Which of the following is NOT a trigger event?

• A. Annual physical examination
• B. Commander requested evaluations
• C. AMRO surveillance
• D. Provider review

Answer: (C)

Trigger events are situations that prompt a formal aeromedical review to determine if a member remains fit to fly. An annual physical examination serves as a scheduled health check that can reveal issues affecting flight status, so it naturally triggers an aeromedical assessment. When the commander requests evaluations, this signals concern and requires a medical review to decide on fitness or need for further action. A provider review, where a clinician examines the member’s records or recent symptoms, similarly initiates a determination of flying status.

AMRO surveillance is routine monitoring by the aeromedical office to track trends and identify at-risk populations. It does not, by itself, require an individual medical evaluation, so it is not considered a trigger event.