abnormality of the teeth or jaws or with numerous caries or septic teeth w

rejected.

5.4 Gastro-Duodenal disabilities. Candidates who are suffering or have suffered, during the previouars, from symptoms suggestive of chronic indigestion, including proven peptic ulceration, are not to be accepted, inthe exceedingly high risk of recurrence of symptoms and potential for incapacitation. Any past surgical proc

olving partial or total loss of an organ (other than vestigial organs/ gall bladder) will entail rejection.

5.5 Diseases of the Liver. If past history of jaundice is noted or any abnormality of the liver functpected, full investigation is required for assessment. Candidates suffering from viral hepatitis or any other fondice will be rejected. Such candidates can be declared fit after a minimum period of 6 months has elapsed pro

re is full clinical recovery; HBV and HCV status are both negative and liver functions are within normal limits.

5.6 Disease of spleen. Candidates, who have undergone splenectomy, are unfit, irrespective of the caueration. Splenomegaly of any degree is a cause for rejection.

5.7. Hernia. A candidate with a well-healed hernia scar, after successful surgery, will be considered fit six mer surgery, provided there is no potential for any recurrence and abdominal musculature is good.

5.8. Abdominal Surgery.


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(a) A candidate with well-healed scar after conventional abdominal surgery will be considered fit after 6 monsuccessful surgery provided there is no potential for any recurrence of the underlying pathology and abdominamusculature is good.

(b) A candidate after laparoscopic cholecystectomy will be considered fit three months after successful surgery

5.9. USG Abdomen: Disposal of cases with incidental ultrasonographic findings like fatty liver, small emangiomas, septate gall bladder etc., will be based on clinical significance and functional capacity.

CHAPTER 6

UROGENITAL SYSTEM

.6.1. Relevant History. Enquiry should be made about any alteration in micturition, e.g. dysuria or frequcurrent attacks of cystitis; pyelonephritis and haematuria must be excluded. Detailed enquiry must be made abou

tory of renal colic, attacks of acute nephritis, any operation on the renal tract including loss of a kidney, passing of

urethral discharges. If there is any history of enuresis, past or present, full details must be obtained.

6.2. Urine Examination.

(a) Proteinuria. Proteinuria will be a cause for rejection, unless it proves to be orthostatic.

(b) Glycosuria. When glycosuria is detected, a blood sugar examination (Fasting and after 75 g glucose

Glycosylated Hb is to be carried out, and fitness decided as per results. Renal glycosuria is not a cause for rejec

(c) Urinary Infections. When the candidate has history or evidence of urinary infection it will entail full

investigation. Persistent evidence of urinary infection will entail rejection.

(d) Haematuria. Candidates with history of haematuria will be subjected to full renal investigation.

6.3. Glomerulonephritis.

(a) Acute. In this condition there is a high rate of recovery in the acute phase, particularly in childhood. A canwho has made a complete recovery and has no proteinuria may be assessed fit, after a minimum period of onafter full recovery.

(b) Chronic. Candidate with chronic glomerulonephritis will be rejected.

6.4. Renal Colic and Renal Calculi. Complete renal evaluation is required. Candidates with renal calcurejected.

6.5. Absence of Kidney. All candidates found to have congenital absence of one kidney or who have undelateral nephrectomy will be rejected. Presence of horseshoe kidney will entail rejection. Solitary functioning kidneyeased, non-functional contralateral kidney will entail rejection. Crossed ectopia, unascended kidney(s) will be a cau

ection.


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6.6. Undescended Testis. Bilateral undescended testis / atrophied testis will be a cause for rejection. Unidescended testis, if entirely retained in the abdomen, is acceptable. If it lies in the inguinal canal, at the external ring

abdominal wall, such cases may be accepted after either orchiectomy or orchipexy operation. In all doubtful

gical opinion must be obtained regarding fitness.

6.7. Hydrocele or Varicocele. These should be properly treated before fitness is considered. Minor degicocele should not entail rejection.

CHAPTER 7

ENDOCRINE SYSTEM

.1. Generally any history suggestive of endocrine disorders will be a cause for rejection.

.2. All cases of thyroid swelling having abnormal iodine uptake and abnormal thyroid hormone levels will be rej

ses of simple goiter with minimal thyroid swelling, who are clinically euthyroid and have normal iodine uptak

rmal thyroid functions may be accepted.

.3. Candidates detected to have diabetes mell itus wil l be rejected. A candidate with a famil y history of di

ell itus wil l be subjected to blood sugar and Glycosylated Hb evaluation, which wi ll be recorded.

CHAPTER 8

DERMATOLOGICAL SYSTEM

8.1. Relevant history and examination. Careful interrogation followed by examination of the candn is necessary to obtain a clear picture of the nature and severity of any dermatological condition claimed or frderline skin conditions should be referred to a dermatologist. Candidates who give history of sexual exposure, o

dence of healed penile sore in the form of a scar should be declared permanently unfit, even in absence of an overt

these candidates are likely repeaters with similar indulgent promiscuous behavior.

8.2. Assessment of diseases of the Skin. Acute non-exanthematous and noncommunicable disich ordinarily run a temporary course, need not be a cause of rejection. Diseases of a trivial nature, and those, wh

interfere with general health or cause incapacity, do not entail rejection.

.3. Certain skin conditions are apt to become active and incapacitating under tropical conditions. An individ

suitable for service if he has a definite history or signs of chronic or recurrent skin diseases. Some such conditio

cribed below:-

(a) Palmoplantar Hyperhydrosis. Some amount of Palmoplantar Hyperhydrosphysiological, considering the situation that recruits face during medical examinaHowever, conditions with significant Palmoplantar Hyperhydrosis should be considered un

(b)Acne Vulgaris. Mild (Grade 1) Acne consisting of few comedones or papules, loca


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only to the face may be acceptable. However moderate to severe degree of (nodulocystic type with or without keloidal scarring) or involving the back shouldconsidered unfit.

(c) Palmoplantar Keratoderma. Any degree of palmoplantar keratoderma manifestinghyperkeratotic and fissured skin over the palms, soles and heels should be considered un

(d) Ichthyosis Vulgaris. Ichthyosis involving the upper and lower limbs, with evident dry, scaly, fissure

should be considered unfit. Mild Xerosis (dry skin) could be considered fit.

(e) Keloids. Candidates having any keloid should be considered unfit.

(f) Onychomycosis. Clinically evident onychomycosis of finger and toenails should be decunfit, especially if associated with nail dystrophy. Mild degree of distal discolouration invo

single nail without any dystrophy may be acceptable.

(g) Giant Congenital Melanocytic Naevus. Giant congenital melanocytic naevi, grthan 10 cm should be considered unfit, as there is a malignant potential in such large naevi.

(h) Callosities, corns and warts. Small sized callosities, corns and warts may be considacceptable after treatment. However candidates with multiple common warts or dpalmoplantar mosaic warts, large callosities on pressure areas of palms and soles multiple corns should be rejected.

(j) Psoriasis. Psoriasis is a chronic skin condition known to relapse and/or recur and hence should be cons

unfit.

(k) Leukoderma. Candidates suffering from minor degree of Leukoderma affecting the covparts may be accepted. Vitiligo limited only to glans and prepuce maybe considered fitthose having extensive degree of skin involvement and especially, when the exposed are affected, even to a minor degree, should not be accepted.

.4. A history of chronic or recurrent attacks of skin infections will be cause for rejection. A simple attack of boosis from which there has been complete recovery may be considered for acceptance.

.5. Individuals who have chronic or frequently recurring attacks of a skin disease of a serious or incapacitating . eczema are to be assessed as permanently unfit and rejected.

.6. Any sign of Leprosy will be a cause for rejection.

8.7. Naevi. Naevus depigmentosus, Beckers Naevus may be considered it. Intradermal Naevus, Vascular Naev


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considered unfit.

8.8. Ptyriasis Versicolor. Mild P Versicolor may be considered fit. Extensive Ptyriasis Versicolor mnsidered unfit.

8.9. Tinea Cruris and Tinea Corporis. Maybe considered fit on recovery.

8.10. Scrotal Eczema. Maybe considered fit on recovery.

8.11 Canities (premature graying stain) maybe considered fit if mild in nature and no systemic association is s

8.12. Intertrigo. Maybe considered fit on recovery.

8.13. Sexually Transmitted Diseases : Genital Ulcers. These should be considered unfit.

8.14. Scabies. Maybe considered fit only on recovery. Genital scabies maybe made unfit.

CHAPTER 9

MUSCULOSKELETAL SYSTEM AND PHYSICAL CAPACITY

ysical Endurance

.1. The assessment of the candidates physique is to be based upon careful observation of such general paramet

parent muscular development, age, height, weight and the correlation of this i.e. potential ability to acquire phmina with training. The candidates physical capacity is affected by general physical development or by

nstitutional or pathological condition.

inal Conditions

9.2. Relevant history. Past medical history of disease or injury of the spine or sacroiliac joints, either whout objective signs, which has prevented the candidate from successfully following a physically active life, is a

rejection for commissioning. History of spinal fracture/ prolapsed intervertebral disc and surgical treatment for

nditions will entail rejection.

9.3. Examination. Mild kyphosis or lordosis where deformity is barely noticeable and not associated with ptriction of movement may be accepted. When scoliosis is noticeable or any pathological condition of the sppected, X-ray examination of the appropriate part of the spine needs to be carried out.

9.4. X-Ray Spine. For f lying duti es, X-ray (AP and lateral views) of cervical, thoracic and lumbosacral spbe carr ied out. For ground duties, X-ray examination of spine may be carried out, if deemed necessary.


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.5. Assessment. The following conditions detected radiologically will disqualify a candidate for Air Force service:

(a) Granulomatous disease of spine.

(b) Arthritis / Spondylosis.

(i) Rheumatoid arthritis and allied disorders.

(ii) Ankylosing Spondylitis.

(iii) Osteoarthrosis, spondylosis and degenerative joint disease.

(iv) Non-articular rheumatism (e.g. lesions of the rotator cuff, tennis elbow, recurrent lumbago etc.)

(v) Misc disorders including SLE, ,Polymyositis, and Vasculitis.

(vi) Spondylolisthesis / spondylolysis

(vii) Compression fracture of Vertebra

(viii) Scheuermans Disease (Adolescent Kyphosis)

(ix) Loss of cervical lordosis when associated with clinically restricted movements of cervical spine.

(x) Unilateral / Bilateral Cervical ribs with demonstrable neurological or circulatory deficit.

(xi) Any other abnormality is so considered by the specialist.

9.6. Fitness for Flying Duties. The deformities/disease contai ned in para 1.9.5 above wil l be caection for al l branches in IAF. In addition for candidates for flying branches the under mentioned rules will also ap

(a) Spinal anomalies acceptable for flying duties: -

(i) Bilateral complete sacralisation of LV5 and bilateral complete lumbarisation of SV1.

(ii) Spine bifida in sacrum and in LV5, if completely sacralised.

(iii) Complete block (fused) vertebrae in cervical and /or dorsal spine at a single level.

te: However, an annotation will be made of these anomalies in AFMSF-2.

(b) Spinal conditions not acceptable for flying duties.

(i) Scoliosis more than 15 degree as measured by Cobbs method.


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(ii) Degenerative disc disease.

(iii) Presence of Schmorls nodes at more than one level.

(iv) Atlanto - occipital and atlanto-axial anomalies.

(v) Hemi vertebra and/or incomplete block (fused) vertebra at any level in cervical, dorsal or lumbarand complete block (fused) vertebra at more than one level in cervical or dorsal spine.

(vi) Unilateral sacralisation or lumbarisation (complete or incomplete) at all levels and bilateral incomsacralisation or lumbarisation.

nditions affecting the assessment of Upper Limbs

9.7. Amputations. Candidate with an amputation of an upper limb will not be accepted for entry. Amputatminal phalanx of little finger on both sides is, however, acceptable

9.8. Fingers and Hands. Deformities of the upper limbs or their parts will be cause for rejection. Syndaydactyly will be assessed as unfit except when polydactyly is excised.

9.9. Wrist. Painless limitation movement of wrist will be graded according to the degree of stiffness. Lrsiflexion is more serious than loss of palmer flexion.

9.10. Elbow. Slight limitation of movement does not bar acceptance provided functional capacity is adekylosis will entail rejection. Carrying angle of more than 15 degree for male and more 18 degree for female candl be a cause for rejection.

9.11. Shoulder Girdle. History of recurrent dislocation of shoulder will entail rejection.

9.12. Clavicle. Malunion / non-union of an old fracture clavicle will entail rejection.

nditions affecting the assessment of Lower Limbs

9.13. Hallux Valgus. Mild cases (less than 20 degrees), asymptomatic, without any associated corn / callosnion, are acceptable. Other cases will entail rejection. Shortening of first metatarsal is also considered unfit.

9.14. Hallux rigidus. Hallux rigidus is not acceptable.

9.15. Hammer Toes (single or multiple). Isolated single flexible mild hammertoe with no histabling symptoms may be accepted. Fixed (rigid) deformity or hammertoe associated with corns, callosities, malle

hyperextension at metatarsophalangeal joint (claw toe deformity) is causes for rejection.

9.16. Loss of Digits. Loss of any digit of the toes or fingers entails rejection.


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9.17. Extra Digits. Extra digits will entail rejection if there is bony continuity with adjacent digits. Candactly or loss of toes/fingers will be rejected.

9.18. Flat feet. Feet may look apparent flat. If the arches of the feet reappear on standing on toes, if the cann skip and run well on the toes and if the feet are supple, mobile and painless, the candidate is acceptable. Restrict

movements of the foot will also be a cause for rejection. Rigidity of the foot, whatever may be the shape of the foo

use for rejection.

.19. Pes Cavus and Talipes (Club Foot). Mild degree of idiopathic pes cavus is acceptable. Moderate and seve

vus and pes cavus due to organic disease will entail rejection. All cases of Talipes (Club Foot) will be rejected.

.20. The Ankle Joints. Any significant limitation of movement following previous injuries will not be acc

wever, cases with no history of recurrent trouble and having plantar and dorsiflexion movement of at least 20 d

y be assessed fit for ground duties. Fitness for aircrew duties will be based on functional evaluation.

.21. The Knee Joint. History or clinical signs suggestive of Internal Derangement of Knee will need c

nsideration. Fitness in such cases will be based on functional evaluation and possibility/progression/recurrance ated pathology.

9.22. Genu Valgum (Knock Knee). If the distance between the internal malleoli is less than 5 cm, wy other deformity, the candidate is considered fit. If the distance between the two internal malleoli is more than 5 c

ould be declared unfit.

.23. Genu Varum (Bow Legs). If the distance between the femoral condyles is within 10 cm the candidate sho

nsidered fit.

.24. Genu Recurvatum. If the hyperextension of the knee is within 10 degrees and is unaccompanied by any

formity, the candidate should be accepted as fit.

.25. Hip Joint. True lesions of the hip joint will entail rejection.

CHAPTER 10

CENTRAL NERVOUS SYSTEM

levant Personal History

10.1. Mental Illness. A candidate giving a history of mental illness/psychological afflictions requires deestigation and psychiatric referral. Such cases should normally be rejected. Most often the history is not volunte examiner should try to elicit a history by direct questioning, which may or may not be fruitful. Every examiner s

m a general impression of the candidates personality as a whole and may enquire into an individuals stabili

bitual r eactions to dif fi cul t and stressfu l situations.

10.2. Insomnia, Nightmare, Sleepwalking or bed-wetting. History of insomnia, nightmaquent sleepwalking, when recurrent or persistent, will be a cause for rejection.


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10.3 Severe or throbbing Headache and Migraine. Common types of recurrent headaches aree to former head injury or migraine. Other forms of occasional headache must be considered in relation to their pro

use. A candidate with migraine, which was severe enough to make him consult his doctor, should normally be a cau

ection. Even a single attack of migraine with visual disturbance or Migrainous epilepsy is a bar to acceptance.

10.4. Fits and convulsions. History of epilepsy in a candidate is a cause for rejection. Convulsions/fits afe of five are also a cause for rejection. Convulsions in infancy may not be of ominous nature provided it appears th

nvulsions were febrile convulsions and were not associated with any overt neurological deficit. Causes of ep

lude genetic factors, traumatic brain injury, stroke, infection, demyelinating and degenerative disorders, birth dbstance abuse and withdrawal seizures. Enquiry should not be limited only to the occurrence of major attacks. Com

rtial seizures may masquerade as faints and therefore the frequency and the conditions under which faints took

st be elicited. Such attacks indicate unsuitability for flying, whatever their apparent nature. An isolated fainting

ls for enquiry into all the attendant factors to distinguish between syncope and seizures. For e.g. fainting in schoommon occurrence and may have little significance. Other complex partial seizures may manifest as vege

vements as lip smacking, chewing, staring, dazed appearance and periods of unresponsiveness. In any event, a prol

iod of freedom from recurrence must have elapsed before fitness for flying duties can be considered and

ctroencephalogram does not show any specific abnormality.

0.5. Heat stroke. History of repeated attacks of heat stroke, hyperpyrexia or heat exhaustion bars employment ce duties, as it is an evidence of a faulty heat regulating mechanism. A single severe attack of heat effects, provid

tory of exposure was severe, and no permanent sequelae were evident is, by itself, not a reason for rejectin

ndidate.

0.6. Head Injury or Concussion. A history of severe head injury is a cause for rejection. The degree of severity m

uged from the history of duration of Post Traumatic Amnesia (PTA). Mild brain injury is associated with 0-1 hourderate with 124 hours PTA, severe with 1-7 days PTA and very severe with > 7 days of PTA. Other sequalae o

ury are post concussion syndrome which has subjective symptoms of headache, giddiness, insomnia, restles

tability, poor concentration and attention deficits; focal neurological deficit, posttraumatic epilepsy and posttrauuropsychological impairment which includes deficits in attention concentration, information processing speeds, mxibility and frontal lobe executive functions and psychosocial functioning. Neuropsychological testing inc

schometry can assess these aspects. It is important to realize that sequelae may persist for considerable period an

en be permanent. Fracture of the skull need not be a cause for rejection unless there is a history of associated intracmage or of depressed fracture or loss of bone. When there is a history of severe injury or an associated convulsive a

electroencephalogram should be carried out which must be normal. Presence of burr holes will be cause for rejecti

ing duties, but not for ground duties. Each case is to be judged on individual merits. Opinion of neurosurgeoychiatrist must be obtained before acceptance.

mily History

0.7. History of Psychological Disorders. When a history of nervous break down, mental disease, of suicide of

ative is obtained, a careful investigation of the personal past history from a psychological point of view is to be obthile such a history per se is not a bar to air force duties any evidence of even the slightest psychological instability,

sonal history or present condition, should entail rejection.

0.8. Epilepsy. If a family history of epilepsy is admitted an attempt should be made to determine its type. Whe


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ndition has occurred in a near (first degree) relative, the candidate may be accepted, if he has no history of assoturbance of consciousness, neurological deficit or higher mental functions and his electroencephalogram is comprmal.

10.9. Emotional Stability. The assessment of emotional stability the must include family and personal hiy indication of emotional liability under stress as evidenced by the occurrence of undue emotionalism as a child or vious nervous illness or breakdown. The presence of stammering, tic, nail biting, excessive hyperhydrosis or restle

ring examination could be indicative of emotional instability.

10.10. Psychosis. All candidates who are suffering from psychosis are to be rejected. Drug dependence m will also be a cause for rejection.

10.11. Psychoneurosis. Mentally unstable and neurotic individuals are unfit for commissioning. Juveniult delinquency, history of nervous breakdown or chronic ill health are causes for rejection. Particular attention shod to such factors as unhappy childhood, poor family background, truancy, juvenile and adult delinquency

ployment and social maladjustment records, history of nervous break down or chronic ill-health, particularly if

ve interfered with employment in the past.

10.12. Organic Nervous Conditions. Any evident neurological deficit should call for rejection.

0.13. Tremors. Tremors are rhythmic oscillatory movements of reciprocally innervated muscle groups. Two caterecognized: normal or physiologic and abnormal or pathologic. Fine tremor is present in all contracting muscle g

ersists throughout the waking state, the movement is fine between 8 to 13 Hz. Pathologic tremor is coarse, betwee

Hz and usually affects the distal part of limbs. Gross tremors are generally due to enhanced physiological causes wh

same frequency, the amplitude of the tremor is grossly enhanced and is elicited by outstretching the arms and fich are spread apart. This occurs in cases of excessive fright, anger, anxiety, intense physical exertion, met

turbances including hyperthyroidism, alcohol withdrawal and toxic effects of lithium, smoking (nicotine) and exc, coffee. Other causes of coarse tremor are parkinsonism, cerebellar (intention) tremor, essential (familial) trmors of neuropathy and postural or action tremors.

0.14. Stammering. Candidates with stammering wil l not be accepted for ai r force duti es. Careful assessment by

ecial ist, Speech therapist, psychologist/ psychiatr ist may be requir ed.

0.15. Basal E.E.G. Only those candidates for aircrew duties will be subjected to EEG examination as specified in

.13. Those with following EEG abnormalities in resting EEG or EEG under provocative techniques will be reject

crew duties: -

(a) Background Activity. Focal, excessive and high amplitude beta activity /hemispherical asymmetry of mor2.3 Hz/generalized and focal runs of slow waves approaching background activity in amplitude.

(b) Hyperventilation. Paroxysmal spikes and slow waves/spikes/focal spike pattern

(c) Photo Stimulation. Bilaterally synchronous or focal paroxysmal spikes and slow waves persisting in post-

stimulation period/suppression or driving response over one hemisphere.


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0.16. Non specific EEG abnormality will be acceptable provided opinion of Neuropsychiatrist / Neurophysicained. The findings of EEG will be entered in AFMSF-2.

CHAPTER 11

EAR, NOSE AND THROAT

11.1. Nose and paranasal sinuses.

(a) Obstruction to free breathing as a result of a marked septal deviation is a cause for rejection. Post corr

surgery with residual mild deviation with adequate airway will be acceptable.

(b) Any septal perforation will entail rejection.

(c) Atrophic rhinitis entails rejection.

(d) Cases of allergic rhinitis will entail rejection for flying duties.

(e) Any infection of para-nasal sinuses will be a cause for temporary rejection. Such cases may be acc

following successful treatment.

(f) Multiple polyposis is a cause for rejection.

11.2. Oral Cavity and Throat.

(a) Candidates where tonsillectomy is indicated will be temporarily rejected. Such candidates may be accepted

successful surgery.

(b) The presence of a cleft palate is a cause for rejection.

(c) Any disabling condition of the pharynx or larynx including persistent hoarseness of voice will entail rejecti

11.3. Eustachian Tube Dysfunction. Obstruction or insufficiency of eustachian tube function wiluse for rejection. Altitude chamber ear clearance test will be carried out before acceptance for aircrew duties.

11.4. Tinnitus. The presence of tinnitus necessitates investigation of its duration, localization, severity and pousation. Persistent tinnitus is a cause for rejection, as it is liable to become worse through exposure to noise and macursor to Otosclerosis and Menieres disease.

11.5. Susceptibility to Motion Sickness. Specific enquiry should be made for any susceptibility to mkness. An endorsement to this effect should be made in AFMSF-2. Such cases wil l be ful ly evaluated and, if

sceptible to motion sickness, they wil l be rejected for f lying duties.


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1.6. A candidate with a history of dizziness is unsuitable for employment on flying duties.

1.7. Hearing loss.

(a) Free field hearing loss is a cause for rejection.

(b) Audiometric loss should not be greater than 20 db, in frequencies between 250 and 4000 Hz. In evaluatinaudiogram, the baseline zero of the audiometer and the environmental noise conditions under which the audi

has been obtained should be taken into consideration. On the recommendation of an ENT Specialist, an is

unilateral hearing loss up to 30 db may be condoned provided ENT examination is otherwise normal.

11.8. Ears. A radical / modified radical mastoidectomy, or a fenestration operation entails rejection evmpletely epithelialised and good hearing is preserved. Cases of cortical mastoidectomy in the past with the tym

mbrane intact and presenting no evidence of disease may be accepted.

11.9. External Ear. Cases of chronic otitis externa accompanied by exostoses or unduly narrow meatii shoected. Exaggerated tortuosity of the canal, obliterating the anterior view of the Tympanic Membrane will be a cauection.

11.10. Middle Ear. Tympanoplasty type I is acceptable twelve weeks after surgery, provided ear clearance tude chamber is normal. The following middle ear conditions will entail rejection:-

(a) Attic, central or marginal perforation.

(b) Tympanic membrane scar with marked retraction.

(c) Tympanoplasty type II onward but not type I

(d) Calcareous plaques (tympanosclerosis) if occupying more than 1/3 of pars tensa.

(e) Middle ear infections.

(f) Granulation or polyp.

(g) Stapedectomy/ Stapedolysis operation.

11.11. Miscellaneous Ear conditions. The following ear conditions will entails rejection:-

(a) Otosclerosis even if successfully operated.

(b) Menieres disease.

(c) Vestibular Dysfunction including nystagmus of vestibular origin.

(d) Bells palsy.


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CHAPTER 12

OPHTHALMIC SYSTEM

2.1. Visual defects and medical ophthalmic conditions are amongst the major causes of rejection for flying d

erefore, a thorough and accurate eye examination is of great importance in selecting flying personnel.

12.2. Personal and Family History and External Examination.

(a) Squint and the need for spectacles for other reasons are frequently hereditary and a family history mayvaluable information on the degree of deterioration to be anticipated. Candidates, who are wearing spectac

found to have defective vision, should be properly assessed.

(b) Ptosis interfering with vision or visual field is a cause for rejection till surgical correction remains success

a period of six months. Candidates with uncontrollable blepharitis, particularly with loss of eyelashes, are gen

unsuitable and should be rejected. Severe cases of blepharitis and chronic conjunctivitis should be assestemporarily unfit until the response to treatment can be assessed.

(c) Naso-lachrymal occlusion producing epiphora or a mucocele entails rejection, unless surgery produceslasting for a minimum of six months.

(d) Uveitis (iritis, cyclitis, and choroiditis) is frequently recurrent, and candidates giving a history of or exhithis condition should be carefully assessed. When there is evidence of permanent lesions such candidates sho

rejected.

(e) Cornea - corneal scars, opacities will be cause for rejection unless it does not interfere with vision. Such

should be carefully assessed before acceptance, as many conditions are recurrent.

(f) Cases with Lenticular opacities should be assessed carefully. As a guideline any opacity causing

deterioration, or is in the visual axis or is present in an area of 7 mm around the pupil, which may cause

phenomena, should not be considered fit. The propensity of the opacities not to increase in number or size salso be a consideration when deciding fitness.

(g) Visual disturbances associated with headaches of a migrainous type are not a strictly ocular problem, and s

be assessed in accordance with para 3.10.3 and 3.10.4. Presence of diplopia or detection of nystagmus reproper examination, as they can be due to physiological reasons.

(h) Night blindness are largely congenital but certain diseases of the eye exhibit night blindness as an early sym

and hence, proper investigations are necessary before final assessment. As tests for night blindness are not rou

performed, a certificate to the effect that the individual does not suffer from night blindness will be obtaievery case. Certificate should be as per Appendix A to this chapter.


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(j) Restriction of movements of the eyeball in any direction and undue depression/ prominence of the erequires proper assessment.

12.3. Visual Acuity/Colour Vision. The visual acuity and colour vision requirements are detaipendix B to this chapter. Those who do not meet these requirements are to be rejected.

12.4. Myopia. If there is a strong family history of Myopia, particularly if it is established that the visual deent, if physical growth is still expected, or if the fundus appearance is suggestive of progressive myopia, even ual acuity is within the limit prescribed, the candidate should be declared unfit.

12.5. Ophthalmic Surgeries. Radial Keratotomy, Photo Refractive Keratotomy / Laser in Situ KeratomRK/LASIK) surgeries for correction of refractive errors are not permitted for any air force duties. Corneal Topog

y be done in suspected cases. Candidates having undergone cataract surgery with or without IOL implants will a

clared unfit.

ular Muscle Balance

2.6. Individuals with manifest squint are not acceptable for commissioning.

2.7. The assessment of latent squint or heterophoria in the case of aircrew will be mainly based on the assessment

ion capacity. A strong fusion sense ensures the maintenance of binocular vision in the face of stress and fatigue. Hs the main criterion for acceptability.

(a) Convergence

(i) Objective Convergence. Average is from 6.5 to 8 cm. It is poor at 10 cm and above.

(ii) Subjective Convergence (SC). This indicates the end point of binocular vision under the str

convergence. If the subjective convergence is more than 10 cm beyond the limit of objective conver

the fusion capacity is poor. This is specially so when the objective convergence is 10 cm and above.

(b) Accommodation. In the case of myopes accommodation should be assessed with correcting glasses in po

The acceptable values for accommodation in various age groups are given in Table 1.

Table 1. Accommodation Values - Age wise.

e in years 17-20 21-25 26-30 31-35 36-40 41-45

commodation 10-11 11-12 12.5-13.5 14-16 16-18.5 18.5-27

cm.

2.8. Ocular muscle balance is dynamic and varies with concentration, anxiety, fatigue, hypoxia, drugs and alcohoove tests should be considered together for the final assessment. For example, cases just beyond the maximum lim

Maddox Rod test, but who show a good binocular response, a good objective convergence with little difference


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bjective convergence, and full and rapid recovery on the cover tests may be accepted. On the other hand, casehin Maddox Rod test limits, but who show little or no fusion capacity, incomplete or no recovery on the cover test

or subjective convergence should be rejected. Standards for assessment of Ocular Muscle Balance are detai

pendix C to this chapter.

2.9. Any clinical findings in the media (Cornea, Lens, Vitreous) or fundus, which is of pathological nature and likgress will be a cause for rejection. This examination will be done by slit lamp and ophthalmoscopy under mydriasi

Appendix A

(Refers to para 1.12.2(h)

CERTIFICATE REGARDING NIGHT BLINDNESS

Name with initials_______________________________________

Batch No. ____________________ Chest No ______________]

ereby certify that to the best of my knowledge, there has not been any case of

ht blindness in our family, and I do not suffer from it.

te. . (Signature of the candidate)

Countersigned by

(Name of Medical Officer)

Appendix B

(Refers to Para 1.12.3)

VISUAL STANDARDS

OFFICERS, CADETS AND AIRMEN AIRCREW AT INITIAL ENTRY


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SlNo

MedCat

Branch Maximum limits ofrefractive

Visual acuityerrors

ColorVision

.

1. A1G1 F (P) Hypermetropia: +

2.0D SphManifestMyopia:NilRetinoscopicmyopia: - 0.5 in anymeridianpermittedAstigmatism:+ 0.75D Cyl (within +2.0 D Max)

6/6 in one eye

and 6/9 inother,correctable to6/6 only forHypermetropia

CP-I

2. A1G1 Aircrew

otherthanF(P)

Hypermetropia:

+3.5D Sph Myopia:-2.0D SphAstigmatism:+ 0.75D Cyl

6/24 in one

eye and 6/36in other,correctable to6/6 and 6/9.

CP-I

3. A4G1 ATC Hypermetropia: +2.0D Sph Myopia: -0.5D SphAstigmatism:+ 0.5D Cyl

A minimum to6/9 in each eyecorrectable to6/6 in eacheye. Wearingof glasses willbe compulsorywhen visualacuity is below6/6

CP-II

4. A4G1 FighterController

Hypermetropia:+3.0D Sph Myopia:2.0D SphAstigmatism:+ 1.50D Cyl

A minimum to6/36 in eacheye.Correctable to6/6 in each eye

wearing ofglasses will becompulsorywhen binocularacuity is below6/6

CP-III


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5. A4G1 AE(M)AE(L)

Hypermetropia: +3.5 D SphMyopia: -3.50 DSphAstigmatism: +

2.50 D Cyl

Corrected visualacuity should be6/9 in each eye.Wearing of

glasses will becompulsorywhen advised

CP-II

6. A4G1 Met Hypermetropia: +3.5 D SphMyopia: -3.50 DSphAstigmatism: +2.50 D Cyl

Corrected visualacuity should be6/6 in the bettereye and 6/18 inthe worse eye.Wearing of

Glasses will becompulsory.

CP-II

7. A4G1 Adm/Accts/Lgs

Hypermetropia: +3.5 D SphMyopia: -3.50 DSphAstigmatism: +2.50 D Cyl

CP-III

8. A4G1 Medical/Dental

Hypermetropia: +3.5 D SphMyopia: -5.50 DSphAstigmatism: +2.50 D Cyl

CP-III

te 1. Ocular muscle balance for personnel covered in Sl. Nos. 1 and 2 should conform to Appendix C to this Chapte

te 2. Visual standards of Air Wing Cadets at NDA and Flt Cdts of F (P) at AFA should conform to A1G1 F (P) sta. No. 1 of Appendix B)

te 3. The Sph correction factors mentioned above will be inclusive of the specified astigrrection factor.

Appendix C


STANDARD OF OCULAR MUSCLE BALANCE FOR FLYING DUTIES


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l Test Fit Temporary Unfit Permanentlyo Unfit

Maddox Rod

Test at 6

meters

Exo-6 PrismD

Exo- Greater than 6prism D

Uniocularsuppression

Eso -6 PrismD

Eso- Greater than 6prism D

Hyper/Hypo

more than 2

Hyper-1Prism D

Hyper- Greater than1 prism D

prism D

Hypo- 1prism D

Hypo- Greater than 1prism D

Maddox Rod Exo-16Prism

Exo - Greater than 16prism D

Uniocular

Test at 33 D cm suppressionEso- 6 Prism

DEso - Greater than 6prism D

Hyper/Hypo

more

Hyper- 1 Hyper Greater than 1than 2 prismD

Prism D prism DHypo- 1 Hypo Greater than 1Prism D prism D

Hand held All of BSV Poor Fusionalreserves

Absence of

Stereoscope grades SMP,fusionStereopsis

Convergence Up to 10 cm Up to 15 cm witheffort

Greater than15cm with effort

Cover test Lateral Compensated Compensated

For divergence/ heterophoria/ heterophoriadistance Andconvergence

trophia likely toimprove

near recovery withrapid and treatment trophia

notcomplete likely to


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improve / persistingevenafter treatment

CHAPTER 13

HAEMOPOIETIC SYSTEM

3.1. All candidates will be examined for clinical evidence of pallor (anaemia), malnutrition, icterus, peri

mphadenopathy, purpura, petechae/ecchymoses and hepatosplenomegaly.

3.2. In the event of laboratory confirmation of anaemia (


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3.6. Candidates with history of haemophilia, von Willebrands disease, on evaluation, are tclared unfit for service at entry level.

13.7. Human Immuno Deficiency Virus (HIV). Seropositive HIV status will entail rejection.

CHAPTER 14

ASSESSMENT OF WOMEN CANDIDATES

4.1 History. Detailed menstrual and obstetric history, in addition to general medical history, must be

d recorded as outlined in para 2.13.2. If a history of menstrual, obstetric or pelvic abnormality is give

inion of gynaecologist is to be obtained

amination

14.2. General Medical and Surgical Standards

(a) Any lump in the breast will be a cause for rejection. Cases of Fibroadenoma breast after succ

surgical removal may be considered fit with the opinion of a surgical specialist.

(b) Galactorrhoea will be cause for temporary unfitness. Fitness after investigation/treatment m

considered based on merits of the case and opinion of the concerned specialist.

14.3. Gynaecological Disorders

) Any abnormality of external genitalia will be considered on merits of each case. Significant Hirspecially with male pattern of hair growth will be a cause for rejection. Doubtful cases if any will be de

sed on the opinion of the specialists.

(b) A detailed pelvic sonography will be conducted. If any abnormality is detected, the candidate

be examined by the concerned specialist. Following conditions will not be a cause for rejection:-

(i) Small fibroid uterus (3 cm or less in diameter) without symptoms.

(ii) Small ovarian cyst (3 cm or less in diameter) as such cysts are invariably functional.

(iii) Congenital elongation of cervix (which comes up to introitus).

(iv) Congenital uterine anomalies such as bicornuate uterus, uterus didelphys and arcuate u

(c) Acute or chronic pelvic infection and Endometriosis will be causes for rejection.

Severe menorrhagia will entail rejection, since it is likely to interfere with work ability. Amenorr


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thout pregnancy will be investigated and fitness will be considered on merits after examination

vestigation by gynaecologist.

(e) Complete prolapse of uterus will be a cause for rejection. Minor degree, after surgical corre

may be considered for fitness on merits.

(f) Any other gynaecological condition not covered above will be considered on merits of each ca

gynecologist.

(g) Pregnancy will be a cause for rejection during commissioning for all branches other than medical and dwhere temporary unfitness will be given till 24 weeks after delivery.

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