No FAA medical certificate, but a fitness rule that covers the whole crew. Here is the rule, the FAA's guidance, the exam traps and practice questions, with the FAA source under each answer.
No airman medical certificate is required. But no one may act as remote pilot in command, manipulate the controls, or serve as a visual observer or other direct participant if they know or have reason to know they have a physical or mental condition that would interfere with safe operation.
Sources: 14 CFR 107.17 · AC 107-2A, 5.6 Medical Condition
§ 107.17 Medical condition.
No person may manipulate the flight controls of a small unmanned aircraft system or act as a remote pilot in command, visual observer, or direct participant in the operation of the small unmanned aircraft if he or she knows or has reason to know that he or she has a physical or mental condition that would interfere with the safe operation of the small unmanned aircraft system.
AC 107-2A, 5.6 Medical Condition
Though the person manipulating the controls of a small unmanned aircraft and VO are not required to obtain an airman medical certificate, they cannot participate in the operation of a small UAS if they know or have reason to know that they have a physical or mental condition that could interfere with the safe operation of the small UAS (ยง 107.17).
Sources: 14 CFR 107.17 (eCFR, current as of 2026-10-21) · AC 107-2A, 5.6 Medical Condition
Similar to the FAA test, not the actual test questions.
Practice question 1
FAA source: AC 107-2A para. 5.6, Medical Condition
Practice question 2
FAA source: 14 CFR 107.17