COHN COHN-S 3 — Questions and Answers
Question 1: The primary goal of secondary prevention in occupational health is to:
- Eliminate workplace hazards before illness occurs
- Detect and treat disease early to limit disability (Correct answer)
- Rehabilitate workers after significant injury
- Train workers in proper ergonomic techniques
Correct answer: Detect and treat disease early to limit disability
Secondary prevention focuses on early detection and prompt treatment of disease to minimize impact and prevent progression.
Question 2: A nurse conducting a spirometry test obtains an FEV1/FVC ratio of 0.65. This pattern is consistent with:
- Restrictive lung disease
- Normal pulmonary function
- Obstructive lung disease (Correct answer)
- Mixed lung disease
Correct answer: Obstructive lung disease
An FEV1/FVC ratio below 0.70 indicates obstructive lung disease, such as occupational asthma or COPD.
Question 3: Workers' compensation is based on which legal principle that shields employers from employee lawsuits in exchange for no-fault benefits?
- Respondeat superior
- The exclusive remedy doctrine (Correct answer)
- Vicarious liability
- Contributory negligence
Correct answer: The exclusive remedy doctrine
The exclusive remedy doctrine limits workers to workers' compensation benefits as their sole legal remedy against employers for work-related injuries.
Question 4: Which OSHA recordkeeping form is used to summarize work-related injuries and illnesses and must be posted annually?
- OSHA 300
- OSHA 300A (Correct answer)
- OSHA 301
- OSHA 101
Correct answer: OSHA 300A
OSHA Form 300A is the Summary of Work-Related Injuries and Illnesses, required to be posted from February 1 through April 30 each year.
Question 5: In case management, the term 'maximum medical improvement' (MMI) means the worker's condition:
- Has fully resolved with no permanent impairment
- Is unlikely to improve further with treatment (Correct answer)
- Requires surgical intervention
- Has been classified as a permanent disability
Correct answer: Is unlikely to improve further with treatment
MMI indicates that a worker's medical condition has stabilized and is not expected to improve significantly with further treatment.
Question 6: A COHN-S identifies a cluster of occupational asthma cases among workers in the same department. The FIRST action should be to:
- Prescribe bronchodilators for all affected workers
- Conduct an environmental investigation of the workplace (Correct answer)
- File an OSHA complaint on behalf of the workers
- Remove all affected workers from work immediately
Correct answer: Conduct an environmental investigation of the workplace
Identifying the causative agent through an environmental investigation is the essential first step to address the source and prevent additional cases.
Question 7: Which federal law prohibits discrimination based on genetic information in employment and health insurance?
- HIPAA
- ADA
- GINA (Correct answer)
- ERISA
Correct answer: GINA
The Genetic Information Nondiscrimination Act (GINA) prohibits employers and health insurers from discriminating based on genetic information.
COHN COHN-S 3
The primary goal of secondary prevention in occupational health is to: