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Occupational Medicine > Occupational Disease > Flashcards

Occupational Disease Flashcards

1
Q

Risk of Hep B from BBV

A

1 in 3

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2
Q

Risk of Hep C from BBV

A

1 in 30

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3
Q

Risk of HIV from BBV

A

1 in 300

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4
Q

Diabetic Group 2 licence holders

A

Must tell DVLA if on any tx
IDDM -Check BM 2 hours before driving and every 2 hours while driving.
Need yearly assessment

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5
Q

Group 2 licence - Epilepsy

A

Cannot be on treatment.

Must be seizure free for 10 years

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6
Q

Noise Induced Hearing Loss

A

Shows a notch at 4kHz and or 6kHz

Afro-Caribbeans more susceptible

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7
Q

Boorman Report

A

For NHS employees

How to achieve a healthy workforce

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8
Q

Allergic Contact Dermatitis

A

Type 4 hypersensitivity - delayed reaction, it is chronic
Diagnosed with patch test
Chromium contact dermatitis - results permanent
Atopics have lower threshold for the ACD

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9
Q

Allergic Contact Urticaria

A

Type 1 hypersensitivity - immediate (within 30 min)
Causes systemic reaction - eg latex
Causes Weals
Diagnosed with prick testing

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10
Q

HSE Guidance on Stress

A

Job suitability (role) - Job descriptions
Relationships at work - Anti-bullying
Demand at Work - Change in workload
Control over work - Employee input
Support at work - encouraging things like sponsorship
Organisational change - good communication and encouraging employee input
(Control, relationships, demand, support and role change)

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11
Q

Respiratory Sensitizers

A 
Animals
Flour
Isocyanates (in paint)
Latex
Rosin (found in soldering flux)
Hardwood and Softwood Dust
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12
Q

Group 1 License and Epilepsy

A

After stopping medication, have to wait 6 months before driving again.
Must be 12 months seizure free with diagnosis of epilepsy.

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13
Q

Irritant Contact Dermatitis

A

Not immune mediated. Caused by breaks in the skin leads to flaking and itching. Max time with gloves 20 mins, should use barrier creams.
Prick and patch testing not indicated.

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14
Q

High molecular weight compounds

A

Allergic responses with production of specific IgE
Usually have positive skin prick test
Atopic individuals
May return to work with enhanced protection
eg animal products insects, lab animals, plants, coffee

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15
Q

Low molecular weight compounds

A

May combine with proteins (haptens) prior to eliciting an immunological response
Specific IgE may not be detectable.
Diisocyanates, anhydrides, epoxy resins, wood dusts
Return to work is rarely possible

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16
Q

Sick Building Syndrome

A

Constellation of sx experienced by occupants of air conditioned buildings.
Work related headaches, lethargy, nasal stiffness.
Due to poor ventilation, high temp, low humidity

17
Q

Humidifier Fever

A

A form of sick building syndrome that usually develops on Monday or the first workday of the week. The hallmark of the disease is the sudden onset of fever.
Resolves in 24 hours.

18
Q

Bradford Hill Criteria

A

Considerations used to determine whether an agent causes a disease.

19
Q

Driving and CABG

A

Group 1 licence - 1 month

Group 2 licence - 3 months.

20
Q

Driving and Angioplasty

A

Group 1 - 1 month

21
Q

Refusing a Group 2 Licence

A
  1. Wishing 3 months of CABG
  2. Uncontrolled angina, HF or arrhythmia
  3. Implanted defibrillator
  4. HTN with systolic >180 and/or diastolic >100
  5. Stroke or TIA within last 12 months
  6. Menieres Disease or sudden disabling dizziness in the past 12 months
  7. Major brain surgery or recent severe head injury
  8. Parkingons, MS
  9. Dementia
  10. Lung cancer
22
Q

Single Isolate Seizures and Driving

A

Group 1 - 6 months after confirm dx by neurologist.

Group 2 - 5 years provided on single isolated one and none within 5 years. Not on medication.

23
Q

Single isolated TIA and driving

A

Group 1 - 1 month

Group 2 - 12 months

24
Q

D4 Form

A

DVLA form for Group 2 licence renewals

25
Q

D1 Form

A

Group 1 drivers reapplying for their licence after a medical condition.

26
Q

Group 2 Licence Renewals

A

Every 5 years after age 45

Every 1 year after age 65.

27
Q

Health Protection (notification) Regulations

A

Diseases that are notifiable like Hep B, Hep C, not HIV

28
Q

Driving and short term insulin

A

Group 1 - If on insulin for less than 3 months, then do not need to inform DVLA. Check BMS every 2 hours
Group 2 - Inform DVLA

29
Q

Organic Dust Toxic Syndrome

A

Acute inflammatory disorder LRT
Toxic reaction to organic dusts
Malaise/fever 4-6 hours after exposre
No CXR signs, Self limiting, no tx.

30
Q

Dissociative seizures and DVLA

A

Group 1 - notify DVLA - 3 months off
Group2 - notify DVLA - 3 months off
Specialist review

31
Q

Occupational asthma Peak flow frequency

A

4 times a day for 3 weeks

32
Q

Group 2 and active angina symptoms

Occupational Medicine (17 decks)

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