My wife and I have our interview next week to adjust her status.
We have our documents ready and vaccination forms completed.
My wife did not get another medical exam because she already had one for the K-1 interview in Moscow.
Will the government these medical records at the upcoming interview?

What questions will they ask us both? Is the interview very difficult?

Thanks for your help!

For the medical - if they have everything, you will be fine. (Vacc supplement, they know about the K1 interview). If there is a problem, you will get an RFE at the interview for whatever they need.

For the vast majority of people, the interview is no big deal. A few questions, off you go.

It would be a GOOD idea to get the Supplemental 1-693.
May save you from getting a RFE at the interview.
Just take it with you.

FEDERAL REGISTER INTERIM REGULATIONS at USCIS website, I quote:

"C. Medical Examinations
According to 8 CFR 245.5, aliens seeking to adjust status are required to undergo a medical examination performed by a designated civil surgeon to determine whether they are inadmissible under section 212(a)(1)(A) of the Act. To date, applicants for K nonimmigrant visas have been required to obtain a medical examination abroad pursuant to Department of State regulations at 22 CFR 41.81 prior to entry, and the medical examination is not repeated if they apply for adjustment of status within 1 year of the dat e the examination was performed. They are, however, required to submit with the adjustment of status application a vaccination assessment completed by a designated civil surgeon in order to establish their compliance with the vaccination requirements under section 212(a)(1)(A)(ii) of the Act.


The Service will continue this same policy for the K-3/K-4 nonimmigrants. K-3/K-4 nonimmigrants who file their adjustment of status application within 1 year from the date of the medical examination overseas will not have to submit an additional medical examination. However, the Service notes that applicants whose medical examinations overseas revealed a “Class A” or “Class B” condition (as defined by 42 CFR 34.2( B ) ) must establish upon application for adjustment of status that they complied with those cond itions imposed on the initial admission. Failure to comply with those conditions means that a new medical examination will be required.

Devikk, you may wanna post your question in the AOS forum - you'll get more responses.

The interview is not difficult - they will swear you both in, ask the beneficiary some of the "no" questions from the I-485 form, they'll verify your address and bio data, ask how you met and ask for some proof of relationship. Unless you get some bozo who got up on the wrong side of the bed, there's nothing to worry about.