Deck 18: Principles of Occupational and Environmental Health in Primary Care

Question 1

A patient who has a history of working around asbestos and silica fibers is concerned about developing lung disease. The primary care provider determines that the patient has a previous history of asthma as a child and currently has frequent episodes of bronchitis. A physical examination is normal and pulmonary function tests and radiographs are negative. What action is correct?

A) Reassure the patient about the normal findings.
B) Refer the patient to an occupational health specialist.
C) Request a workplace environmental assessment.
D) Suggest that the patient follow up with a pulmonologist.

Answer 1

B

Question 2

During a preplacement screening for a person hired for a job requiring heavy lifting, a primary care provider notes that the new employee has environmental allergies, a history of gastroesophageal reflux disease (GERD), recurrent eczema, a previous history of an ankle fracture, and normal lower back strength and flexibility. A urine drug screen is negative. What will be included in the report to the employer? (Select all that apply.)

A) GERD history
B) History of allergies and eczema
C) History of ankle fracture
D) Lower back screening results
E) Urine drug screening results

Answer 2

D, E