BLOW, BLOW, BLOW
Are You FIT to Work?
HEAVY METAL
Can You Hear Me Now?
Silica Valley
100

flow type spirometers calibration should be checked by injecting 3- L syringe a range of speeds including 6 L/s, 3 L/s, 1 L/s and 0.5 L/s at THIS frequency.

What is DAILY?

100

The physician asked to perform a FFDE should always ask for THIS prior to doing evaluation.

What is the current list of essential job functions?

100

Years of exposure to THIS resulting in sustained blood levels above 20-30 mcg, rarely produce symptomatic disease but place the worker at greatly elevated risk of heart disease and stroke

What is lead?

100

Foam plugs and headphone style earmuffs  are thought to reduce noise exposure by THIS quantity?

What is 33 decibels?

100

On Dec 14, 2023 the Occupational Safety and Health Standards board approved Cal / OSHA’s Emergency Temporary Standard on THIS.

What is Respirable Crystalline Silica?

200

If the patient does not blast immediately, does not blast as hard as possible or coughs, it can cause inaccurate measurements of THIS.

What is FEV1?

200

According to 5 CFR 339, THIS term means abrupt loss of control physical or mental functions, whether reversible or not, which is likely to result in safety, performance or conduct issues that may undermined the agency’s commitment to maintaining a sage working environment for all employees and others. (CFR = Code of Federal Regulations)

what is sudden incapacitation?

200

The physician can remove the the worker temporarily from further lead exposure at THIS level of blood lead, if the clinician is aware of cardiovascular or reproductive health risk factors

What is any level of blood lead?

200

Workers with developing silicosis will often have an elevation in one or both of these blood tests.

What are ACE and CRP?

300

If a patient does not inhale maximally, quit exhaling too early or took extra breaths through the nose, it can cause inaccurate measurements of THIS.

What is FVC?

300

WHO decides to fire or keep a police officer who is not found fit for duty after a medical evaluation?

The Police Chief

300

Current guidance calls for more frequent blood lead testing and counseling on exposure reduction  for blood lead levels of THIS level or higher

What is 20 mcg/dL?

300

The criteria for THIS is a change in hearing threshold, of an average of 10dB or more at 2k, 3K or 4K Hz, in one or both ears,  relative to baseline audiogram

What is a Standard Threshold Shift

300

Cal/ OSHAs Emergency Temporary Standard on  Respirable Crystalline Silica includes revisions to protect workers engaged in high exposure trigger tasks (cutting, grinding, polishing, clean up) involving THIS type of material.

What is artificial or natural stone containing more than 10% crystalline silica?

400

In this kind of lung disease, the both the FEV1/FVC ratio and the FEV1 are usually below the lower limit of normal.

What is obstructive lung disease?

400

HOW should the occupational physician present the outcome of a fitness for duty evaluation?

What are work restrictions or full duty?

400

OSHA  enforces and regulates that no worker be exposed to anything THIS level of noise within and 8 hour work period?

What is 90 decibels?

400

Proper use of respiratory protection as well as THIS substance while cutting artificial stone can reduce exposure to silica  dust by suppressing generation

What is water?

500

In this kind of lung disease, the TLC, the RV, the FEV1 and the FVC can all be reduced, but the FEV1/FVC ratio is usually normal elevated.

what is restrictive lung disease?

500

THIS test evaluates the function of the middle ear by checking tympanic membrane function and the acoustic reflex involving the stapedius muscle

What is Immittance Testing?

500

Since silicosis has no known cure, some workers exposed to respirable crystalline may eventually need THIS procedure to avoid death.

What is a lung transplant?