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REM exam > Chapt 1 Questions > Flashcards

Chapt 1 Questions Flashcards

1
Q

What is the purpose for which radiation workers receive focused medical examinations (RME)?

A

Radiation workers receive focused medical examinations to establish whether or not cancer is present which would medically disqualify a person from receiving occupational radiation exposure

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2
Q

What is the name of the form that documents Ionizing Radiation Medical Examinations?

A

NAVMED 6470/13

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3
Q

What are the types of Ionizing Radiation Medical Examinations?

A
  1. Pre-placement Examination
  2. Reexamination
  3. Situational Examination
  4. Termination Examination
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4
Q

Who is authorized to perform Ionizing Radiation Medical Examinations?

A

Physicians, NPs, PAs

Provided they have undergone the appropriate BUMED training

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5
Q

If a NP or PA performs the RME, what are the review/countersign requirements?

A

Only a physician can sign as a reviewer

They must be an RHI, RAM, or UMO and this MUST be documented in the signature block

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6
Q

If a 26yo qualified radiation worker received a PE on 8 MAR 2013, their next reexamination cannot exceed what date?

A

Cannot exceed last day of APR 2018
<50 - exam every 5yrs
Reexamination must be performed NO LATER THAN one month following the anniversary (month year) of the previous radiation physical

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7
Q

A person is 43yo and gets a RE on 17MAR2017. What the the due dates for the next 3 REs. DOB is 5JUN.

A
  1. APR2022 - age 48
    - <50yrs - exam every 5yrs, must be performed no later than one month following the anniversary of previous examination
  2. JUL2026 - Age 52
    - <50yrs - exam every 5yrs NOT to exceed age 52
    - anniversary date resets with birthday (5JUN)
  3. AUG2028 - Age 54
    - >50yrs - exam every 2yrs, must be performed no later than one month following the anniversary of previous examination
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8
Q

What do you do if a person separates from active duty without finishing their RME Termination Examination?

A

If a TE is not completed or not performed, the following will be done:

  1. a NAVMED 6470/13 will be prepared and completed to the maximum extent practicable
  2. The reason why the form is incomplete will be recorded in Summary of Abnormal Findings (section 14), of the NAVMED 6470/13
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9
Q

If a Situational Exam is to be performed, what information in addition to any usual RME documentation or comments is required?

A

A Situational Examination (SE) has medical history that MUST CONTAIN summary statements which provide the basis for performing the SE - block 14

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10
Q

What type of RME is required?

A radiation worker who’s last physical was performed 4yrs and 9mo ago

A

Reexamination (RE)

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11
Q

What type of RME is required?

A new recruit being considered for assignment as a radiation worker

A

Pre-placement examination (PE)

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12
Q

What type of RME is required?

A person who ingested or inhaled greater than 50% of an Annual Limit of Intake

A

Situational Exam (SE)

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13
Q

What type of RME is required?

A radiation worker who is scheduled to separate from the Navy within 180 days

A

Termination examination (TE)

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14
Q

What type of RME is required?

A non-radiation worker who was monitored for ionizing radiation on board a nuclear powered vessle

A

An Ionizing Radiation Medical Examination (RME) is NOT required

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15
Q

What type of RME is required?

A civilian who was once an active duty Navy radiation worker being considered for duties as a radiation worker again

A

Pre-placement examination

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16
Q

What type of RME is required?

A Navy diver who will be monitored for radiation exposure sporadically

A

An Ionizing Radiation Medical Examination (RME) is NOT required

17
Q

What type of RME is required?

A female radiation worker with a valid PE (3yrs ago) that becomes pregnant

A

An Ionizing Radiation Medical Examination (RME) is NOT required

18
Q

What type of RME is required?

A radiation worker who recently turned 52 whose last physical was performed 3yrs ago

A

Reexamination

19
Q

What type of RME is required?
You discover a person who received a PE in boot camp 7yrs ago, but never completed radiation worker training and currently has no documented exposure to ionizing radiation in their medical record

A

An Ionizing Radiation Medical Examination (RME) is NOT required

20
Q

What type of RME is required?
A nuclear trained radiation worker transferring to shore duty for the next 3yrs whose last physical was performed 2yrs ago

A

An Ionizing Radiation Medical Examination (RME) is NOT required
or
Reexamination

21
Q

What type of RME is required?
A person who received a PE in boot camp 5yrs ago, but never completed radiation worker training an currently has documented exposure to ionizing radiation in their medical record as a non-radiation worker

A

Termination examination

22
Q

What type of RME is required?

A visitor that will need to transit a radiation area sporadically

A

An Ionizing Radiation Medical Examination is not required

23
Q

What type of RME is required?

A person that would not normally required an exam but exceeds 500mrem a year

A

Pre-placement examination

24
Q

What type of RME is required?

A nuclear trained officer who reports from shore duty whose previous physical was performed 6yrs ago

A

Reexamination - explain why there is a lapse

25
Q

Are actinic keratosis and basal cell carcinoma disqualifying conditions for radiation work?

A

Actinic keratosis is not disqualifying if adequately treated
Surgically removed BCC is considered disqualifying until the pathology results of the surgery are obtained and show clear margins

26
Q

What labs are required for routine RMEs?

A

CBC - specifically WBC and HCT

Urinalysis - Micro or dipstick

27
Q

To what time requirements are RME labs subject, if any?

A

WITHIN 3mo of physical examination

28
Q

What is the “DINA list” and what are some of the reasons a person could end up on it?

A

DINA list is a list in which people are not allowed to work/receive TLD
Individuals can be placed on this list after 45days of non-compliance with further evaluations needed with REM

29
Q

If a WBC or HCT lab is out of the normal facility lab range, what must happen in order to clear the worker as Physically Qualified (PQ)?

A

Abnormal WBC - requires differential

Abnormal repeat labs, the physician must perform further clinical evaluations to determine the reason for the abnormal HCT or WBC and record this reason

Focus of further clinical studies is to rule out cancer and/or bone marrow suppression

REM exam (1 decks)

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