Occupational Medicine

Question 1

What is occupational medicine?

Answer 1

To prevent and treat diseases and injuries occurring at work or in specific conditions

Question 2

Who is the father of occupational medicine?

Answer 2

Bernardino Ramazzini

Question 3

Which book examined the diseased and problems of 52 occupation in 1700?

Answer 3

De Morbis Artifiucm Diariba

Question 4

When did the US Matine hospital service make the American seamen, an occupational work review ?

Answer 4

1798

Question 5

When did the rise of labor union demand safe working conditions?

Answer 5

1800s

Question 6

Who studied lead poisoning in 1911?

Answer 6

Alice Hamilton

Question 7

When did modern impetus for increases of occupational safety and health start, causing a growth of industry?

Answer 7

WWII

Question 8

WWII stimulated;

Answer 8

Many injuries and diseases being identified and etiologies were developed

Question 9

What does occupational medicine promote?

Answer 9

Health and productivity of workers, their families and communities

Question 10

What does occupational medicine prevent?

Answer 10

Occupational injury, illness and disability

Question 11

What are some practice settings for occupational medicine?

Answer 11

Large industry (in-house)
Occupational and Environmental medicine programs in hospitals
Private practice/Consulting to small/medium sized companies
Government settings

Question 12

What are the DO and MD boards for Occupational and Environmental medicine respectively?

Answer 12

American College of Occupational and Environmental Medicine (ACOEM)
American Osteopathic College of Occupational and Preventive Medicine (AOCOPM)

Question 13

What are the core competencies of ACOEM?

Answer 13

Clinical occupational and environmental medicine
OEM related law and regulation
Environmental health
Work and fitness and disability
Toxicology
Hazard recognition and control
Disater prevention and Emergency management
Worker health and productivity
Public health, surveillance and disease prevention
OEM related management

Question 14

Who does the MD occupational medicine certification?

Answer 14

Certification conducted annually by American Board of Preventive Medicine(ABPM)

Question 15

who does the DO occupational medicine certification?

Answer 15

Certification conducted annually by American Osteopathic College of Occupational and Preventive Medicine

Question 16

What are some impediments to getting more physicians into occupational med?

Answer 16

Not hospital based specialty
Must have MPH
Not so high paid

Question 17

What are the objectives of occupational health?

Answer 17

Provide medical care and advice that recognizes the patient’s occupation
Investigate and assess workplace hazards
Estimate employees’ work capacity
Monitor employee health and how it might be affected, or may affect condition
Support action for maintaining optimum working capacity
Specialized and periodic examinations as necessary
Emergency work-related medical care

Question 18

What are some risks of being a roofer?

Answer 18

Before 1975 - asbestosis due to insulation
Photoirriant dermatitis - asphalt
Lead poisoning - lead roofing
Acute contanct dermatitis (ACD) or occupational asthma (OA), epoxy, sealants, foams, adhesives - machine or sand wood allergen

Question 19

What are some risks of being a carpenter?

Answer 19

Before 1975 - asbestosis due to insulation
Acute solvent syndrome, peripheral neuropathy
Glue, solvents, oil-based paints, sand wood, epoxy, urethane (ACD, OA)
Lead poisoning - old paint, lead based
ACD - water based paint, equipment cleaner

Question 20

What are some risks of being a plumber?

Answer 20

Before 1975 - asbestosis due to insulation
ACD - degrease metals, glue solvents
Photoirrirtant dermatitis- asphalt
ACD, OA - solder or braze
Cadmium poisoning - braze w. cadmium based solder
Lead poisoning - water line, cast iron soil pipes

Question 21

The majority of occupational hazard that present effects are;

Answer 21

Dust
Heat
Cold
Confined spaces
Poor ergonomics

Question 22

What are the pulmonary diseases (airway) that could come about from a work environment?

Answer 22

Occupational Asthma
Pulmonary Disease, Chronic Obstructive Chronic Bronchitis
Irritant-Induced Asthma (RADS: Reactive Airways Dysfunction Syndrome)
Irritant-Induced Asthma
Irritant-Associated Vocal Cord Dysfunction
Occupational Rhinitis

Question 23

What are the pulmonary diseases (Interstitial lung) that could come about from a work environment?

Answer 23

Silicosis 
Asbestosis
Coal Workers' Pneumoconiosis (CWP)
Other Pneumoconioses
- Benign : Radiopaque iron oxide, tin, and barium: can cause visible opacities on the chest x-ray without symptoms or detectable changes in function
Hard Metal Disease
-Cobalt-related lung disease
-Chronic Beryllium Disease (CBD)

Question 24

What are the pulmonary diseases (hypersensitivity pneumonitis) that could come about from a work environment?

Answer 24

Extrinsic allergic alveolitis
Mushroom picker's disease
Humidifier or air-conditioner lung
Bird breeder's lung
May also result from fungus in humidifiers, heating systems, and 	air conditioners

Question 25

What are some causes for occupational lung cancer?

Answer 25

Silica 
Hexavalent (Cr 6) chromium
Poly Aromatic Hydrocarbons (PAH) 
Asphalt Fumes 
Coke Oven Emissions (Steel plants) 
Diesel Exhaust

Question 26

What chemical can cause instant death in an enclosed space?

Answer 26

Hydrogen Sulfide (H2S)

Question 27

What is medical screening?

Answer 27

Detecting disease or body dysfunction before and individual would normally seek medical care
Pt without symptoms

Question 28

What is medical surveillance?

Answer 28

Analysis of health information to detect workplace-related conditions requiring targeted prevention
Single or sentinel event
Grouped screening

Question 29

What year did the Occupational safety and health act (OSHA) for,?

Answer 29

1970

Question 30

What year is the Environmental Protection agency (EPA) form?

Answer 30

1969

Question 31

What year was the Comprehensive Environmental response, Compensation and Liability Act formed?

Answer 31

1980