Occupational Health

1. A person aged 40 years, working as a laborer in grain market for the last 25 years
presented with a history of repeated attacks of respiratory infections in the last 1 year.
X-ray showed pulmonary fibrosis. The likely diagnosis was:
Tuberculosis
Silicosis
Silicotuberculosis
Farmer?s lung
Baggassosis
Key: True: d
2. An industrial worker reported to you with complaints of cough, history of dyspnoea
on exertion and pain in the chest. His X-ray chest showed snow storm appearanc The
diagnosis would be:
Asbestosis
Siderosis
Silicosis
Aspergillosis
Byssinossis
Key: True: c
3. An occupational worker presented with complaints of exertional dyspnoe He gave
history of being in an industry dealing with spare parts such as gas kit and brakes, he
also gave history of smoking for about five years. His X-ray chest showed a ground glass
appearance / honey combing in the lower two thirds of the lung fields. The likely
condition that he suffers from is:
Silicosis
Anthracosis
Asbestosis
Siderosis
Key: True: c
4. A worker who had been in the battery manufacturing unit for the last 20 years,
reported to you with complaints of loss of appetite and abdominal colic of 2 weeks
duration. You will prefer to investigate him for:
Cholecystitis
Lead poisoning
Appendicitis
Ameobiasis
Ca stomach
Key: True: b
5. In a lead pipe factory, you want to carry out a screening programme in workers to
exclude lead poisoning. Your choice of the most useful screening test will be
measurement of:
Lead in blood
Lead in urine
Coproporphyrin in urine
Aminolaevulinic acid in urine
Basophilic stipling of RBCs
Key: True: c
6. In an automobile manufacturing plant of Pakistan, a large number of employees are
working in different sections. Persons who work in the section of welding the parts
together have started reporting sick with redness of eyes. On examination conjunctivitis
and keratitis are foun What could be the cause of this problem?
Poor Personal Hygiene
Heat
Overwork
Ultraviolet radiations
Ionizing radiations
Key: True: d
7. Your opinion is sought as a Public Health Specialist by the employers of a glass factory
in which some workers have developed Silicosis. The most important control measure
that you recommend is:
Pre-placement examination
Adequate personal hygiene
Substitution
Periodic X-ray chest
Rigorous dust control
Key: True: e
8. Twenty workers of a chemical factory located in an industrial area near Lahore, are
handling irritant chemicals (dichromates) as part of their jo Such workers require
periodic medical examination. What could be the appropriate frequency of such
examinations in your opinion?
Once a year
Twice a year
Monthly
Weekly
Daily
Key: True: d
9. The commonest physical health hazard in most industries is:
Heat
Noise
Humidity
Ionizing radiation
Light
Key: a
10. A worker of a brick kiln was brought to the emergency department, in an
unconscious stat He was hypotensive and sweating profusely. The likely condition he
suffered from was;
Heat stroke
Heat exhaustion
Erythrocyanosis
Heat Hyperpyrexia
Heat cramps
Key: b
11. A pottery industry worker developed symptoms of tuberculosis. The likely condition
which resulted in tuberculosis was:
Anthracosis
Asbestosis
Begassosis
Silicosis
Byssinosis
Key: b
12. A shipyard worker presents with increasing breathlessness. His X-ray shows ground
glass appearance in lower two thirds of lungs. He is likely to be suffering from:
Anthracosis
Silicosis
Asbestosis
Farmer?s lung
Byssinosis
Key: c
13. A research team conducted a nation wide survey of Industries and factories. While
arranging the data they observed that the most common occupational cancer was:
CA lung
CA bladder
CA skin
Leukemia
Cancer of Gastrointestinal tract.
Key: c
14. A rubber industry worker presents with abdominal colic and severe anemi His blood
examination reveals basophilic stippling of RBCs and microcytic anemi What is the likely
diagnosis?
Lead poisoning
Benzene poisoning
Radiation effects
Sideroblastic anemia
Worm infestation
Key: a
15. A 35 years old man working in roofing industry presented to his primary care
physician with complaints of dyspnea and chronic dry cough. Chest X –ray revealed
pulmonary hyperinflation with “honey – comb” appearance and calcified parietal pleural
plaques. What is the most likely diagnosis?
Anthrocosis
Asbestosis
Byssinosis
Silicosis
Farmers lung
Key: b
16. In the mica mines of Bihar, out of 329 miners examined, 34.1 percent were found
suffering with irritant cough, dyspnoea on exertion and pain in the chest. On chest X-ray
there was “snow – storm” appearance in the lung fields. What is the most likely
diagnosis?
Asbestosis
Anthracosis
Siderosis
Silicosis
Tobacosis
Key: d
17. An industrial worker presented with pulmonary tuberculosis. On X- rays Calcification
and fibrosis were seen. The likely industry he had worked in is:
Sand blasting
Poultry
Cotton
Agriculture
Sugar
Key a
18. A child aged 3 years from a day care centre, was reported to a doctor with
complaints of abdominal colic and constipation for the last 2 days, on examination there
were blue-line on the gums and his appearance was pal What is the most likely
diagnosis?
Silicosis
Lead poisoning
Asbestosis
Anthrocosis
Silerosis
Key: b
19. In the mica mines of Bihar, out of 329 mines examined, 34.1 percent were found
suffering with irritant cough, dyspnoea on exertion and pain in the chest. On chest X-ray
there were “snow – storm” appearance in the lung fields. What is the most likely
diagnosis?
Asbestosis
Anthracosis
Siderosis
Silicosis
Tobacosis
Key: d