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PSM · Environmental health: vibration-related occupational disease
Sample itemA road-drill operator reports episodes of blanching and numbness of the fingers on exposure to cold. Which occupational disease is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Hand-arm vibration syndrome
Hand-arm vibration syndrome, or vibration white finger, follows prolonged use of vibrating tools such as drills and chainsaws. Vasospasm causes blanching and numbness of the fingers in the cold. Byssinosis and bagassosis are pneumoconioses.
Option by option
A. Byssinosis
Byssinosis is a lung disease of cotton workers.
B. Lead colic
Lead colic is abdominal pain from lead poisoning.
C. Bagassosis
Bagassosis is hypersensitivity pneumonitis from sugar cane waste.
D. Hand-arm vibration syndrome (correct)
Correct. Prolonged use of vibrating tools causes vibration white finger.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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