MCQ Flashcards
(157 cards)
1
Q
In case of intoxication caused by organophosphate pesticides the treatment is an application of:
- sodium thiosulfate
- atropinum sulfuricum
- CaNa2EDTA
A
Atropinum sulfuricum
2
Q
which of the following amino and nitro derivatives of benzene has strongest allergizing effect:
- nitrobenzene
- p-Phenylenediamine
- aniline
- trinitrotoluene (trotyl)
A
-p-Phenylenediamine
3
Q
Myosis, bradycardia, sweating and hypersalivation are specific for an intoxication caused by
- dithio-carbamates
- organophosphates pesticides
- organochlorine pesticides
- mercurial carbamate pesticides
- carbamates
A
-organophosphates pesticides
4
Q
which of the following changes is characteristic of intoxications with amino- and nitro derivatives of benzene?
- lowered levels of hemoglbin
- lowered levels ofcreatinine
- lowered levels of urea
A
lowered levels of hemoglobin
5
Q
which are the metatoxic effects in case of poisoning caused by carbon monoxide
- aplastic anemia
- pulmonary cancer
- parkinsons syndrome
A
-parkinsons syndrome
6
Q
is the mercurial gingivial line a permanent mark?
yes
no
A
yes
7
Q
conditionally occupational diseases are observed among patients
- who are in contact with occupational risk factors
- who are not in contact with occupational risk factors
- in both cases mentioned above
A
-in both cases mentioned above
8
Q
specific occupational diseases are those in which the occupational risk factor is
- the only etiological factor
- leading in the complex of etiological fcators
A
-the only etiological factor
9
Q
the antidotal treatment of the occupational intoxications is
- an etiological treament
- a pathogenic treatment
- a symptomatic treatment
- an etiopathogenic treamtment
A
- an etiological treament
10
Q
most of then the smoke released by any type of fire contains
- carbon monoxide
- cyanides
- both of them
A
-both of them
11
Q
the triad: tiredness, headache and dizziness is characterstic of the intoxication with -sulfur gases chlorine carbon monoxide cyanides nitrogen oxides
A
carbon monoxide
12
Q
pulmonary fibrosis is observed in case of intoxication with
- mercury
- cadmium
- lead
A
-cadmium
13
Q
parkinsons syndrome as an occupational disease is caused by
- tetraethyl lead
- mercury
- manganese
- cadmium
- none of them
A
-manganese
14
Q
when do the pain f the hands decrease in case of vibration disease - II stage
- late after work and at night
- during work
A
-during work
15
Q
which of the following kinds of vibrations cause mainly ealry vascualr disorders?
- low frequent vibrations
- middle frequent vibrations
- high frequent vibrations
A
-high frequent vibrations
16
Q
tennis elbow is
- lateral (radial) epicondylitis
- medial (ulnar) epicondylitis
- scalenus syndrome
- none of them
A
- lateral (radial) epicondylitis
17
Q
do the pains and tingle of the hands decrease during woke in case of vibration disease- II stage
- yes
- no
A
- yes
18
Q
in case of clicking fingers syndrome are injured
- extensors of the fingers
- flexors of the fingers
- all of them
- none of the them
A
-flexors of the fingers
19
Q
occuaptional bronchial asthma
- a conditionally occupational disease
- a para occupational disease
- a specific occupational disease
A
-a conditionally occupational disease
20
Q
which of the following substances have pure irritating effect? -nitric oxides -organic solvents -plastics tobacco dust
A
-nitric oxides
21
Q
epithelial skin thickening- type wart is caused by
- asbestos
- arsenic
- chromium
- mercury
- nickel
A
- asbestos
22
Q
which of the following disease are pneumoconioses
- byssinosis
- berylliosis
- farmers lungs
- kaolinosis
A
-kaolinosis
23
Q
the complications of silicosis are
- occupational disease
- para occupational disease
- are not occupational disease
A
- not occupational disease
24
Q
the complications of silicosis are
- brochiectasis
- chronic brochitis
- cardiac and respiratory insufficency
- silicotuberculosis
- all of the listed above
A
-all of the listed above
25
which of the following risk factors is a proven cancerogen causing lung cancer
- benzene
- ionizing radiation
- trotyl
-ionizing radiation
26
in pneumoconnioses the pulmonary fibrotic changes are situated:
- symmetrically in the pulmonary fields
- asymmetrically in the pulmonary fields
-symmetrically in the pulmonary fields
27
which of the following risk factors is a proven cancerogen causign skin cancer?
- infrared rqadiation
- ultraviolet - b radiation
- vibrations
-ultraviolet - b radiation
28
which of the following substances are mixed allergens- with combned irritating and sensitizing effect?
- antibiotics
- organic solvents
- ammonia
- all of the listed above
-organic solvents
29
after how many years occupational exposure to dust could brochitis develop
- up to 5 years
- up to 10 years and more
-up to 5 years
30
specific occupational diseases are those in which the occupational risk factor?
- leading in the complex of etiological factors
- the only etiological factor
- the only etiological factors
31
is there any specific antidote for the treatment of carbon monoxide intoxication?
yes
no
no
32
are there specific antidotes for treatment of cyanide intoxications?
yes
no
yes
| the current available treatment are hydroxycobalamin, sodium nitrite and sodium thiosulfate
33
which of the following x-ray cahnges are characteristics of silicosis- 1-stage
- small rounded opacities in the lower pulmonary fields
- small rounded opacities in the upper pulmonary fields
- small rounded opacities in the middle pulmonary fields
-small rounded opacities in the middle pulmonary fields
34
there are pleural hyaline and calcium deposits in case of
- asbestosis
- talcosis (pure talc)
- kaolinosis
- silicosis
-asbestosis
35
in case of silicosis the clinical triad includes
- cough, expectoration, respiratory insufficiency
- dyspnea at exertions, cough, cyanosis
- cough , expectoration, dyspnea
- cough, dyspnea, chest pains
-cough, dyspnea, chest pains
36
occupational diseases are caused by
- toxic substances related to household activities
- production harmfulness
- environmental toxic substances
- all of them
-production harmfulness
37
which are the medical measures for the occupational diseases prevention
- using personal protective equipment at work
- prophylactic medical investigations made by the GP
- preliminary and periodical prophylactic medical investigations
- preliminary and periodical prophylactic medical investigations
38
occupational diseases are those that occur
- both of them under the influence of the harmful factors of the working environment or the working process over the organism
- exclusively
- predominantly
-both of them under the influence of the harmful factors of the working environment or the working process over the organism
39
the periodical medical investigations of workers exposed to noise should include
- audiometry
- spirometry
- vegetological investogation
- electroneurography
-audiometry
40
which of the following symptoms is obligatory in case of vibration diesease
- skin hypothermia
- decreased vibration sense
- attack of whitening of the fingers
- hypoesthesia of pain, touch and temperature
-attack of whitening of the fingers
41
Chair-lifting symptom is used for diagnostics of
- radial epicondylitis
- medial epicondylitis
-radial epicondylitis
42
in case of radial epicondylitis are used
- Thompson's sign
- Tinel's sign
- Adson's sign
- All of them
- None of them
-Adson's sign
43
The development of acute leukemias due to occupational exposure to benzene:
- is not possible
- is possible
-is possible
44
Are there changes of the complete blood count observed in case of intoxication with amino-and nitro-derivatives of benzene?
- yes
- no
yes
45
occupational acoustic neuritis is
- a specific occupational disease
- a conditionally occupational disease
- a para-occupational disease
-a conditionally occupational disease
46
which of the following heavy metals can cause occupational pneumofibrosis
- manganese
- cadmium
- beryllium
- all of them
-all of them
47
occupational vegetative polyneuropathy caused by overstrain is
- a para-occupational disease
- a specific occupational disease
- a conditionally occupational disease
-a conditionally occupational disease
48
which is the preclinical stage of intoxication with manganese
- light stage of intoxication with manganese
- manganese carrying
-manganese carrying
49
which of the following syndromes is not observed in case of lead intoxication
- liver syndrome
- polyneuritic syndrome
- skin syndrome
- all of them
-skin syndrome
50
in case of vinyl chloride intoxications could be observed
- nephropathy
- osteoporosis
- none of them
-osteoporosis
51
at which of the following stages of lead intoxication the patient is temporarily incapable to work
- lead carrying
- lead intoxication-light stage
-lead intoxication-light stage
52
in case of carbon monoxide poisoning is obserbed
- increased carbon dioxide content in the blood
- lowered carbon dioxide content in the blood
-lowered carbon dioxide content in the blood
53
in case of carbon monoxide intoxication the skin and mucous membranes are
- cyanosis
- red
red
54
is it possible to observe thrombocytopenia, anemia, leucopenia in case of intoxication with amino and nitro derivatives of benzene
- yes
- no
yes
55
are there cancerogenic effect on the organism in case of intoxication with amino and nitro derivatives of benzene
- yes
- no
-yes
56
aniline as an occupational cancerogen causes
- urine bladder cancer
- pleural mesothelioma
- liver cancer
- skin cancer
-urine bladder cancer
57
```
scleroderma as an occupational disease is caused by
-arsenic
vinyl chloride
gasoline
benzene
```
vinyl chloride
58
occupational diseases are those occurring exclusively or predominantly under the influence of
- unfavorable conditions of the working process or the working environment
- unfavorable conditions of the environment
-unfavorable conditions of the working process or the working environment
59
the specificity of the occupational diseases is in their
- pathogenesis
- etiology
- clinical picture
-etiology
60
specific occupational disease are those in which the occupational risk factor is:
- leading in the complex of etiological factors
- the only etiological factor
-the only etiological factor
61
in case of uncomplicated silicosis- I stage, the changes are mainly in
- the upper pulmonary fields
- the middle pulmonary fields
- the lower pulmonary fields
-the middle pulmonary fields
62
in case of asbestosis the x-ray changes are
- mainly rounded opacities
- mainly irregular opacities
-mainly irregular opacities
63
which kind of dust particles are held in the upper respiratory tract?
- >10 micrometers
- <10 micrometers
->10 micrometers
64
are the changes of the bones and hearing changes specific characteristics of vegetative polyneuropathy due to physical exertion?
- yes
- no
yes
65
in case of exposure to vibrations, the muscles are injured mainly by
- low frequent vibrations
- middle frequent vibrations
- high frequent vibrations
-low frequent vibrations
66
are there any specific antidotes for the treatment of organochlorine pesticides intoxication?
- yes
- no
-no
67
in case of acute intoxication with plastics and resins are observed
- irritation changes of the skin and the mucous membranes
- all of them
- neurotoxicity
- hepatotoxicity
- allergic dermatitis
- bronchial asthma
-all of them
68
kinobecks disease (avascular necrosis of carpal bones)
- is a conditionally occupational disease
- is a specific occupational
- couldnt be an occupational
-is a conditionally occupational disease
69
which of the following criteria is obligatory to prove the occupational character of bronchial asthma
- the length of service in contact with allergens
- the presence of bronchial obstruction syndrome
- the positive bronchial provocation test with occupational allergens
- the appearance of asthma attacks at the working place
the positive bronchial provocation test with occupational allergens
70
is the nonspecific bronchial reactivity changed in case of exogenous allergic bronchitis
- yes
- no
-no
71
which of the following heavy metals can cause occupational pneumofibrosis
- manganese
- cadmium
- beryllium
- all of them
-all of them
72
the forming of a plumbic gingival line is due to the presence of lead in
- the saliva
- the blood
- both of them at the same time
-both of them at the same time
73
should the patients with manganese carrying be readjusted to another work
- yes
- no
no
74
Blocking SH- groups of the tissue proteins is characteristic of
- mercury
- organic solvents
mercury
75
Carbon monoxide and cyanide compounds have mainly:
- toxic effect on the organism
- irritating effect on the upper respiratory effect
-toxic effect on the organism
76
in case of carbon monoxide poisoning is observed
- hypercapnia
- tissue hypoxia
-tissue hypoxia
77
conditionally occupational disease are observed in patients
- without a contact with occupational harmfulness
- in both cases
- in contact with occupational harmfulness
-in both cases
78
which of the following changes is characteristic of intoxications with amino and nitro derivatives of benzene?
lowered levels of hemoglobin
lowered levels of urea
lowered levels of creatinine
lowered levels of hemoglobin
79
the forming of a plumbic-gingival line is due to the presence of lead in
- both of them at the same time
- the saliva
- the blood
-both of them at the same time
80
in case of acute toxication with plastics and resins are observed
- neurotoxicity
- allergic dermatitis
- bronchial asthma
- all of them
- irritation changes of the skin and the mucous membranes
- hepatotoxicity
-all of them
81
which of the following diseases is not a complication of silicosis
- tuberculosis
- lung cancer
- bronchial asthma
-bronchial asthma
82
the most effective treatment of the cyanide intoxication is
-cobalt containing compunds (hydroxycobalamin)
83
the pesticides penetrate into the organism via
- the respiratory tract
- the gastrointestinal tract
- through the skin
- all of them
-all of them
84
changes of the diencephalon are specific for
- vibration disease caused by general vibrations III stage
- vibration disease caused by local vibrations -III stage
- vegetative polyneuropathy caused by overstrain -serious stage
-vibration disease caused by general vibrations III stage
85
do the pains and tingle of the hands decrease during work in case of vibration disease -II stage?
- yes
- no
-yes
86
yellow coloration of the teeth is a mark o f:
- exposure to manganese
- exposure to cadmium
- intoxication with cadmium
- intoxication with manganese
-exposure to cadmium
87
para -occupational diseases are those in which the occupatinal risk factor are
- only a key or additional moment
- the main reason for their occuring
-only a key or additional moment
88
the occupational harmful factors violate the health and the ability to work:
- if the have certain intensity or duration
- regardless of their intensity or duration
-if the have certain intensity or duration
89
which of the following heavy metals can cause nephropathy recognized as occupational disease?
- manganese
- cadmium
- beryllium
- none of them
-cadmium
90
adsons symptom is used for the diagnosis of
- carpal tunnel syndrome
- scalenus syndrome
- lateral (radial) epicondylitis
- guyons canal syndrome
-scalenus syndrome
91
what kind of the following changes are observed in case of occupational acoustic neuritis
- progressing up to hearing loss
- functional and reversible
-functional and reversible
92
in case of carpal tunnel syndrome is used
- adsons symptom
- tinels symptom
- chair-lifting symptom
- none of them
-tinels symptom + phaler test
93
ischemic heart disease and early atherosclerosis are caused by
- carbon monoxide
- fluorine
- chlorine
- sulfur gases
-fluorine
94
the xray changes in the lungs in case of silicotuberculosis are
- nonsymmetrical
- symmetrical
-symmetrical
95
which of the following effects over the organism has benzene
- brochospastic
- vasoparalytic
- hepatotoxic
- narcotic
- all listed above
-all listed above
96
in case of acute intoxication with amino and nitro derivatives of benzene is observed
- reddish discolouration of the skin and mucous membranes
- bluish discolouration of the skin and the mucous membranes
-reddish discolouration of the skin and mucous membranes
97
in case of acute intoxication with amino and nitro derivatives of benzene
- the objective changes of the skin and mucous membranes occur before the subjective complaints
- the subjective complaints occur before the objective changes of the skin and the mucous membranes
-the objective changes of the skin and mucous membranes occur before the subjective complaints
98
which of the following heavy metals can cause occupational pneumofibrosis
- manganese
- cadmium
- beryllium
- all of them
-all of them
99
should the patients with manganese carrying be readjusted to another work
- yes
- no
-no
100
at which of the following stages of lead intoxication the patient is temporarily incapable to work
- lead carrying
- lead intoxicaton - light stage
-lead intoxicaton - light stage
101
which of the following disease and factors aggravate the intoxication with carbon monoxide
- pulmonary diseases
- smoking
- physical load
- all listed above
--all listed above
102
which of the following gases has methemoglobin forming effect
- carbon monoxide
- sulfur gases
- caynides
- chlorine
- nitrogen oxides
-nitrogen oxides
103
in case of scalenus syndroem the clinical picture is due to the injury of
- a subclavia
- both of them at the same time
- plexus cervicobrachialis
-both of them at the same time
104
which of the following contain serotonin and histamine liberators
- spare of actinomycetes
- dust of cotton, line an hemp
- all of them
-dust of cotton, line an hemp
105
Raynauds syndrome as an occupational disease is caused by
-acrylonitrile
-vinyl chloride
both of them
-vinyl chloride
106
which of the following factors do not determine the occupational risk
- the exposure period
- production harmfulnesses complying with the norms
- production harmfulnesses excedding the norms
- none of them
-production harmfulnesses complying with the norms
107
para occupational disease are those in which the occupational risk factors are
- the main reason for the occuring
- only a key or additional moment
-only a key or additional moment
108
vibration induced whitening fingers attack is most specific characteristic of
- 1st stage of vibration disease
- 2nd stage of vibration disease
- 3rd stage of vibration disease
-2nd stage of vibration disease
109
what is the effect of the combined action of the noise and vibrations
- synergistic
- antagonistic
- there is no combined effect
-synergistic
110
are the changes of the bones and hearing changes specific characteristics of vegetative polyneuropathy due to physical exertion
- yes
- no
-yes
111
which of the following criteria is the ost important for the early diagnosis of silicosis
- functional changes of breathing
- physical examination findings
- subjective complaints
- x ray changes
-x ray changes
112
which of the following x ray changes are characteristic o f silicosis 1 stage
- small rounded opacities in the middle pulmonary fields
- -small rounded opacities in the upperpulmonary fields
- small rounded opacities in the lowerpulmonary fields
-small rounded opacities in the middle pulmonary fields
113
occuaptional neoplasms are
- specific occupational diseases
- conditionally occupational diseases
- para occupational diseases
- none of them
-conditionally occupational diseases
114
bone marrow hypoplasia is observed in case of intoxication with
- benzene
- lead
- managnese
- petrol
-benzene
115
is the length of service important for the etiological diagnosis of the occupational allergic diseases
- yes
- no
-yes
116
hypoacusis is observed in case of
- gasoline
- vegetative polyneuropathy due to the physical exertions
- vibrations disease
- intoxications with irritant gases
- heavy metals intoxications
-vibrations disease
117
what determines the stage of the acute poisoning caused by carbon monoxide
- the concentration of carbon monoxide in the environment
- the content in percents of carboxyhaemoglobin in the blood
- the clinical picture
-the clinical picture
118
De Quervains disease is
- stenosing tenosynovitis
- compressing neuroapathy
- paratenonitis
- none of them
-stenosing tenosynovitis
119
the diagnosis of the occupational diseases is created in two consecutive stages
- first etiological and after that clinical
- first clinical and after that etiological
-first clinical and after that etiological
120
is the lead gingival line a permanent line
yes
no
no
121
in case of guyons canal syndrome is injured
- n ulnaris
- n medianus
- n radialis
- none of them
-n ulnaris
122
which of the following pneumoconioses has the most benign development
- silicosis
- asbestosis
- anthracosis
- carboniosis
-carboniosis
123
which of the following kinds of vibrations cause mainly ealry vascular disorder
- low frequent vibrations
- middle frequent vibrations
- high frequent vibrations
-high frequent vibrations
124
the type of respiratory disorders in asbestosis is
- obstructive
- restrictive
-restrictive
125
atkinsosn lens phenomenon is characteristic of theintoxication with
- manganese
- mercury
- benzene
- lead
-mercury
126
in case of acute intoxication with vinyl chloride it has mainly
- neurotoxic
- narcotic
-narcotic
127
which of the following conditions is diagnostic fo rrecognzing the occupational character of allergic dermatitis
- duration of the exposure to occupational allergens
- positive epicutaneous test with the occupational allergen
- high concentration of the occupational allergen
-positive epicutaneous test with the occupational allergen
128
what is the characteristic triad in case of a lead cholic
- colic like pain, hypertension, tachycardia
- colic like pain constipations, hypertension, bradycardia
- colic lile pain constipation hypertension
-colic like pain constipations, hypertension, bradycardia
129
in case of lead intoication is injured soecifically
- carbohydrate metabolism
- porphyrin metabolims
- protein metabolism
-porphyrin metabolims
130
the etiological diagnosis of occuptional diseases does not depend on
- the length of service
- the workign environment conditions
- the presence of risks of labour accidents
- all of them
-the presence of risks of labour accidents
131
asbestos bodies in sputum are evidenc eof
- asbestosis
- exposure to asbestos dust
-asbestosis
132
which disease is not a complication of silicosis?
- tuberculosis
- bronchial asthma
- lung cancer
-bronchial asthma
133
in case of intoxicaton with irritant gases, the clinical picture of the serious stage is determined by
- toxic pulmonary fibrosis
- toxic brochiolitis and pulmonary edema
-toxic brochiolitis and pulmonary edema
134
toxiv pulmonary fibrosis is observed in chronic intoxicatoins with
-sulfur oxides
-lead
benzene
-sulfur oxides
135
occupational acoustic neuritis is due to
- functional changes
- injury of tympanic membranes
- dystrophic changes of the oragn of corti
-dystrophic changes of the oragn of corti
136
occupational acoustic neuritis is
- para occupational disease
- a specific occupational disease
- a conditionally occupational disease
-a conditionally occupational disease
137
occupational bronchial asthma can be caused by
occupational allergens, irritants, cold air
138
the functional preclinical stage of occupational diseases of the locomotor system is expressed by
-pain
139
in case of chronic intoxication with aniline
injury of urinary bladder
140
elevated leukocyte count
intoxication with amino/nitro derivative
141
chronic intoxication with organic solvents are.....
...possible
142
vinyl chloride causes cancer of the....
liver
143
The main cadmium deposits are
A) Liver and kidneys
B) Muscles and brain
C)Lungsand brain
Liver and kidneys
144
What is the main symptom in chronic cadmium poisoning:
A) Icterus
B) Microalbuminuria
C) Parkinson syndrome
Microalbuminuria
145
What is the mechanism of the anemia in chronic lead paisoning:
A) Hemolysis
B) The absorption of Vit. B12 is hindered
C) The production of porphyrins is hindered
C) The production of porphyrins is hindered
146
```
A 56 year old man, working in facility, producing car batteries, is admitted with
complaints of abdominal pain with colic like characteristic. The chronic exposure to which of these can be the reason for the complaints:
A) Lead
B) Cadmium
C) Benzol
D) Aniline
E) Mercury
F} None of the above
```
Lead
147
```
Whichof thesesyndromesisfound in chranicleadpoisoning
A) Gastro-intestinal
B) Anemic
C) Hepatic
D) All of the above
E) None af the above
```
All of the above
148
```
Which part of the brain contains the manganese deposits:
A) The Cortex
B) The Cerebellar hemispheres
CI The nucleus of the cranial nerves
D) The basal ganglia
```
The basal ganglia
149
```
Whichisthemostclassisyndromein chronicmanganespeoisoning
A) Astheno-vegetative
B) Parkinson
C) Hepatic
D) Anemic
E) Renal
```
Parkinson
150
What is the path thraugh chronic poisonings with heavy metals happen: A) Respiratory
B) Gastro-intestinal
C skin
D) All of the above
Respiratory
151
```
Neurotoxicity isn't present in the chronic paisoning with which of these:
A) Gasoline
B) Lead
C Mercury
D) Benzol
E) Manganese
F) Cadmium
```
Cadmium
152
```
Which of the following disease can not be part af the ditferential diagnosis of chronic manganese poisaning:
A) Parkinson's disease
6) Wilson's disease
c) Huntington's chorea
D) Essential tremor
E) Chronic CO poisoning
```
Huntington's chorea
153
A 60 year old patient, working in a facility producing paper, is admitted in a psychiatric clinic with symptoms presenting with unmotivated laughter and crying, easy irritability, impaired speech. Which af the fallawing can he the cause:
A) Chronic mercury poisoning
6) Vibration disease
C) Acute aniline paisaning D) None of the above
Chronic mercury poisoning
154
```
Kussmaul pharyngitis is present in which chronic poisoning
A Trinitratoluene
B) Mercury
C) Benzol
D) Cadmium
E) Gasoline
```
Mercury
155
Anemia is present in the chronic poisoning with which of the following: A) Lead
B) Benzol
C) Trinitrotoluene
D) All of the above
E) None of the above
All of the above
156
The mechanism of the "lead colie" is:
A) An over exciticity of the autonomic nervous system
B) A mechanical stop in the intestines
C) Direct irritation on intestinal wall from the lead
An over exciticity of the autonomic nervous system
157
Which of the following laboratary markers is used in the diagnasis af chronic
lead poisoning:
A) Higher rates of coproporphyrins B) Higher rates of DALA in the urine
C) Higher reticulocyte count
D) All of the above
E) None of the above
All of the above
