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Solvent exposure and kidney disease — DOccMed MCQ

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HardFitness for WorkSolvent exposure and kidney diseaseDOccMed

A bus mechanic with chronic kidney disease works with solvents and degreasers. Recent COSHH assessment is outdated, gloves are permeable to the main solvent, and biological monitoring has not been considered. What is the most appropriate management?

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Correct answer: C — Review COSHH controls, glove suitability and need for exposure monitoring before fitness conclusions

Fitness cannot be assessed properly without understanding exposure and controls. COSHH requires prevention or adequate control of hazardous substances, and biological or air monitoring may be needed where exposure is uncertain. Medical vulnerability should prompt better risk assessment rather than automatic exclusion.

Reference: COSHH Regulations; HSE Biological Monitoring Guidance