L2 Environmental

Question 1

Cost of work injuries

Answer 1

2x more frequent than home injuries, $25 billion

Question 2

Factors that affect chemical injuries

What percent are children

Answer 2

Concentration
Liberation
Absorption
Distribution
Metabolism
Excretion
60% are children

Question 3

Anaphylaxis is most associated with

Answer 3

antibiotics (penicillin)

Question 4

Asprin overdose

Answer 4

Kids: 2-4 grams
Adults: 10-30grams
Respiratory alkalosis followed by metabolic acidosis

Question 5

Tylenol overose

Answer 5

15-20grams

liver failure over several hours to days

Question 6

Lead exposure problems

Answer 6

High affinity for enzymes making hemoglobin

Microcytic hypochomic anemia

Question 7

Allowable lead blood levels

Answer 7

5 ug/dL

Question 8

Lead exposure for adults

Answer 8

peripheral neuropathies (wristdrop, footdrop)

Question 9

Factors affecting thermal burns (5)

Answer 9

Percent of body removed (9s..50% is death)
Depth
Internal injuries
Age
How fast/well was it treated

Question 10

Shock associated with 30-40 % burn

Answer 10

Hypovolemic shock

Question 11

Skin changes after radiation

Answer 11

2-3 days: erythema
2-3 weeks: edema
4-6 weeks: blistering
Month-Yrs: Atrophy, Cancers

Question 12

Cell changes after radiations

Answer 12

Hrs: lymphocytes
weeks-months:rebound
1-2 weeks: Granulocytes
2-3 months: Rebound

Question 13

Fatal Acute radiation syndromes

Answer 13

Hematopoietic 2-10 sv, 2-6 weeks
GI: 10-20 sv, 1-2 weeks weeks
Cerebral: 50sv, 1-4 hrs

Question 14

Lethal radiation range

Answer 14

2Sv

7Sv is certain death

Question 15

Marasmus
What is it
How to tell

Answer 15

Deficiency in caloric intake
Somatic department depleted
Weight is less than 60% of normal

Question 16

Indicator of immune system deficits

Answer 16

Thrush

Question 17

Kwashiorkor
What is it
What does it look like

Answer 17

greater deficiency of protein than total calories
Visceral department depleted leading to decreased albumen leading to edema
Flaky paint looking skin
Less than 5 years old

Question 18

Functions of Vitamin A

Answer 18

Maintain vision in reduced light
Differentiation of mucus epithelial cells
Immunity esp. in children

Question 19

Functions of Vitamin C (3)

Answer 19

Formation/stabilization of collagen (hydroxylate proline and lysine)
Convert tyrosine to catecholamines
Antioxidant