Physical examination instructions and requirements for candidates for appointment to cadetship, United States Coast Guard


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Physical examination instructions and requirements for candidates for appointment to cadetship, United States Coast Guard
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United States -- Coast Guard
U.S. G.P.O.
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Washington, D.C
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Physical fitness -- Testing   ( lcsh )
federal government publication   ( marcgt )
non-fiction   ( marcgt )


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University of Florida
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Examination Instructions

and Requirements



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40.7. Physical requirements
(a) All candidates for the Coast Guard
Academy must meet the physical stand-
ards established in this section and in
40.8 under the heading Physical
Standards and Disqualifications.
(6) The physical standards outlined
in the succeeding paragraphs in this
section and in 40.8, although not all
inclusive, cover general physical re-
quirements which are necessary for an
effective career in the Coast Guard.
Conditions which are noted as disquali-
fying and make the applicant unaccept-
able fall in categories which may en-
danger the health of other personnel,
require repeated admission to the sick
list, cause prolonged hospitalization and
early retirement for physical disability,
or preclude an active general service
(c) Two physical examinations are
(1) formal physical examination be.
fore appointment is tendered;
(2) physical re-examination at the
time of reporting to the Academy.
(d) Applicants are encouraged to ob-
tain a preliminary physical examina-
tion from a private physician prior to
submission of application for cadetship.
A preliminary physical examination
serves to rule out, at this stage of the
potential cadet's processing, those appli-
cants who obviously will not meet the
required physical standards for appoint-
ment. The private physician should be
requested to review the physical require-
ments set forth in 40.8 and upon com-
pletion of his examination advise the
candidate whether or not in his opinion
the candidate meets the physical re-
quirements for appointment. Inaccuracy
in ascertaining defects and determining
the physical status of the candidate at
the time of his preliminary physical
results in unnecessary work for the

Coast Guard and disappointment to the
candidate when defects are found later
at the time of the formal physical exam-
(e) Candidates and their parents and
sponsors are urged to refrain from re-
questing waivers for medical defects.
The Coast Guard bases its decision to
disqualify a young man on medical facts
revealed in a thorough medical examina-
tion. Candidates unable to satisfy the
minimum requirements are not suited
for commissions in the Regular Coast
Guard, and consequently are not eligible
for training at the Coast Guard Acad-
emy. A request for waiver for a medical
defect invariably results in disappoint-
ment to all concerned.
(f) Prior to formal physical exami-
nation, all applicants are required to
execute Standard Form 89, Report of
Medical History, furnishing a true ac-
count of all injuries, illnesses, operations
and treatments since birth and present
same to the examining medical officer.
False statements or willful omissions in
executing Standard Form 89 may result
in the separation of the candidate from
the service on arrival at the Academy
or later in his service career.
(g) Formal physical examinations
prior to acceptance of candidates must
be performed by a U.S. Public Health
Service, Navy, Army, Air Force or Vet-
erans' Administration medical officer.
All candidates are instructed where to
report for such examinations. The re-
sults of this formal physical examina-
tion must be reported on Standard Form
88, Report of Medical Examination.
(h) The medical officer, prior to the
physical examination, will review the
data furnished by the candidate on
Standard Form 89 as to completeness of
the medical history. submitted and will
then complete item 40, Standard Form
89, and sign same.

40.8. Physical standards
and disqualifications

(a) Physical proportions.--The
applicant's weight should be well dis-
tributed and in proportion to age,
height, and skeletal structure. Medical
examiners will recommend rejection of
individuals who show poor physical de-
velopment, who appear to be undesirable
candidates because of excess fat, or show
a definite tendency to obesity regardless

of height and weight table ratio. The
following Table 40.8(al) and Table
40.8(a2) are for growing youths and
are for the guidance of medical officers
in connection with the other data ob-
tained at the examination, a considera-
tion of all of which will determine the
candidate's physical eligibility. The
applicant's height should be measured
in inches to the nearest % inch without
shoes, and weight measured to the near-
est pound without clothes.

TABLE 40.8 (al)

Height (inches)- 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78
Weight (pounds):
Minimum..-- 112 116 120 124 128 132 136 140 144 148 152 156 160 164 168
Maximum..-- 160 165 170 175 181 186 192 197 203 209 214 219 225 230 235

TABLE 40.8 (a2)
Minimum height ------------ 64
Maximum height-------------- 78
Minimum chest expansion----- 2
(b) The head, scalp, face and
neck.-The following conditions are
causes for rejection:
(1) Tinea in any form.
(2) All benign tumors which are of
sufficient size to interfere with the wear-
ing of military headgear, or subject to
chronic irritation.
(3) Imperfect ossification of the cra-
nial bones or persistence of the anterior
(4) Extensive cicatrices, especially
such adherent scars as show a tendency
to break down and ulcerate.
(5) Depressed fractures or other de-
pressions, or loss of bony substance of
the skull, unless the examiner is certain
the defect is slight and will cause no
future trouble.
(6) Deformities of the skull resulting
in any unusual physical appearance or
of any degree associated with evidence
of disease of the brain, spinal cord, or
peripheral nerves.

(7) Hernia of the brain.
(8) Unsightly deformities, such as
large birthmarks, large hairy moles, ex-
tensive cicatrices, mutilations due to in-
juries or surgical operations, tumors,
ulcerations, fistulae, atrophy of a part
of the face, or lack of symmetrical de-
(9) Persistent neuralgia, tic doulou-
reux, or paralysis of central nervous
(10) Ununited fractures of the maxil-
lary bones, deformities of either max-
illary bone interfering with mastication
or speech, extensive exostosis, necrosis,
or osseous cysts.
(11) Chronic arthritis of the tem-
poromandibular articulation, badly re-
duced or recurrent dislocations of this
joint, or ankylosis, complete or partial.
(12) Malignancy or substantiated his-
tory thereof, unless successfully removed
5 or more years previously.
(13) Cervical adenitis of other than
befign origin, including cancer, Hodg-
kin's diseaSe, leukemia, tuberculosis,
syphilis, etc.
(14) Adherent or disfiguring scars
from disease, injuries or burns.

(15) Thyroid adenoma; exophthalmic
goiter or thyroid enlargement interfer-
ing with breathing or with the wearing
of clothing; exophthalmic goiter or thy-
roid enlargement from any cause asso-
ciated with toxic symptoms or which is
(16) Torticollis.
(17) Tracheal openings, thyroglossal
or cervical fistulae.
(18) Restricted motility sufficient to
limit the normal range of motion.
(19) Cervical rib when symptomatic;
scalenus anticus syndrome.
(c) The nose and sinuses.-The
following conditions are causes for re-
(1) Loss of the nose, malformation,
or deformities thereof that interfere with
speech or breathing, or extensive ulcera-
(2) Perforated nasal septum if con-
sidered causative of symptoms or local
pathology, or likely to do so.
(3) Nasal obstruction due to septal
deviation, hypertrophic rhinitis, or
other causes, and particularly if suffi-
cient to produce mouth breathing.
(4) Hay fever if more than mild or
if likely to cause more than minimal loss
of time from duty or if associated with
nasal polyps or hyperplastic sinusitis.
(5) Atrophic rhinitis.
(6) Chronic sinusitis, if more than
mild, and if not amenable to therapy.
(d) The mouth and throat.-The
following conditions are causes for rejec-
(1) Harelip, unless adequately re-
paired, loss of the whole or a large part
of either lip, unsightly mutilation of the
lips from wounds, burns, or disease.
(2) Malformation, partial loss, atro-
phy, or hypertrophy of the tongue, split
or bifid tongue, or adhesions of the
tongue to the sides of the mouth, pro-
vided these conditions interfere with

mastication, speech, or swallowing, or
appear to be progressive.
(3) Malignant tumors of the tongue,
or benign tumors that interfere with its
(4) Marked stomatitis, or ulcerations,
or severe leukoplakia.
(5) Ranula if at all extensive, or sali-
vary fistula.
(6) Perforation or extensive loss of
substance or ulceration of the hard or
soft palate, extensive adhesions of the
soft palate to the pharynx, or paralysis
of the soft palate.
(7) Malformations or deformities of
the pharynx of sufficient degree to inter-
fere with function.
(8) Postnasal adenoids interfering
with respiration or associated with mid-
dle-ear disease.
(9) Marked enlargement of the ton-
sils or markedly diseased tonsils.
(10) Laryngitis if not amenable to
therapy or recurrent.
(11) Paralysis of the vocal cords, or
(e) The ears and hearing.-The
following conditions are causes for re-
(1) The total loss of an external ear,
marked hypertrophy or atrophy, or dis-
figuring deformity of the organ.
(2) Atresia of the external auditory
canal, or tumors of this part.
(3) Acute or chronic suppurative
otitis media, or chronic catarrhal otitis
(4) Mastoiditis, acute or chronic.
(5) Existing perforation of either
membrana tympani.
(6) Deafness of one or both ears.
(7) Any diminution of auditory
acuity in either ear, below 15/15 by
whispered voice. If any question of
diminuted auditory acuity arises on
whispered voice test an audiometric
determination should be made. Loss of

hearing as determined by the audiom-
eter must not be greater than 15
decibels in any of the frequencies 500,
1000, 2000 nor greater than 45 decibels
in either of the frequencies 4000 or 5000.
If hearing loss ascertained is not con-
sidered completely stabilized, candi-
date should be rejected.
(8) Any acute or chronic disease of
the external, middle, or internal ear.
(f) Eyes and vision.
(1) For appointment as a cadet in
the Coast Guard a minimum uncor-
rected visual acuity of 20/30 each eye is
acceptable provided that vision is cor-
rectible to 20/20 each eye and that re-
fraction by an ophthalmologist reports
eye grounds free from disease with no
indication of an accelerated progression
toward further decreased visual acuity.
Refraction is not required where the
vision in each eye is 20/20 uncorrected,
unless medically indicated.
(2) Disease of the eye grounds shall
be cause for rejection.
(3) Contraction of visual field.
(4) Both eyes must be free from any
disfiguring or incapacitating abnormal-
ity and from acute or chronic disease.
(5) Any cadet in the United States
Coast Guard Academy whose vision has
dropped below 20/40, correctible to
20/20 in each eye, for any significant
period of time shall be reported upon
by a Board of Medical Survey.
(6) The requirement as given above
is considered necessary in order to grad-
uate cadets with vision sufficiently serv-
iceable to enable them to carry out their
duties at sea. During late adolescence
it is quite common for developmental
myopia to become manifest to such an
extent that the resulting myopic visual
defect is sufficient to disqualify the
cadet. It is therefore imperative that
a careful examination for visual acuity
be performed.

(7) The following conditions are
causes for rejection:
(i) Trachoma.
(ii) Chronic conjunctivitis, or xe-
(iii) Pterygium encroaching upon the
(iv) Complete or extensive destruc-
tion of the eyelid, disfiguring cicatrices,
adhesions of the lids to each other or to
the eyeball.
(v) Inversion or version of the eye-
lids, or lagophthalmus.
(vi) Trichiasis, ptosis, blepharo-
spasm, or chronic blepharitis.
(vii) Epiphora, corneal dystrophy,
chronic dacryocystitis, or lachrymal
(viii) Chronic keratitis, ulcers of the
cornea, staphyloma, or corneal opacities
encroaching on the pupillary area and
reducing the acuity of vision below the
standard and any corneal distrophy.
(ix) Irregularities in the form of the
iris, or anterior or posterior synechiae
sufficient to reduce the visual acuity be-
low the standard.
(x) Opacities of the lens or its cap-
sule sufficient to reduce the acuity of
vision below the standard, or progressive
cataract of any degree.
(xi) Extensive coloboma of the cho-
roid of iris, absence of pigment (al-
bino), glaucoma, iritis, or history of
recurrent iritis, extensive or progressive
choroiditis of any degree.
(xii) any retinopathy or detachment
of the retina, neuroretinitis, optic neu-
ritis, choreoretinopathy, or atrophy of
the optic nerve.
(xiii) Loss or disorganization of either
eye, #r pronounced exophthalmos.
(xiv) Pronounced nystagmus, strabis-
mus, or lack of continuous and complete
third degree binocular fusion.
(xv) Diplopia, or night blindness.

(xvi) Abnormal condition of the eye
due to disease of the brain.
(xvii) Malignant tumors of the lids or
(xviii) Asthenopia.
(xix) Any organic disease of either
(xx) Ocular foreign bodies.
(8) Color perception:
(i) Color blindness, complete or
partial, is cause for rejection. Color
perception will be tested by the color
plate test as set forth in the American
Optical Test Book, 1940 Edition, or the
Farnsworth Lantern test. Candidates
who fail to pass the American Optical
Company pseudo-isochromatic plate test
shall be considered qualified if they pass
the Farnsworth Lantern test. The re-
sults obtained with the Farnsworth
Lantern test shall be considered final in
the resolution of all cases of question-
able color perception.
(ii) Detailed instruction for the ad-
ministration of the Farnsworth Lantern
test, as well as the criteria for passing
the test, are engraved on a metal plate
which is permanently attached to the
instrument and shall be followed with.
out exception. The results of the test
shall be recorded in item 64, Report of
Medical- Examination as "Passed Fa-
Lant" or "Failed FaLant."
(iii) Candidates who failed the Amer-
ican Optical Company pseudo-isochro-
matic plate test at places where the
Farnsworth Lantern test is not available
may be given a reexamination on. the
Farnsworth Lantern test at places where
same is available. The cost of travel
to and from the place of reexamination
and subsistence must be borne by the
(iv) The standard requirement for
color perception will be ability to pass
the abbreviated test with not more than
three errors.

(g) Lungs and chest.-The fol-
lowing conditions are causes for rejec-
(1) A chest expansion of less than 2
(2) Congenital malformations or ac-
quired deformities which result in re-
ducing the chest capacity and diminish-
ing the respiratory function to such a
degree as to interfere with vigorous
physical exertion or to produce disfigure-
ment when the applicant is dressed.
(3) Pronounced contractions or
markedly limited mobility of the chest
wall following pleurisy or empyema.
(4) Deformities of the scapulae suffi-
cient to interfere with the carrying of
(5) Absence or faulty development of
the clavicle.
(6) Old fracture of the clavicle where
there is much deformity or interference
with the carrying of equipment; un-
united fractures, or partial or complete
dislocation of either end of the clavicle.
(7) Suppurative periostitis or caries
or necrosis of the ribs, the sternum, the
clavicles or the scapulae.
(8) Old fractures of the ribs with
faulty union, if interfering with func-
(9) Malignant tumors of the breast or
chest walls or substantiated history of
same, unless successfully treated 5 or
more years previously in the absence of
disqualifying residuals.
(10) Benign tumors or cysts of the
breast or chest wall which are so large
as to interfere with the wearing of a
uniform or equipment.
(11) Unhealed sinuses of the chest
(12) Scars of old operations for em-
pyema unless the examiner is assured
that the respiratory function is entirely

(13) Active tuberculosis of any degree
or extent.
(14) A history of tuberculosis clini-
cally active within the preceding 5 years.
(15) A substantiated history of, or
X-ray findings of, tuberculosis of more
than minimal extent, at any time.
(16) Pleurisy with effusion of unde-
termined origin or history thereof.
(17) Recurrent spontaneous pneumo-
thorax within the preceding 3 years.
(18) Pneumoconiosis, extensive pul-
monary fibrosis or pulmonary emphy-
(19) Acute or chronic pleurisy or
(20) Pneumothorax, hydrothorax, or
(21) Tumors of the lung, pleura or
(22) Chronic bronchitis if more than
mild or if mild and does not respond to
(23) Bronchiectasis.
(24) Asthma or a history of asthma
(except a history of childhood asthma
with a trustworthy history of freedom
from symptoms since the twelfth birth-
day) is a cause for rejection.
(25) Abscess of the lung.
(26) Pulmonary infiltration of unde-
termined origin.
(27) Cystic disease of the lung.
(28) Actinomycosis, nacardiosis, blas-
tomycosis, coccidioidomycosis, asper-
gillosis or histoplasmosis if there is
reason to suspect recent activity of the
disease process.
(29) Sarcoidosis.
(30) Hydatid or echinococcus cysts of
the lung.
(31) Foreign body in the lung or
mediastinum causing symptoms, or ac-
tive inflammatory reaction.
(32) History of pneumonectomy or
(33) Disqualifying defects demonstra-

ble by a roentgenographic examination
of the chest, such as:
(i) Evidence of reinfection (adult)
type tuberculosis, active or inactive,
other than slight thickening of the
apical pleura or thin solitary fibroid
(ii) Evidence of active primary (child-
hood) type tuberculosis.
(iii) Extensive calcification. of the.
pleura, lung parenchyma or hilum, if of
questionable stability or of such size and
extent as to interfere with pulmonary
(iv) Evidence.of fibrous or serofibrin-
ous pleuritis, except moderate diaphrag-
matic adhesions with or without blunting
or obliteration of the costophrenic sinus.
(h) Heart and vascular system.-
The following conditions are causes for
(1) All diastolic murmurs.
(2) Apical systolic murmurs, when
persistent in both the recumbent and
upright positions, when moderate in
intensity, when transmitted to the.axilla,
and when not abolished nor signifi-
cantly diminished in intensity by forced
(3) Harsh systolic murmurs, heard at
aortic area, even of less than moderate
intensity with diminished or absent
second sound.
(4) All organic valvular diseases of
the heart, congenital heart disease, or
pathological murmurs.
(5) Hypertrophy or dilation of the
(6) History of angina pectoris, coro-
nary occlusion, or coronary arterioscle-
(7) A pulse of 100 or over, or of 50 or
under if felt to be a manifestation of
organic heart disease.
(8) Persistent marked cardiac ar-
rhythmia or irregularity, unless due to
sinus arrhythmia or an authenticated

history of paroxysmal tachycardia, or
auricular fibrillation or flutter.
(9) Arteriosclerosis.
(10) Arterial hypertension, essential
hypertension hypertensivee vascular
disease). The diagnosis of essential
hypertension, especially in the earlier
phases when blood pressure is still vari-
able, requires judgment tempered by
experience and with evaluation of any
family history of hypertension, the vas-
cular reaction to special tests, and re-
peated blood pressure and pulse rate
determinations. In general, a persistent
systolic blood pressure above 140, or a
persistent diastolic blood pressure above
90, is cause for rejection, particularly if
associated with a labile pulse rate or
evidence of vasomotor liability, or with
positive family history of hypertensive
vascular disease (sitting blood pressure
values). The objective is to disqualify
those applicants who are most likely to
develop severe and incapacitating hyper-
tension within a relatively short time.
Generally, youthful applicants with a
healthy vascular system are to be con-
sidered qualified even though blood
pressure values sometimes exceed the
(11) Aneurysm of any variety in any
(12) Intermittent claudication.
(13) Peripheral vascular disease in-
cluding Raynaud's disease, Buerger's
disease (thromboangiitis obliterans),
erythromelalgia, arterioscelerotic and
diabetic vascular disease. Special test
will be employed in doubtful cases.
(14) Thrombophlebitis of one or more
extremities, if there is a persistence of
the thrombus or any evidence of obstruc-
tion to circulation in the involved vein
or veins.
(15) An authenticated history of
rheumatic fever or chorea within the

past 5 years, or a history of more than
one attack of rheumatic fever.
(16) Arterial hypotension if it is
causing, or has caused, symptoms.
(17) Varicose veins if large, or if
associated with edema or with skin
(i) Abdomen and viscera, anus
and rectum.-The following conditions
are causes for rejection:
(1) Wounds, injuries, cicatrices, or
muscular ruptures of the abdominal wall
sufficient to interfere with function.
(2) Fistulae or sinuses from visceral
or other lesions or following operation.
(3) Hernia of any variety.
(4) Large tumors of the abdominal
(5) Scar pain, if severe or causing
persistent or recurring complaints.
(6) Chronic diseases of the stomach
or intestine or a history thereof, includ-
ing such diseases as peptic ulcer, re-
gional ileitis, ulcerative colitis and
(7) Gastric resection, resection of
peptic ulcers, gastroenterostomy, or
bowel resection.
(8) Chronic appendicitis (so-called).
(9) Ptosis of the stomach or intes-
(10) Acute or chronic disease of the
liver, gall bladder, pancreas, or spleen.
(11) Chronic peritonitis or peritoneal
(12) Chronic enlargement of the liver.
(13) Chronic enlargement of the
(14) Jaundice or substantiated his-
tory of recurrent jaundice.
(15) Splenectomy for any cause other
than trauma, or congenital sphetocy-
(16) Proctitis, stricture or prolapse of
the rectum.
(17) Fissure of the anus or pruritus
ani if severe or recurrent.


(18) Fistula in ano or ischiorectal
(19) External hemorrhoids sufficient
in size to produce marked symptoms;
internal hemorrhoids, if large or ac-
companied by hemorrhage, or protrud-
ing intermittently or constantly.
(20) Incontinence of feces.
(21) Amoebiasis; uncinariasis.
(j) Endocrine system and metab-
olism.-The following conditions are
causes for rejection:
(1) Toxic goiter and thyroid adenoma.
(2) Cretinism; hypothyroidism; myx-
edema, spontaneous or post-operative
(with clinical manifestations and diag-
nosis not based solely on low basal
metabolic rate).
(3) Gigantism or acromegaly; diabe-
tes insipidus, Simmonds' disease;
Cushing's syndrome, other diseases be-
cause of a disorder of the pituitary
(4) Frohlich's syndrome.
(5) Hyperparathyroidism and hypo-
parathyroidism when the diagnosis is
supported by adequate laboratory
(6) Addison's disease.
(7) Glycosuria if persisting; diabetes
mellitus; if sugar is found in the urine,
further specimens voided in the presence
of the physician or authorized assistant,
should be examined. In doubtful cases
the fasting blood sugar and glucose
tolerance tests should be obtained. In
the presence of diabetes mellitus in a
parent, sibling, or grandparent, a stand-
ard glucose tolerance test is required.
(8) Nutritional deficiency diseases
(including sprue, beriberi, pellagra and
scurvy) which are severe or not readily
remediable or in which permanent
pathological changes have been estab-
(9) Gout.

(10) Hyperinsulinism when estab-
lished by adequate investigation.
(k) Genito-urinary system
(1) All candidates for the Coast
Guard Academy shall receive a sero-
logic test for syphilis and a urinalysis.
These tests shall be conducted at the
time of the formal physical examina-
(i) When albumin, casts, hemoglobin,
or red blood cells are found in the urine,
the applicant shall not be accepted uni
less further study proves such findings
to be of no significance. Such further
study, if desired, should include daily
complete examinations of the urine for
at least 3 days and such other tests as
are necessary, unless the presence of
albumin and casts is associated with
enlargement of the heart, high blood
pressure, or other evidence of cardiovas-
cular disease of such degree that a
diagnosis of renal disease may be made
immediately. When albumin or casts
are constantly or intermittently pres-
ent, the underlying pathological condi-
tion should, if possible, be determined
and stated as the cause for rejection;
but if albuminuria or casts are present
daily during a period of 3 days, it
should be regarded as reason for rejec-
tion, even if the origin cannot be deter-
(ii) When the specific gravity of the
specimen first examined is under 1.010,
further observation of the applicant and
repeated complete urinary examinations
are indicated.
(iii) A negative serological test will
be accepted as satisfactory evidence of
freedom from syphilis in the absence of
a" history of previous treatment for, or
clinical signs of syphilis. When the
serological test. for syphilis is positive,
the possibility of a false positive test
should be considered. In view of the
possibility of error in such a test the

candidate will be given the opportunity
of a reexamination. A repeated posi-
tive serological test, in the absence of
a history of syphilis, will be cause for
(2) The following conditions are
causes for rejection:
(i) Acute or chronic nephritis, dia-
betes, mellitus or insipidus, or glyco-
suria if accompanied by abnormal
response to blood sugar tests.
(ii) Blood, pus, or albumin in the
urine, if persistent.
(iii) Floating kidney, hydronephrosis,
pyelonephrosis, pyelitis, tumor of the
kidney, renal calculi, or absence of one
kidney, horseshoe kidney, or double
(iv) Acute or chronic cystitis.
(v) Vesical calculi, tumors of the
bladder, incontinence of urine, enuresis,
or retention of urine.
(vi) Hypertrophy, abcess, or chronic
infection of the prostate gland.
(vii) Urethral stricture or urinary
(viii) Epispadias or hypospadias, ex-
cept for minor displacements of the
urethral orifice with no impairment in
function of micturition, and no symp-
toms of irritation.
(ix) Phimosis when prepuce is adher-
ent in whole or in part to the glans.
(x) Hermaphroditism.
(xi) Amputation of the penis.
(xii) Varicocele, if large and painful,
or hydrocele.
(xiii) Atrophy of both testicles or
loss of both.
(xiv) Undescended testicle (accept-
able if unilateral, abdominal and unas-
sociated with hernia), infantile genital
(xv) Chronic orchitis or epididymitis.
(xvi) A persistently positive serologic
test for syphilis.

(xvii) Syphilis in any stage, or a
clearly defined history thereof.
(xviii) Any active venereal infection,
acute or chronic, or any active infec-
tious process resulting therefrom.
(xix) Reiter's disease.
(1) The extremities.-The follow-
ing conditions are causes for rejection:
(1) All anomalies in the number, the
form, the proportion, and the move-
ments of the extremities which produce
noticeable deformity or interfere with
(2) Atrophy of the muscles of any
part, if progressive or if sufficient to in-
terfere with function.
(3) Benign tumors if sufficiently large
to interfere with function.
(4) Ununited fracture, fractures with
shortening or callus formation sufficient
to interfere with function, old disloca-
tions unreduced or partially reduced,
complete or partial ankylosis of a joint,
or relaxed articular ligaments permit-
ting of frequent voluntary or involuntary
(5) Reduced dislocation or united
fractures with incomplete restoration of
function; substantiated history of recur-
rent dislocations of major joints.
(6) Amputation of any portion of a
limb (except fingers or toes if there is
no interference with military activities),
or resection of a joint.
(7) Excessive curvature of a long bone
or extensive, deep, or adherent scars
interfering with motion.
(8) Severe sprains.
(9) Disease of the bones or joints;
active osteomyelitis; history of an attack
of hematogenous osteomyelitis; recur-
rent attacks of osteomyelitis; seques-
trum demonstrable on X-ray; or a sub-
stantiated history of a single attack of
osteomyelitis, except when treated suc-
cessfully 3 or more years previously

without subsequent recurrent or dis-
qualifying sequelae.
(10) Chronic synovitis; torn carti-
lage; osteochonditis dessicans; or other
internal derangement in a joint (partic-
ularly of knee joint with history of
(11) Varicose veins in an extremity
when they cover a large area; are
markedly tortuous or much dilated, or
are associated with edema, or are ac-
companied by subjective symptoms.
(12) Varices of any kind situated in
the leg below the knee, if associated with
varicose ulcers or scars from old ulcera-
tions; chronic edema of a limb.
(13) Chronic or obstinate neuralgias,
particularly sciatic neuritis.
(14) Adherent or united finger (web
(15) Deviation of the normal axis of
the forearm to such a degree as to inter-
fere with the proper execution of the
manual of arms.
(16) (i) Permanent flexion or exten-
sion of one or more fingers, as well as
irremediable loss of motion of these
parts, if sufficient to interfere with
proper execution of duties.
(ii) Entire loss of any finger.
(iii) Mutilation of either thumb to
such an extent as to produce material
loss of apposition or strength of the
(iv) Loss of more than one phalanx
of the right index finger.
(v) Loss of the terminal and middle
phalanges of any two fingers on the
same hand.
(17) Perceptible lameness or limping.
(18) Knock-knee, when the gait is
clumsy or ungainly, or when subjective
symptoms of weakness are present;
bow-legs if so marked as to produce
noticeable deformity when the applicant
is dressed.

(19) (i) Clubfoot unless the defect is
so slight as to produce no symptoms.
(ii) Pes cavus if extreme and causing
(iii) Flatfoot when accompanied with
symptoms of weak foot or when the foot
is weak on test. Pronounced cases of
flatfoot attended with decided version
of the foot and marked bulging of the
inner border, due to inward rotation
of the astragalus, are disqualifying, re-
gardless of the presence or absence of
subjective symptoms.
(20) Loss of either great toe or loss of
any two toes on the same foot.
*(21) Overriding or super position of
any of the toes to such a degree as will
produce pain.
(22) Ingrowing toenails when marked
or painful.
(23) (i) Hallux valgas, particularly
congenital type or when accompanied
by bunion.
(ii) Bunions sufficiently pronounced
to interfere with function.
(iii) Hammertoes when existing to
such a degree as to interfere with func-
tion when wearing shoes.
(iv) Corns or calluses on the sole of
the foot when they are tender or painful.
(24) (i) Hyperidrosis or bromidrosis
when present to a marked degree.
(ii) Habitually sodden feet with blis-
tered skin.
(iii) Unusually large or deformed feet
for which proper shoes cannot be read-
ily obtained.
(25 Severe fungoid infection of nail-
(26) Surgical procedures involving
major joints unless at least a six-month
period since operation, has elapsed and
fulf function has been restored.
(m) The spine and other mus-
culo-skeletal.-The following condi-
tions are causes for rejection:

(1) Lateral deviation of the spine
from the normal midline of such degree
that it impairs normal function or is
likely to do so.
(2) Curvature of the spine of such
degree that function is interfered with
or is likely to be interfered with, or in
which there is noticeable deformity
when the applicant is dressed (scoliosis,
kyphosis, or lordosis).
(3) Fracture or dislocation of the
(4) Vertebral caries (Pott's disease).
(5) Abscess of the spinal column or
its vicinity; acute or chronic osteomyeli-
(6) Osteo-arthritis of the spinal col-
umn, partial or complete.
(7) Coccydynia; spina bifida mani-
festa; spondylolisthesis; cervical rib.
(8) Active arthritic processes from
any cause.
(9) Herniation of intervertebral disc
(nucleus pulposus) or history of opera-
tion for this condition.
(10) Malformation and deformities of
the pelvis sufficient to interfere with
(11) Disease of the sacroiliac and
lumbo-sacral joints which is chronic in
nature, associated with pain referred to
legs, muscular spasm, postural deform-
ities, and/or limitation of motion in the
region of the lumbar spine.
(12) History of chronic or recurrent
low back pain.
(n) Skin.-The following condi-
tions are causes for rejection:
(1) Eczema of long standing or which
is resistant to treatment; allergic derma-
tosis, if severe.
(2) Chronic impetigo; sycosis; car-
buncle; acne upon face or neck which
is so pronounced as to be definitely
(3) Actinomycosis; dermatitis herpet-
iformis; mycosis fungoides.

(4) Extensive psoriasis, ichthyosis;
chronic lichen plans.
(5) Elephantiasis.
(6) Scabies; pediculosis (if indica-
tive of unhygienic habits).
(7) Ulcerations of the skin not ame-
nable to treatment, or those of long
standing or of considerable extent, or of
syphilitic or malignant origin.
(8) Extensive, deep, or adherent scars
that interfere with muscular movements,
or that show a tendency to break down
and ulcerate.
(9) Naevi and other erectile tumors
if extensive, disfiguring or exposed to
constant pressure.
(10) Obscene, offensive, or indecent
(11) Pilonidal cyst or sinus if evi-
denced by presence of readily palpable
tumor mass or if there is a history of
inflammation or of purulent discharge.
(12) Lupus vulgaris; other tubercu-
lous skin lesions.
(13) Lupus erythematosus, discoid or
generalized; scleroderma.
(14) Epidermolysis bullosa; pemphi-
(15) Plantar warts on weight-bearing
(16) Cysts and benign tumors of such
a size and/or location as to interfere
with the normal wearing of military
(17) Any other chronic skin disease
of a degree which renders the individual
unfit for military duty or so disfiguring
as to render it difficult for the individual
to adjust to the ordinary social relation-
(a) The nervous system.-The
following conditions are causes for re-
(1) Neurosyphilis of any form (gen-
eral paresis, tabes dorsalis, meningovas-
cular syphilis).

(2) Degenerative disorders (multiple
sclerosis, encephalomyelitis, cerebellar
and Friedreich's ataxia, athetoses, Hunt-
ington's chorea, muscular atrophies and
dystrophies of any type, cerebral arterio-
(3) Residuals of infection (moderate
and severe residuals of poliomyelitis,
meningitis and abscesses, paralysis agi-
tans, postencephalitis syndromes, Syden-
ham's chorea).
(4) Peripheral nerve disorder (chron-
ic or recurrent neuritis or neuralgia of
an intensity which is periodically inca-
pacitating, multiple neuritis, neurofi-
(5) Residuals of trauma (residuals of
concussion or severe cerebral trauma,
post-traumatic cerebral syndrome, in-
capacitating severe injuries to peripheral
(6) Paroxysmal convulsive disorders
and disturbances of consciousness
(grand mal, petit mal, and psychomotor
attacks, syncope narcolepsy, migraine).
(7) Miscellaneous disorders (tics,
spasmodic torticollis, spasms, brain and
spinal cord tumors, whether operated
upon or not, cerebrovascular disease,
congenital malformations, including
spina bifida if associated with neurolog-
ical manifestations and meningocele
even if uncomplicated, Meniere's dis-
(p) Psychiatric and personality
deviations.-The following conditions
are causes for rejection:
(1) Psychotic disorders or a substan-
tiated history of psychotic episode.
(2) Psychoneurotic reactions which
have been incapacitating.
(3) Character and behavior disorders
which have prevented a good adjust-
ment with particular reference to anti-
social tendencies, sexual deviation,
chronic alcoholism or drug addiction.
(4) Immaturity reactions.

(5) Disorders of intelligence.
(q) Teeth.
(1) All candidates shall be given a
type 2 dental examination (mouth mir-
ror and explorer examination; adequate
natural or artificial light; posterior bite-
wing roentgenograms, when indicated) '
by a dental officer at the time of physical
reexamination and, if practicable, at for-
mal physical examination, report of
which shall be recorded under item 44,
Standard Form 88, Report of Medical
(2) Candidates must have a minimum
of 20 serviceable permanent, natural
teeth, of which at least 10 must be in
each arch. When third molar teeth
have not erupted and are shown by
X-ray examination to be present and in
normal position for eruption, they may
be counted as serviceable teeth in the
event candidates do not otherwise meet
the minimum requirement of 20 teeth.
(3) Definitions:
(i) Serviceable teeth are permanent,
natural teeth which meet all of the fol-
lowing conditions:
(a) Adequately supported by healthy
(6) In satisfactory occlusion with op-
posing natural or artificial teeth.
(c) Of sufficient size (crown and/or
roots) and without faulty calcification
(severe dysplasia).
(d) If carious, capable of being sat-
isfactorily restored.
(e) If filled or crowned, the tooth and
restoration are in satisfactory condition.
(f) If nonvital, treated with satis-
factory pulp canal fillings.
(ii) A nonserviceable tooth is one
that fails to meet any of the above

I These X-rays are only needed when. un-
erupted third molars must be counted as
serviceable permanent teeth to meet require-
ments of subparagraph (2) of this paragraph.

(iii) Satisfactory masticatory function
exists when a minimum of 3 masticating
teeth bicuspidss and/or molars, natural
or artificial) are in functional bilateral
(4) Prior to the candidates' reporting
to the Academy, missing teeth that
cause unsatisfactory incisal and/or mas-
ticatory function or that result in un-
sightly spaces must be replaced by well-
designed, functional, partial dentures
or fixed bridges, and all carious teeth
except those with incipient carious
lesions must be satisfactorily restored.
(5) The following conditions are
causes for rejection:
(i) Loss of teeth in excess of the num-
ber specified in subparagraph (2) of
this paragraph.
(ii) Nonconformance with subpara-
graph (4) of this paragraph.
. (iii) Malocclusion that interferes
with satisfactory incisal and/or mastica-
tory function or proper phonation.
(iv) Unsightly dento-facial deform-
(v) Chronic subluxation of the man-
dible associated with pain and not
amenable to treatment.
(vi) Advanced and extensive peridon-
(vii) Syphilitic lesions, malignant tu-
(viii) Benign tumors or cysts, which
require treatment or may require treat-
ment in the foreseeable future.
. (ix) Perforations from the oral cavity
into the nasal cavity or maxillary sinus.
(r) Miscellaneous conditions.
(1) The following miscellaneous con-
ditions are causes for rejection:
(i) Any deformity which is repulsive
or which prevents the proper functioning
of any part to a degree interfering with
military efficiency.
(ii) Stuttering or other impediment
of speech.

(iii) Deficient muscular development
or deficient nutrition.
(iv) Evidences of physical character-
istics of congenital asthenia, such as
slender bones, a weak ill-developed
thorax, nephroptosis, gastroptosis, con-
stipation, and "drop" heart, with its
peculiar attenuation and weak and easily
fatigued musculature.
(v) All acute communicable diseases.
(vi) All diseases and conditions which
are not easily remediable or that tend
physically to incapacitate the individual
such as: chronic malaria or malarial
cachexia; tuberculosis; leprosy, acti-
nomycosis; rheumatoid arthritis; osteo-
myelitis; malignant disease of any kind
in any location or substantiated history
of same unless successfully treated 5 or
more years previously; hemophilia; pur-
pura, leukemia of all types; pernicious
anemia; sickle cell anemia; trypano-
somiasis; filariasis which has produced
permanent disability or deformity, his-
tory of any acute attack of filariasis
within 6 months of date of examination,
or the finding of micro-filaria in the
blood stream, chronic metallic poison-
ing, allergic manifestations such as hay
fever, if more than mild or if likely to
cause more than minimal loss of time
from duty or if associated with nasal
polyps or hyperplastic sinusitis; allergic
conjunctivitis, allergic dermatoses, or
allergic rhinitis particularly if there is
associated hyperplastic sinusitis or nasal
polyps, or a history thereof, when in the
opinion of the examiner, the condition
is likely to frequently recur, or to cause
more than minimal loss of time from
duty or otherwise is of present or future
clinical significance.
(2) Conditions not enumerated or
combinations of conditions which, in
the opinion of the medical examiner,

will not permit a full productive military
career, should be recorded in detail
with appropriate recommendations.
(3) If all defects present are recorded
on Standard Form 88 and the medical

examiner considers all defects in final
determination as to qualification of can-
didate, the Commandant's acceptance'or
rejection of candidates will be simpli-


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