DOccMed MCQ Practice and MFOM SBA Questions
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Example MCQ, Health Surveillance and Screening
A group of workers in a nickel refinery are exposed to soluble nickel compounds. The company introduces a health surveillance program. Which of the following best describes the most appropriate monitoring approach under COSHH and HSE guidance?
- A. Annual serum nickel measurement for all workers
- B. Lung function tests and chest X rays every 3 years
- C. Urinary nickel analysis pre shift towards the end of the working week
- D. Pre employment skin patch testing for nickel allergy
- E. Routine full blood count and renal function tests every 6 months
Correct answer, C. Urinary nickel analysis pre shift towards the end of the working week
Urinary nickel is the preferred biological monitoring method for soluble nickel exposure. Sampling towards the end of the working week, before the next shift, reflects cumulative exposure over preceding days and aligns with COSHH principles and HSE guidance.
Serum nickel does not reliably reflect exposure. Lung function and chest imaging are used for other hazards. Patch testing is not recommended for screening and may induce sensitisation.
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