You’ve scheduled your FAA 3rd Class Medical Exam in Florida, now what? You’ve probably got a few questions bouncing around in your head — and you’re not the only one. Whether you’re a seasoned pilot renewing your certificate or someone pursuing your first commercial flying gig, the second-class medical exam can feel like a big deal.
Let’s be honest: any FAA medical exam can be a little nerve-wracking. Because remember, your certification is your license to soar. But the good news? Knowing what to expect takes the pressure off—and that’s exactly what we’re here to do.
In this blog, we will answer the most frequent (and most critical) questions that pilots have when getting ready for their 1st class FAA medical examination in the Sunshine State.
What Is a FAA 2nd Class Medical Exam in Florida, Exactly?
Before we jump into the questions, let’s clarify what the FAA 2nd Class Medical Exam in Florida is.
A 2nd class medical certificate is required for commercial pilots—those who fly for hire but aren’t operating as airline transport pilots (who need a 1st class certificate). It’s more thorough than the 3rd class exam but not quite as rigorous as the 1st class.
In Florida, these exams are conducted by FAA-authorized Aviation Medical Examiners (AMEs). You’ll find examiners throughout the state, from Miami and Orlando to smaller regional airports and cities.
- What Do I Need to Bring to My 2nd Class Medical Exam?
Bring your:
- Government-issued photo ID (driver’s License or Passport)
- FAA MedXPress confirmation number (you’ll fill out your application online in advance)
- List of current medications and health history
- Eyeglasses, contacts or hearing aids
When asked upfront, you will be sure your declaration is correct, and will show your examiner that you are well-prepared and not to be taken lightly.
- How Do I Study for the Test?
Here’s what you need to do to ensure you’re in top shape on test day:
- Get a good night’s sleep
- Stay hydrated
- Try to abstain from heavy caffeine or alcohol the day of the exam prior to coming.
- Eat a light, healthy meal before your appointment.
If you’re being treated for a chronic illness — think high blood pressure, asthma, or diabetes — bring your doctor’s documents that show how it’s being treated.
- What Will the Examiner Check?
The exam includes:
Vision test – Near and distant vision, color vision, depth perception
Hearing test – You must be able to understand a spoken voice from six feet away
Blood pressure check – Must be within acceptable FAA limits
Urinalysis – Tests for the indication of sugar, protein, and kidney function
General health review – Heart, lungs, abdomen, neurological reactions, mental status
Your AME will also review your medical history for any red flags.
- Can I Fail the 2nd Class Medical Exam?
Technically, yes—but it’s not as prevalent as people believe. Most pilots fly through just fine, particularly if they’re generally healthy and honest about their history.
Here are some things that may delay or disqualify you:
- Uncontrolled high blood pressure
- Certain mental health diagnoses (if untreated or unmanaged)
- Vision that doesn’t meet FAA standards (and isn’t corrected)
- Substance abuse history without proper documentation
But don’t panic. Many conditions just require extra paperwork, not rejection. If you’re ever unsure, speak to your AME beforehand.
- How Long Is My 2nd Class Certificate Valid?
For pilots under 40: It counts for 12 months
Over 40: It still counts for 12 months, but some limitations may apply afterward if used for other types of flying (like private or instructional)
After expiration, your certificate can still be used as a 3rd class—so it’s flexible!
- What Happens If I Don’t Pass?
If the AME defers your case to the FAA or does not provide the certificate on the spot, don’t be discouraged. This is not an automatic denial, but usually indicates that the F.A.A. requires additional details (perhaps some records on testing or letters from your treating physician).
Stay cool and responsive.
Most identifiable delays can be solved with proper documentation and persistence.
- How Is the 2nd Class Different from the 1st or 3rd Class?
Great question. Let’s break it down:
1st Class Medical Certificate Florida: Required for airline transport pilots. Includes everything in the 2nd class exam, with tighter health and vision standards.
FAA 2nd Class Medical Exam Florida: Geared toward commercial pilots (charter, cargo, some flight instructors). It’s a balance of thoroughness and flexibility.
3rd Class Medical Certificate Florida: Required for private and recreational pilots. Less intensive than 2nd or 1st class exams.
If your career goals change, you can always upgrade or renew at the next level.
Be Informed, Be Ready, Be Cleared to Fly
Obtaining your commercial pilot medical clearance in Florida does not have to be a stressful experience. With some preparation and the right support team, extractions are often quick, easy, and sometimes even same-day approved. Already thinking about moving up? Many pilots use the 2nd class exam as a stepping stone toward earning their 1st Class Medical Certificate Florida, especially if they’re eyeing airline transport roles.
Choose Aviation Medicine, led by Dr. Weinberg, for fast, expert evaluations and a pilot-focused approach that puts your goals first.
Call us at (727) 648-2402 or email us at aweinberg@medavex.org to book your exam today!
Your wings are waiting—let’s get you cleared for takeoff.