Download Occupational Health and Safety Exam Questions and Answers and more Exams Community Corrections in PDF only on Docsity!
COHN EXAM QUESTIONS AND
ANSWERS
Tolulene - CORRECT ANSWER-An isocyanate, is a respiratory sensitizer that can lead to occupational asthma Primary concern of a kerosene splash - CORRECT ANSWER- Lung irritation Benzene - CORRECT ANSWER-Adversely affects the hematopoietic system. Therefore, individuals with a history of thrombocytopenia would be at increased risk if exposed to Benzene SWOT - CORRECT ANSWER-Strengths Weaknesses Opportunities Threats; way to asses an environment Jaundice is a common symptom of - CORRECT ANSWER- Carbon tetrachloride poisoning OSHA PEL for airborne lead exposure - CORRECT ANSWER- 50ug/m Action level for lead blood levels - CORRECT ANSWER- 30ug/100g What unique contribution can the OHN make to workplace safety and health programs? - CORRECT ANSWER-Provide screening to specific exposures
What are other problems that usually accompanies sleep apnea? - CORRECT ANSWER-Diabetes and cardiovascular disease Doxycycline - CORRECT ANSWER-And anti-malarial preventative. Take the drug daily one or two days before travel and for 28 days after a trip. The occupational health and safety OSHA's 18001 is described as? - CORRECT ANSWER-An international consensus standard for occupational health and safety management systems What are the five classes of drugs tested for DOT purposes? - CORRECT ANSWER-Cannabinoids, cocaine, amphetamines, opiates, PCP Primary prevention - CORRECT ANSWER-Actions that change overall background conditions to prevent some unwanted event or circumstance, such as injury, disease, or abuse. For example immunizations secondary prevention - CORRECT ANSWER--focuses on early identification of individuals or communities experiencing illness, providing treatment, and conducting activities that are geared to prevent worsening health status
- examples: communicable disease screening and case finding; early detection and treatment of diabetes; exercise programs for older adult clients who are frail. Screenings tertiary prevention - CORRECT ANSWER-Intervention for example chronic disease monitoring cardiac rehab physical rehab treatment Pre-placement Exam - CORRECT ANSWER-Match the job with employee, and sure the compatibility of the person with the job demands, and serve as a baseline for future evaluations
Physical Assessment - CORRECT ANSWER-IPPA; Inspect, Palpate, Percuss, Auscultate Abdominal exam order IAPP; Inspect, Auscultate, Percuss, Palpate Approximately 80 to 90% of all types of skin disease can be classified as? - CORRECT ANSWER-Contact dermatitis Sensitizing agents - CORRECT ANSWER-Response after single or multiple exposures and only and some individuals Systemic responses include difficulty breathing, inflammation of Airways, pulmonary edema Common chemical sensitizing agents - CORRECT ANSWER- Phenol, epoxy, rubber, acrylics, nickel, plant resins Approximately 20% of common contact dermatitis comes from?
- CORRECT ANSWER-Poison ivy, oak and sumac Solvents that most frequently cause occupational skin disease:
- CORRECT ANSWER-Acetone, coronated hydrocarbons, toluene, xylene, petroleum distillate, alcohol Chloracne - CORRECT ANSWER-Swelling sebaceous glands from exposure to hydrocarbons for, example dioxin Macule - CORRECT ANSWER-flat, colored spot on the skin, Freckles, measles papule - CORRECT ANSWER-small, solid, raised lesion on surface of the skin; wart, insect bite Pustules - CORRECT ANSWER-pus-filled sacs such as those seen in acne, or pimples Vesicles - CORRECT ANSWER-Fluid filled blister such as those seen in chicken pox
Nodules - CORRECT ANSWER-small lumps, lesions, or swellings that are felt when the skin is palpated; solid mass wheal - CORRECT ANSWER-hives Tetanus (lockjaw) - CORRECT ANSWER-Clostridium tetani Results in tectonic or tonic contractions of the muscles Incubation: 2 days - 2 months (mostly two weeks) Electrical burns cause? - CORRECT ANSWER-Neurologic, vascular and dermal injuries Electrical burns travel? - CORRECT ANSWER-Least to most path of resistance; nerve, blood, vessel, muscles, skin, tendon, fat, bone Chemical burns; acidic/alkali - CORRECT ANSWER-Irrigate with copious amounts of water for at least 20 minutes; Except for dry lime brush first Neutralizing is obsolete Hydrofluoric acid - CORRECT ANSWER-Use calcium gluconate gel and square inject after iced Zephirin irrigation to stop deep burning heat cramps - CORRECT ANSWER-muscle pain and spasm resulting from exposure to heat and inadequate fluid and salt intake Treatment: Fluids, electrolytes, cool area heat exhaustion - CORRECT ANSWER-Skin cool, clammy and pale: Circulatory collapse from sodium depletion and ineffective circulating blood volume, the pulse will be weak and respiratory rapid and shallow
The analysis technique where individuals are interviewed about accidents, near misses, and hazardous conditions is known as which of the following? - CORRECT ANSWER-Critical incident technique Potentiation - CORRECT ANSWER-A substance which does not have a toxic effect upon a system or organ, but when in combination with another chemical, makes the chemical much more toxic. Methylene chloride is a mild toxic and his primary metabolite is? - CORRECT ANSWER-Carbon monoxide A person can lose his or her heat acclimatization in as little as?
- CORRECT ANSWER-3 days Performance standard - CORRECT ANSWER-A performance standard sets the objective to be obtain but leaves the compliance details up to the company or organization. Noise dosimeters under OSHA's Hearing Conservation Standard accumulate noise exposure beginning at? - CORRECT ANSWER-80dB Chemicals with a "C" notation with their TLVs: - CORRECT ANSWER-Have ceiling TLV limits assigned to them Viton - CORRECT ANSWER-The type of glove material that offers protection against chlorinated solvents Quantitative fit testing - CORRECT ANSWER-Quantitative fit testing checks for leakage that results in the employee smelling or sensing the presence of the fit test material.
Employees assigned to the hazardous waste site must receive a minimum of__________ Hours of offsite training prior to assignment. - CORRECT ANSWER-40 hours The amount of a chemical that kills 50% of the organisms exposed to it in the air is the: - CORRECT ANSWER-LC The nature, degree and extent of undesirable effects of a substance is known as? - CORRECT ANSWER-Toxicity The most powerful epidemiological study design is: - CORRECT ANSWER-Prospective cohort The study of the frequency and distribution of injury and disease in the human population is: - CORRECT ANSWER- Epidemiology When establishing a bio monitoring program for workers exposed to benzene, one would love for the metabolite ____________in the urine? - CORRECT ANSWER-Phenol Shaver's Disease - CORRECT ANSWER-Caused by silica and aluminum dust and fumes A client comes in to your medical department complaining of wrist weakness, constipation, anemia, loss of appetite, and a peculiar linear discoloration of the gingival tissue, you would suspect: - CORRECT ANSWER-Lead poisoning Thoracic Outlet Syndrome - CORRECT ANSWER-Is a group of disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed. This can cause pain in your shoulders and neck and numbness in your fingers. General Duty Clause - CORRECT ANSWER-Statement in U.S. Occupational Safety and Health Act that requires employers
Level C - CORRECT ANSWER-Air purifying respirator, chemical resistant clothing, double layered gloves Level D - CORRECT ANSWER-No respiratory protection and minimal skin protection. Ring test - CORRECT ANSWER-A method of testing the condition of a grinding wheel. The wheel is mounted on a rod and tapped. A clear ring means the wheel is in good condition; a dull thud means the wheel is in poor condition and should be disposed of. Point of operation - CORRECT ANSWER-the area where the equipment actually performs its intended task Exposure of blades - CORRECT ANSWER-Periphery of fan less than 7 feet above the floor or working level must have guard openings of less than or equal to 1/2 inch Pinch point - CORRECT ANSWER-Area of machine where body part can be caught during activation Case management - CORRECT ANSWER-Case management is the process of coordinating and comprehensive healthcare services, following disease, illness or injury, to achieve optimum quality care delivered in a cost effective manner. Goals of Case Management - CORRECT ANSWER-Quality of healthcare, decrease fragmentation of care, enhance workers quality of life, cost containment. Right treatment, right time, right outcome, right cost Office of vocational rehabilitation\Department of rehab - CORRECT ANSWER-It's funded by the US Department of education and services provided enables individuals with
disabilities to pursue meaningful careers, secure is gainful employment commensurate with their abilities and capabilities Transitional work assignment - CORRECT ANSWER-It's Time bound, expected duration is eight weeks or less, no longer than 12 weeks/sunset factor, if longer reevaluate ANA defines the medical home or health home as - CORRECT ANSWER-A mechanism to provide patients with a central primary care practice or provider who coordinates the patient's care across settings and providers First work comp law - CORRECT ANSWER-Wisconsin 1911 Purpose of Worker's Compensation law - CORRECT ANSWER-To provide income benefits to employees for lost wages caused by occupational injury or disease as well as benefits to survivors of fatal injuries to workers Temporary partial indemnity - CORRECT ANSWER-Partially disabled. Able to do some work, but not all of job at for wages, for a temporary period of time Temporary total indemnity - CORRECT ANSWER-Disabled. Unable to work for a temporary period of time Permanent partial indemnity - CORRECT ANSWER-Reduce capacity to earn wages permanently Permanent total indemnity - CORRECT ANSWER-Unable to return to any type of work permanently Biological Hazards - CORRECT ANSWER-Viruses, bacteria, and other organisms in the environment that harm human health are classified as
Permissible Exposure Limit (PEL) - CORRECT ANSWER-PEL; the maximum legal limits established by OSHA for regulated substances; these are based on employee exposure that are time-weighted over an 8 hour work shift; when these limits are exceeded, employers must take proper steps to reduce employee exposure; for formaldehyde, the PEL is .75 ppm NIOSH (National Institute for Occupational Safety and Health) - CORRECT ANSWER-tests and certifies respiratory protective devices and air sampling detector tubes, recommends occupational exposure limits for various substances, and assists OSHA inoccupational safety and health investigations and research.Part of the department of health and human services under the CDC ACGIH: American conference of governmental industrial hygiene - CORRECT ANSWER-Provides guidelines for protection against toxic chemicals. They establish threshold limit value TLV And industrial hygiene, does is best described as? - CORRECT ANSWER-The single factor that determines the degree of harmfulness of a substance presbycusis - CORRECT ANSWER-age related hearing loss Conductive hearing loss - CORRECT ANSWER-hearing impairment caused by interference with sound or vibratory energy in the external canal, middle ear, or ossicles.Middle ear Permissible exposure limit for hearing - CORRECT ANSWER- 8 hours at 90 dB (A) For each increase of 5 dB, allowable exposure time decreases by? - CORRECT ANSWER-50% 8 - hour exposure @ 90dB
4 - hour exposure @ 95dB 2 - hour exposure @ 100dB 1 - hour exposure @105dB 30 minutes @110dB Hearing conservation program HCP, required if the employees noise exposure reaches the action level: - CORRECT ANSWER-8 hour TWA > or equal to 85 dB (A) Baseline testing - CORRECT ANSWER-Within six months if in- house after 14 hours exposure free or within one year if using van testing Only two ways you can change a baseline hearing - CORRECT ANSWER-One if the baseline improves and two if they have STS that becomes the baseline A Standard Threshold Shift (STS) is defined in OSHA's Hearing Conservation amendment as an average shift (or loss) in either ear of _____ or more at the 2,000; 3,000; and 4, frequencies. - CORRECT ANSWER-10 dB Audiometer Calibration - CORRECT ANSWER-Biological check every day before testing Acoustical check annually Exhaustive calibration every two years sensory neural hearing loss - CORRECT ANSWER-hearing loss caused by damage to the cochlea's receptor cells or to the auditory nerve. Inner ear A weber test that lateralized is to the good year would be positive for a? - CORRECT ANSWER-Sensorineural loss A Rinne test resulted in bone conduction being heard longer than air conduction, the loss would be a? - CORRECT ANSWER-Conductive hearing loss
DOT qualifications and diabetes - CORRECT ANSWER-Must have no establish medical history or clinical diagnosis of diabetes mellitus currently requiring insulin for control, if condition controlled by use of oral medication and diet, then individual may be qualified under the present rule. GINA - CORRECT ANSWER-prohibits discrimination based on genetic information Limitations are medical exams before making job offer: - CORRECT ANSWER-Cannot ask or require applicant to take medical examination Cannot inquire about disability or nature of severity of disability May ask questions about ability to perform specific job functions May ask person to describe or demonstrate how to perform essential function Make condition job offer on satisfactory result of post offer medical examination Blood borne pathogen training - CORRECT ANSWER-On initial assignment and each year Exposure incident - CORRECT ANSWER-specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee's duties. Hepatitis B vaccine should be given or offered - CORRECT ANSWER-Within 10 working days of assignment Healthcare professionals written opinion should be provided within - CORRECT ANSWER-15 days
Hazard Communication Standard November 25, 1983 - CORRECT ANSWER-the "right-to-know" standard that requires all manufacturing firms to inventory toxic agents, label them, develop information sheets, and educate employees about these agents Globally Harmonized System of Classification and Labeling of Chemicals (GHS) - CORRECT ANSWER-An effort by the United Nations to classify and label hazardous materials that provides three key pieces of information: (1) a symbol; (2) a signal word; and (3) a hazard statement Five employer obligations - CORRECT ANSWER-Identification and listing of hazardous chemicals Written hazard communication program Labels and other forms of warnings Safety data sheets Employee education Safety data sheets are updated within: - CORRECT ANSWER- Three months of new hazard finding SDS information and training - CORRECT ANSWER-Must take place on initial assignment and one new hazard is introduced FML a comes from - CORRECT ANSWER-The department of labor Which two heavy metals present a rest to the breast-feeding infant? - CORRECT ANSWER-Lead and mercury Carbon tetrachloride is a chemical that affects which of the following target organs? - CORRECT ANSWER-Liver Metal fume fever is characteristic of excessive exposure to which heavy metal? - CORRECT ANSWER-Cadmium
first aid - CORRECT ANSWER-Non-prescription medication at non-prescription strength Tetanus immunization's Cleaning, Flushing, soaking surface wounds When coverings, butterfly bandages, Steri-Strips Hot or cold therapy Nonrigid means of support Temporary immobilization device used to transport accident victims Drilling fingernail or toenail, draining fluid from blister Eyepatches Removing foreign bodies from the eye with only irrigation or cotton swab Removing splinters, foreign material from areas other than the eye by irritation, tweezers, cotton swabs or simple means. Finger guards Massages not PT Drinking fluids to relieve his stress Special recording criteria - CORRECT ANSWER-Needle sticks Medical removal Hearing loss Tuberculosis MSD's Recording criteria for blood and body fluid exposure - CORRECT ANSWER-Record all work related needlestick injuries and sharp object cuts contaminated with blood or other potentially infectious material. Record as injury on the OSHA 300 log without employees name Record blood or body fluids exposures if results in blood borne illness diagnosis
Medical removal recording - CORRECT ANSWER-Record all mandatory medical removal cases per status for example restricted duty etc. Record chemical exposure as poisoning Hearing loss recording - CORRECT ANSWER-Record confirmed, work related STSF total hearing level is 25 dB or greater above audiometric zero, average at 2000, 3000, and 4000 Hz and same here as STS Work related tuberculosis recording - CORRECT ANSWER- Record if occupationally exposed to known active case of TB resulting in positive skin test or P/LHCP diagnosis. Do not record is non-occupational exposure for example household contact, community exposure, previous exposure with skin test. Privacy concern cases - CORRECT ANSWER-Cases that allow the substitution of a case number for an employee's name on the Occupational Safety and Health Administration (OSHA) 300 log when reporting sensitive workplace injuries or illnesses such as those resulting from a sexual assault, needlestick injury, or other illnesses when employees request that their names not be included on the log. Intimate body parts or to the reproductive system Injury or illness resulting from sexual assault, mental illness, HIV infection, hepatitis, or tuberculosis Contaminated needle stick and sharps injuries Illness cases were requested by employee The OSHA form 300A summary is to be posted from? - CORRECT ANSWER-February 1 through April 30th and must be signed by the highest company executive Approximately 80 to 90% of all types of skin disease can be classified as - CORRECT ANSWER-Contact dermatitis
