Occupational and environment health

Question 1

Examples of occupational lung disease:

Answer 1

Occupational asthma
COPD
Pneumoconiosis
Pneumonitis
Hypersenstivity pneumonitis
Malignant mesothelioma

Question 2

Occupational vs work-exacerbated =

Answer 2

Occupations = problem developed at work
Work-exacerbated = didn't develop at work, made worse by going to work

Question 3

Examples of causes of occupational asthma:

Answer 3

Baker
Animal products
Pain
Wood dust

Question 4

What questions should you ask when taking a Hx of occupational asthma?

Answer 4

Are symptoms worse at work?

What are symptoms like in holidays?

Question 5

Investigations of occupational asthma:

Answer 5

PF diary, see if declines correspond to work

Question 6

Pneumoconiosis is (obstructive/restrictive)

Answer 6

Restrictive

Question 7

Pneumoconiosis is common is what professions?

Answer 7

Miners

Coal workers

Question 8

What causes pneumoconiosis?

Answer 8

Dust

Question 9

2 types of pneumoconiosis =

Answer 9

Simple

Complicated

Question 10

Simple pneumoconiosis

Answer 10

Presence of coal macules, cans see in post mortum. Near normal lung function

Question 11

Complicated pneumoconiosis

Answer 11

Progressive massive fibrosis

Question 12

Sand dust, stone, glass and quarry work can cause

Answer 12

Silicosis

Question 13

Is silicosis common?

Answer 13

No - rare

Question 14

Silicosis leads to what pathologically

Answer 14

Upper lobe nodules, lymph node calcification

Question 15

Silicosis can predispose patient to

Answer 15

TB

Lung cancer

Question 16

Asbestosis =

Answer 16

Long term inflammation and scarring of lungs due to asbestos

Question 17

What does asbestosis resemble?

Answer 17

Idiopathic pulmonary fibrosis

Question 18

Lung becomes what in asbestosis?

Answer 18

Small

Stiff

Question 19

Complications of abestosis =

Answer 19

Malignant mesothelioma

Question 20

Asbestos fibers more likely to cause MM

Answer 20

Brown

Blue

Question 21

Siderosis can be caused by

Answer 21

Working with iron

Question 22

Symptoms of siderosis =

Answer 22

Usually asymptomatic, CXR looks worse

Question 23

What might occur during an industrial accident?

Answer 23

Acute inhalational injury

Question 24

Acute inhalational injury can cause

Answer 24

Acute pneumonitis

Question 25

Acute pneumonitis =

Answer 25

Inflammation
Fibrosis
Acute respiratory distress
Pulmonary oedema

Question 26

Ex causes of acute pneumonitis

Answer 26

Chlorine
Ammonia
Organic chemicals
Metallic compounds

Question 27

What is the new name for extrinsic allergic alveolitis?

Answer 27

Hypersensitivity pneumonitis

Question 28

2 examples of hypersensitivity pneumonitis =

Answer 28

Farmers lung

Bird keeps lung

Question 29

Bird keepers lung is also called

Answer 29

Avion hypersensitivity alveolitis

Question 30

What does bird keepers lung look like and therefore what should you always do?

Answer 30

IPF

Always ask about pets

Question 31

What % of lung cancers are occupational in men?

Answer 31

10%

Question 32

What % of occupational lung cancers does asbestos account for?

Answer 32

60%

Question 33

Name some major atmospheric pollutants

Answer 33

CO
NO
SO
Hydrocarbons

Question 34

Respiratory pollutants are mainly derived from

Answer 34

Combustion of fossil fuels

Question 35

Examples of indoor pollutants =

Answer 35

Mould and bacteria
Cleaning products
Cigarette
Radon through foundation
Pains and solvents
Combusion from fireplace