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Isocyanate respiratory surveillance — DOccMed MCQ

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HardHealth SurveillanceIsocyanate respiratory surveillanceDOccMed

A vehicle repair shop introduces two-pack isocyanate paints. Air-fed masks and spray booths are used, but several sprayers will have regular exposure during preparation, spraying and gun cleaning. What is the most appropriate health surveillance?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Baseline respiratory questionnaire and spirometry with periodic surveillance

Isocyanates are respiratory sensitisers associated with occupational asthma. Health surveillance should include symptom enquiry and lung-function assessment where exposure risk remains. Chest X-ray is not a screening tool for occupational asthma. Provision of respiratory protection does not remove the need for surveillance if residual risk exists.

Reference: HSE Occupational Asthma guidance; COSHH health surveillance