WBR239

Author	PageAuthor::Gerald Chi
Exam Type	ExamType::USMLE Step 1
Main Category	MainCategory::Pharmacology, MainCategory::Physiology
Sub Category	SubCategory::Cardiology
Prompt	[[Prompt::A 35-year-old otherwise healthy male is brought to the clinic by a manager for frequent complaints of severe headache. He also reports fatigue, dizziness, nausea, and postural weakness. All these symptoms appear to dissipate during week days but recur at the beginning of the next week. After careful evaluation, the physician ascertains that his symptoms are attributed to occupational exposure. Which of the following industries does the patient most likely work in?]]
Answer A	AnswerA::Steel mill
Answer A Explanation	[[AnswerAExp::Incorrect Working in the steel mill may be associated with iron poisoning.]]
Answer B	AnswerB::Vintage paint manufacturing
Answer B Explanation	[[AnswerBExp::Incorrect Vintage paint manufacturing may be associated with lead poisoning.]]
Answer C	AnswerC::Pesticide manufacturing
Answer C Explanation	[[AnswerCExp::Incorrect Pesticide manufacturing may be associated with organophosphate poisoning.]]
Answer D	AnswerD::Explosive manufacturing
Answer D Explanation	[[AnswerDExp::Correct Explosive manufacturing may be associated with nitroglycerin exposure and intoxication.]]
Answer E	AnswerE::Cyanide processing
Answer E Explanation	[[AnswerEExp::Incorrect Cyanide processing may be associated with cyanide poisoning.]]
Right Answer	RightAnswer::D
Explanation	[[Explanation::Monday disease is a form of nitroglycerin tolerance that occurs in individuals in the manufacture of explosives. Workers with inadequte protection may experience headache, dizziness, nausea, and postural weakness during the first several days of employment. Tolerance then develops but reappear after a few days away from the job. Educational Objective: References: ]]
Approved	Approved::No
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