Occupational Lung Disease Flashcards

1
Q

What are the 3 main occupational airways diseases?

A

Occupational asthma
Occupational rhinitis
Occupational COPD

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2
Q

Name at least 2 examples of causes for occupational COPD? (4)

A

Coal mining
Hard rock mining
Cadmium fumes
Organic dust

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3
Q

What are the 3 classifications of occupational asthma?

A

True occupational asthma (caused by occupation)
RADS (Reactive airways dysfunction syndrome)
Work-aggravated asthma (previously had asthma that has been worsened)

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4
Q

Name at least 4 causes of occupational asthma and their associated jobs? (8)

A
Flour - bakers
Isocyanates - spray painters
Solder/colophony - welders
Laboratory animals - animal houses
Epoxy resins - manufacturers
Latex - healthcare workers
Gluteraldehyde - healthcare workers
Wood dusts - woodworkers (red cedar)
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5
Q

What investigation is most key in determining occupational asthma from normal asthma?

A

Peak flow

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6
Q

Name 3 professions that are at risk of contracting TB due to occupation?

A

Pathologists
Physicians
Nurses

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7
Q

What is the main occupational cause of extrinsic allergic alveolitis?

A

Organic dust antigens

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8
Q

What are 4 symptoms of hypersensitivity pneumonitis?

A

Acute onset breathlessness with fevers
Malaise
Chest tightness

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9
Q

Upon examination what is a sign of hypersensitivity pneumonitis?

A

Crackles in lung fields

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10
Q

What causes silicosis and which professions (4) are exposed to this cause?

A

Inhalation of crystalline silicon dioxide

Miners, stonemasons, quarrymen, fettlers

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11
Q

Name at least 3 diseases that asbestos exposure can lead to? (6)

A
Pleural plaques
Benign asbestos pleurisy
Pleural fibrosis
Asbestosis
Lung cancer
Mesothelioma
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12
Q

What are the 3 types of benign pleural disease?

A
Pleural plaques (no symptoms)
Diffuse pleural thickening (restriction and breathlessness)
Benign asbestos pleurisy (often with pleural effusion)
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13
Q

What is the initial presentation of asbestosis?

A

Asymptomatic

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14
Q

After the asymptomatic phase what are the 2 symptoms of asbestosis?

A

Progressive dyspnoea

Cough

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15
Q

What are 2 signs upon examination of asbestosis?

A

Crackles

Clubbing

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16
Q

Is asbestosis a restrictive or obstructive lung disease?

A

Restrictive

17
Q

What is mesthelioma?

A

A pleural malignancy (usually caused by asbestos)

18
Q

How does mesothelioma present? (2)

A

Dyspnoea

Chest wall pain

19
Q

Name at least 4 causes of occupational lung and nasal cancer and their related occupations? (8)

A

Asbestos - engineers/builders
Radon gas - miners
Polycyclic aromatic hydrocarbons - coking works
Nickel sulphide fumes - refining
Hexavelent chromium fumes - plating
Arsenic fumes - smelting
Bis chloromethyl ether - ion exchange resin manufactering
Hardwood dust - boot/furniture manufacture