occupational lung disease

Question 1

what is the leading preventable cause of premature death?

Answer 1

tobacco smoking

Question 2

what is the most commonly reported lung disease in the US?

Answer 2

work related asthma

Question 3

how to differentiate asthma from occupational asthma

Answer 3

sx are improved whenever long breaks from area of exposure, absence of pre-existing asthma

Question 4

if you think that your patient may have occupational asthma, after getting normal spirometry, what could you do?

Answer 4

methacholine challenge

Question 5

what can predispose ppl to occupational COPD?

Answer 5

long term exposure to dusts, chemicals

Question 6

there is an incr risk for COPD in what industries especially?

Answer 6

rubber, plastics, leather manufacturing, utilities, building services, textile manufacturing, construction

Question 7

what component of popcorn flavoring has been linked to bronchiolitis obliterans & is also found in e-cigs?

Answer 7

diacetyl

Question 8

what is the pattern of bronchiolitis obliterans?

Answer 8

dyspnea, cough, wheezings, PFT w/ obstructive pattern

Question 9

severe narrowing of small airways

Answer 9

bronchiolitis obliterans

Question 10

extrinsic allergic alveolitis is AKA?

Answer 10

hypersensitivity pneumonitis

Question 11

in addition to cough, dyspnea, fatigue, weight loss, what else may you see in chronic hypersensitivity pneumonitis?

Answer 11

clubbing

Question 12

how can you tx acute hypersensitivity pneumonitis?

Answer 12

glucocorticoids

Question 13

radiographic findings show egg shell calcifications, pathology shows alveolar filling with proteinaceous material - what disease?

Answer 13

silicosis

Question 14

how long is the mesothelioma latency period?

Answer 14

20-50 yrs

Question 15

what is the classical presentation of asbestos related pleural disease?

Answer 15

pleural plaques

Question 16

asbestos fibers cause fibrotic changes of the lung _____ & ____

Answer 16

parenchyma & pleura

Question 17

what is the asbesotis latency period?

Answer 17

10-20 years

Question 18

abrasion resistant high temp machine cutting tools can lead to what sort of lung problem?

Answer 18

hard metal lung disease

Question 19

what type of fibrosis is seen with hard metal lung disease?

Answer 19

parenchymal fibrosis

Question 20

HA, dizziness, weakness, N/V, chest pain, confusion

Answer 20

CO poisoning

Question 21

types of poisoning to consider when there is a fire

Answer 21

CO poisoning, cyanide poisoning