**Question 1. Which clause of the U.S. Constitution establishes federal
supremacy over state immigration laws?**
A) Commerce Clause
B) Supremacy Clause
C) Necessary and Proper Clause
D) Full Faith and Credit Clause
Answer: B
Explanation: The Supremacy Clause (Article VI) declares that federal law is the
“supreme Law of the Land,” preempting conflicting state immigration regulations.
**Question 2. Idaho House Bill 753 (2026) primarily requires which of the
following for public benefit applicants?**
A) Proof of citizenship only
B) Verification of immigration status
C) Employment history for five years
D) Criminal background check
Answer: B
Explanation: HB 753 mandates that applicants for state-funded benefits provide
documentation verifying their immigration status.
**Question 3. Under the 287(g) program in Idaho, local law enforcement agencies
collaborate with which federal agency?**
A) Department of Labor
B) U.S. Customs and Border Protection
C) Immigration and Customs Enforcement (ICE)
D) Federal Bureau of Investigation
, Idaho Immigration Ultimate Exam
Answer: C
Explanation: The 287(g) agreement allows state and local police to enforce federal
immigration laws in partnership with ICE.
**Question 4. Which Idaho-specific requirement applies to state contractors
regarding employee verification?**
A) Completion of a background check through the Idaho Department of Labor
B) Enrollment in the Federal Contractor Verification System
C) Mandatory use of E-Verify for all new hires
D) Submission of quarterly immigration status reports to the governor’s office
Answer: C
Explanation: Idaho law requires state contractors to use the federal E-Verify
system to confirm the employment eligibility of all new employees.
**Question 5. Emergency medical services in Idaho are considered:**
A) A state-funded benefit restricted to legal residents
B) A public benefit available to all persons regardless of status
C) Only available to citizens and lawful permanent residents
D) Restricted to individuals with a work visa
Answer: B
Explanation: Federal law and Idaho policy treat emergency medical care as a
universally accessible service, not limited by immigration status.
**Question 6. Which of the following is NOT a mandatory immunization for the
Form I-693 medical examination in Idaho?**
A) Measles, Mumps, Rubella (MMR)
, Idaho Immigration Ultimate Exam
B) Polio (IPV)
C. Human Papillomavirus (HPV)
D) Hepatitis B
Answer: C
Explanation: HPV vaccination is recommended but not required for the
immigration medical exam; MMR, Polio, DTP, Hepatitis B, and Varicella are
mandatory.
**Question 7. As of 2026, the CDC-recommended test for tuberculosis screening
for immigration applicants is:**
A) Chest X-ray only
B) Tuberculin Skin Test (TST) only
C) Interferon-Gamma Release Assay (IGRA) only
D) Either IGRA or TST, with IGRA preferred for BCG-vaccinated individuals
Answer: D
Explanation: The CDC allows either IGRA or TST, but IGRA is preferred for those
who have received BCG vaccination to avoid false-positive results.
**Question 8. For applicants age 15 and older, which sexually transmitted
infection must be screened during the Form I-693 exam?**
A) HIV only
B) Syphilis only
C) Gonorrhea only
D) Both Syphilis and Gonorrhea
Answer: D
, Idaho Immigration Ultimate Exam
Explanation: USCIS requires testing for both syphilis and gonorrhea in applicants
age 15 and older.
**Question 9. Which mental health condition, if demonstrated to cause harmful
behavior, could be a ground of inadmissibility under the Form I-693?**
A) Generalized anxiety disorder
B) Major depressive disorder without suicidal ideation
C) Schizophrenia with a history of violent acts
D) Mild obsessive-compulsive disorder
Answer: C
Explanation: USCIS may deem individuals with mental disorders that pose a risk of
harm to themselves or others inadmissible.
**Question 10. In Idaho, a civil surgeon must maintain which of the following to
perform Form I-693 examinations?**
A) A license from the Idaho Board of Medicine only
B) Designation as a USCIS civil surgeon and a valid medical license
C) Certification from the American College of Surgeons
D) Membership in the Idaho Medical Association
Answer: B
Explanation: Civil surgeons must be designated by USCIS and hold a current state
medical license to conduct immigration medical exams.
**Question 11. Which family-based immigration category is considered
“immediate relative” and is not subject to annual caps?**
A) Unmarried adult children of U.S. citizens (F1)