skip to main content

Metalworking-fluid respiratory and skin surveillance — DOccMed MCQ

Instant feedback + full explanation. One question, done properly.

ModerateHealth SurveillanceMetalworking-fluid respiratory and skin surveillanceDOccMed

A machining plant uses water-mix metalworking fluids. Mist extraction is variable, fluid dips show microbial contamination and workers report cough, wheeze and dermatitis after sump cleaning. What is the most appropriate health surveillance?

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

Reveal the answer and explanation

Correct answer: C — Respiratory and skin surveillance with review of fluid control and exposure reduction

Metalworking fluids can cause asthma, dermatitis and hypersensitivity pneumonitis-like illness, particularly when fluids are poorly controlled. Surveillance should match the health risks and sit alongside engineering and fluid-management controls. Chest X-ray is not a general screening tool for this exposure. Restricting surveillance to workers already absent misses early disease.

Reference: HSE Metalworking Fluids guidance; COSHH health surveillance