Exam 3 Flashcards

1
Q

Identify, define, and compare/contrast the categories of biological health hazards.

A

Bacteria: Microscopic, Single-cell, Rigid walls, No nuclear membrane, Health effects from infection or endotoxin, Antibiotics—effective treatment for infection
Viruses: Microscopic, Genetic material with a protein/lipid coat, Must enter a host’s cells to reproduce, Linked to carcinogenesis, No effective treatment for infection, Vaccination/prevention is key
Fungi: Micro- and macroscopic, Saprophytes (break down dead organic material), Non-motile, Cause problems through Infection, Allergy, and Mycotoxin
Protozoa: Microscopic, Single-cell, Motile
Allergens: Parts of plants, animals, fungi, Inflammatory processes, Inhalation or skin contact routes of entry

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2
Q

Describe the health effects and diseases resulting from exposure to various biological health hazards.

A

Zoonotic Disease:
- Anthrax: Bacillus anthracis spores, “wool sorter’s disease” (skin), hemorrhagic mediastinitis inhalation, but also skin and GI
- Psittacosis: avian origin (starlings, parrots, pigeons), Chlamydia psittaci, Fever, pneumonia, cough acute
- Rabies: viral infection, Central Nervous System effects, 100% fatal
Hypersensitivity Disease:
- Farmer’s lung: Grain mold, Silage
- Bagassosis: Sugar cane

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3
Q

What occupational settings in which the different biological health hazards are found and identify which hazards might be present in them.

A

Agriculture:
- Endotoxin of gram neg. bacteria: Cotton milling, Livestock waste, Causes respiratory distress, shock, death
- Allergens: pollens, mold spores, animal dander, cotton bract
- Fungal toxins (mycotoxins): Aspergillus in silage, compost, hay, grain, aflatoxins cause liver damage and cancers, other toxins cause neurologic problems
Laboratories:
- Exposures of blood and body fluids, Exposures to tissues Human pathogens: HBV, HIV, HCV
- Exposure to lab animals’ zoonotic diseases: Rabies, Herpes B Virus
Medical professions:
- physician, nurse, phlebotomist, lab tech: HIV, HBV, HCV, TB, etc.
Exposure to sewage:
- wastewater workers, plumbers, public works, Hepatitis A, Hepatitis E, Endotoxin of gram-negative bacteria, Typhoid fever, Giardia
Housekeeping:
- cleaning restrooms, handling human waste

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4
Q

What is the OSHA Bloodborne Pathogens regulation cover and what are the basic requirements?

A
  • Concern for HIV, HBV, HCV, and others
  • Covers employees with occupational exposure to human blood, body fluids, and tissue
  • Requires training and vaccination for HBV
  • Requires Universal Precautions
  • Requires post-exposure testing
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5
Q

Given the description of a laboratory, be able to assign a BSL level and describe what safety practices would be required.

A

BSL 1: Labs use only those organisms not pathogenic to humans under normal circumstances. Requirements: open bench work, handwashing
BSL 2: Clinical, diagnostic, and others where moderate-risk organisms are present, provided the route of entry isn’t inhalation. Requirements: Practices to avoid puncture on mucous member contact, PPE, Containment of effluent from handwashing facilities
BSL 3: Clinical, diagnostic, or research labs where serious-risk or potentially lethal organisms are used. Route of transmission - inhalation. Requirements: Biosafety cabinets, Containment of ventilation emissions, limited access to the lab.
BSL 4: Work with dangerous exotic agents which pose a high risk of death and for which there is no effective vaccine or treatment. Route of entry - inhalation. Requirements: Complete worker isolation, Full body PPE, Contained ventilation system, Contained wastewater system

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6
Q

What are the physical properties of sound and the definition of noise?

A

Sound waves, Frequency, Sound Pressure

Noise: Undesirable Sound

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7
Q

Define the various health effects associated with noise exposure.

A

Temporary Threshold Shift: Hearing loss suffered as the result of noise exposure, all of which is recovered during an interval of non-exposure.
Permanent Threshold Shift: Hearing loss suffered as the result of noise exposure and is not capable of being recovered.
Standard Threshold Shift (STS): An average change from baseline, in one or both ears, of 10 dB in the ability to hear the frequencies 2000, 3000, and 4000 Hz
Noise-induced hearing loss: Impacts the ability to hear the frequencies 4000, 6000, and 8000 Hz, first. After significant exposure, all frequencies are impacted.
Tinnitus: A perception of sound, where there is none. May be perceived as a ringing, buzzing, or roaring.
Acoustic Trauma: Permanent loss caused by a single, catastrophic noise event

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8
Q

Calculate a Standard Threshold Shift

A

Average = (Δ 2000 + Δ 3000 + Δ 4000)/3; if Average > 10 dB, then STS

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9
Q

What are the ACGIH and OSHA noise permissible exposure and action limits?

A

OSHA:
Duration Per Day Sound Level
8 90
6 92
4 95
3 97
2 100
1.5 102
1 105
0.5 110
< 0.25 115
ACGIH:
Duration Per Day Sound Level
24 80
16 82
8 85
4 88
2 91
1 94
0.5 97
0.25 100

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10
Q

What are the additional risk factors that increase the risk of noise exposure?

A

Exposure to Ototoxic Chemicals, Frequency Spectrum of Sound (Higher frequencies = Higher risk), Duration of Exposure, Distance from Source, Position of Ear to Source

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11
Q

What are the basic categories of noise control solutions?

A

Two basic sources of noise are the surface motion of a vibrating solid or turbulence in the air.
Controls are aimed at these: Solid Vibration Control, Air Turbulence Control, Distance Attenuation

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12
Q

Describe the health effects associated with vibration

A

Vibration Syndrome: Vibration Syndrome is a group of symptoms related to the use of vibrating tools and includes -some or all of the following: muscle weakness, muscle fatigue, pain in the arms and shoulders, and vibration-induced white finger.
Vibration-Induced White Finger: Also known as “Dead Finger” or “Dead Hand” is the result of impaired circulation, caused by the prolonged use of vibrating tools.

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13
Q

Definitions of ionizing radiation, Ionization, and Radioactive

A

Ionizing Radiation = That particulate or electromagnetic radiation that causes ionization.
Ionization = An energy transfer process that changes the normal electrical balance in an atom.
Radioactive = An atom that undergoes a spontaneous change in a nucleonic configuration in order to attain stability.

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14
Q

Define, compare/contrast the categories of ionizing radiation.

A

Particulate
- Alpha: emitted from the nucleus during disintegration, two protons, two neutrons, positive charge, internal
- Beta: ejected from the nucleus during disintegration, “electron-like”, usually negative charge, sometimes positive, Internal and external
- Neutron: fissionable isotopes, bombards atoms, splitting some, capture (hydrogen/nitrogen in humans)
Electromagnetic
- Gamma: from the nucleus upon disintegration, penetration
- X-radiation: From electron shell, human made and natural

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15
Q

What are the factors that influence the severity of exposure to ionizing radiation?

A

Dose, Rate, Quality (linear energy transfer), Conditions, Route of entry

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16
Q

What are the health effects associated with ionizing radiation?

A
  • Somatic: Skin, eyes, hematopoietic, GI lining, impairment of fertility, embryo development
  • Genetic: Genes and chromosomes–mutations, low- to intermediate doses, linear relationship, hereditary effects not yet documented
    Carcinogenesis documented in relatively high dose situations – yet to be shown in lower doses
17
Q

Define rad, rem, quality factor.

A

Roentgen absorbed dose (rad): A unit of absorbed dose, that is, the energy absorbed per unit of mass of the object irradiated.
Roentgen equivalent man (rem): A unit of absorbed dose (in rad) times a quality factor (QF) that is used to express the relative biological effectiveness of the particular radiation.
Different radiations have different effectiveness in producing injury for the same amount of energy absorbed. The relative effects of the different radiations are given by a quality factor (QF).

18
Q

What are the quality factors?

A
QF              Radiation Type
1               x-ray, gamma, beta
20        alpha, fission fragments
10                slow neutrons
3                   fast neutrons
19
Q

What are the exposure limits for ionizing radiation?

A

Annual, Whole Body: 5 rem
Annual, Lens of Eye: 15 rem
Annual, Skin on hands/feet: 50 rem
Monthly, fetus of pregnant worker 50 mrem

20
Q

What are the monitoring devices for ionizing radiation?

A
  • Integrated Monitoring: Dosimeters (pocket, badge), Ionization chambers
  • Instantaneous Monitoring: Ionization chambers, Geiger-Mueller (GM) Detectors, Scintillation detectors
21
Q

What are the categories of non-ionizing radiation and the health effects associated with each?

A

Radio, microwave, infrared, visible light, UV
Visible: Skin photo-aging; eye-photochemical & thermal retinal injury
Ultraviolet: Eye – photochemical cataract; skin – erythema, inc. pigmentation

22
Q

What are the health effects associated with temperature extremes?

A

Heat Stress: Dehydration, heat exhaustion, heatstroke

Cold Stress: Hypothermia, Frostbite, Frostnip, Trench Foot, Chilblain

23
Q

What are the risk factors for ergonomic stresses?

A

Repetition, Force, Posture, Static Load

24
Q

Define risk.

A

Hazard + Outrage

25
Q

Enumerate the factors that impact the perception of risk:

A

Safe Risky
Voluntary Coerced
Natural Industrial
Familiar Exotic
Not memorable Memorable
Not dreaded Dreaded
Chronic Catastrophic
Knowable Unknowable
Individually controlled Controlled by others
Fair Unfair
Morally irrelevant Morally relevant
Trustworthy sources Untrustworthy sources
Responsive process Unresponsive process

26
Q

What are the HAZWOPER PPE categories?

A

Level A: To be selected when the greatest level of the skin, respiratory, and eye protection is required
Level B: The highest level of respiratory is necessary but a lesser level of skin protection is needed
Level C: The concentration and type of airborne substance are known and the criteria for using air-purifying respirators are met.
Level D: A work uniform affording minimal protection: used for nuisance contamination only.

27
Q

What are the conditions for use of supplied air and air filtering respiratory protection?

A

Air Purifying: Contaminants do not exceed MUC, appropriate filter/cartridge available, oxygen is not deficient, contaminant has warning properties
Air Supplying: Contaminated and/or concentrations unknown or exceed MUC, oxygen is deficient (<19.5%), IDLH, firefighting, no appropriate filter/cartridge, contaminants have poor warning properties

28
Q

Define PTD

A

To reduce the risk of injury, illness, and environmental damage by integrating decisions affecting safety, health, and the environment in all stages of the design process

29
Q

Define “Design”

A

The planning that lays the basis for the making of every object or system.
To conceive or fashion in the mind; invent

30
Q

PTD Design Process

A

Problem Statement, Hazard Identification and Anticipation, Needs Identification, Concept Generation, Conceptual Design, Detail Design, Prototyping, System Integration or Iterative Redesign