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Laboratory safety and first aid

19 Kerala PSC Lab Technician Gr II practice questions on Laboratory safety and first aid, part of Biochemistry. The first 19 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

  1. Question 1 · Medium

    When concentrated sulphuric acid is diluted, the acid is poured slowly into water, never water into acid, because:

    1. AWater and acid react to give off toxic fumes
    2. BThe final strength would otherwise be wrong
    3. CThe heat released can boil and spatter the mixture
    4. DSulphuric acid floats on top of the water
    Show answer

    Answer: C · The heat released can boil and spatter the mixture

    Mixing sulphuric acid with water releases a great deal of heat. If water is added to the acid, the first small amount of water boils at once and throws out hot acid. Adding acid slowly to a larger volume of water, with stirring, in a heat-resistant vessel, lets the water absorb the heat safely. Concentrated sulphuric acid is denser than water, so it sinks and mixes as it is added.

    • A: The danger is heat, not toxic gas.
    • B: The final concentration is the same whichever order is used.
    • D: Concentrated sulphuric acid is denser than water and sinks.
  2. Question 2 · Hard

    While making a reagent, a technician splashes 10% sodium hydroxide into one eye. A colleague takes her to the eyewash station. What is the correct first aid?

    1. ANeutralize with dilute acetic acid, then irrigate
    2. BPad the eye and wait for the pain to settle
    3. CIrrigate for at least 15 minutes, then see a doctor
    4. DIrrigate for 1 minute, then neutralize with boric acid
    Show answer

    Answer: C · Irrigate for at least 15 minutes, then see a doctor

    Alkalis penetrate the eye faster and deeper than most acids and keep damaging it until they are washed away. The eyelids are held open and the eye is flushed with clean running water or saline for at least 15 minutes, longer for alkali, removing any contact lens, and she is then seen urgently by an eye doctor. Neutralizing drops are not used, because the reaction releases heat and wastes time that belongs to irrigation. Padding without irrigation leaves the alkali on the cornea.

    • A: Neutralizing in the eye releases heat and delays irrigation.
    • B: Padding leaves the alkali in the eye to keep burning.
    • D: One minute is far too short, and neutralizing drops are not advised.
  3. Question 3 · Easy

    Why was benzidine, once widely used in tests for occult blood, withdrawn from laboratories?

    1. AIt is carcinogenic
    2. BIt is highly flammable
    3. CIt is explosive when dry
    4. DIt is strongly corrosive
    Show answer

    Answer: A · It is carcinogenic

    Benzidine causes bladder cancer in exposed workers and is a recognized human carcinogen. Occult blood tests now use guaiac or tetramethylbenzidine, which is not regarded as carcinogenic. Carcinogens that must still be used are handled with gloves in a fume hood and clearly labelled. Substitution with a safer chemical is the first choice in controlling any laboratory hazard.

    • B: Flammability is the main hazard of solvents such as ether, not of benzidine.
    • C: Explosive when dry describes picric acid.
    • D: Corrosion is the main hazard of strong acids and alkalis.
  4. Question 4 · Easy

    After a needle-stick injury in the laboratory, the first step is to:

    1. AWash the site with soap and running water
    2. BSqueeze the wound hard to force out blood
    3. CSuck the wound to remove the blood
    4. DScrub the site with undiluted bleach
    Show answer

    Answer: A · Wash the site with soap and running water

    NACO guidelines advise washing the site at once with soap and running water, without scrubbing. Squeezing, sucking or applying bleach or other strong chemicals damages tissue and is not recommended. The exposure is then reported at once so that the source can be assessed and HIV post-exposure prophylaxis, if needed, started as early as possible, preferably within 2 hours and not after 72 hours. Hepatitis B vaccination status is checked at the same time.

    • B: Squeezing is discouraged because it injures the tissue around the wound.
    • C: Sucking the wound exposes the mouth to the blood.
    • D: Bleach and other strong chemicals damage the skin and are not advised.
  5. Question 5 · Medium

    Under the CDC universal precautions (1987-88), which body fluid was excluded unless it contained visible blood?

    1. ASemen
    2. BUrine
    3. CPleural fluid
    4. DCerebrospinal fluid
    Show answer

    Answer: B · Urine

    Universal precautions applied to blood and to fluids linked with bloodborne infection: semen, vaginal secretions, and cerebrospinal, synovial, pleural, peritoneal, pericardial and amniotic fluids. Urine, feces, sputum, nasal secretions, sweat, tears and vomitus were excluded unless visibly bloody, because they carry little risk of HIV or hepatitis B. The later standard precautions dropped this exception and treat every body substance as potentially infectious. Most laboratories now follow standard precautions.

    • A: Semen was covered because it can transmit HIV and hepatitis B.
    • C: Pleural fluid was one of the covered fluids.
    • D: CSF was one of the covered fluids.
  6. Question 6 · Hard

    A technician touches a water bath with a frayed cable and collapses, her hand still on the bath. Which sequence is correct?

    1. APull her away by the arm, then check breathing
    2. BThrow water over her to break the contact
    3. CSwitch off the mains, then check breathing
    4. DCheck breathing first, then switch off the mains

    Answer and explanation in LearnFree account

  7. Question 7 · Easy

    A small fire starts inside a colorimeter that is still plugged in. Which extinguisher should be used?

    1. ACarbon dioxide
    2. BWater
    3. CWet chemical
    4. DFoam

    Answer and explanation in LearnFree account

  8. Question 8 · Easy

    Mercury from a broken thermometer is sprinkled with which powder to bind it before collection?

    1. ATalc
    2. BSulphur
    3. CSodium bicarbonate
    4. DSawdust

    Answer and explanation in LearnFree account

  9. Question 9 · Medium

    Concentrated sulphuric acid is spilled on the bench. What should it first be covered with?

    1. ASodium hydroxide pellets
    2. BSodium bicarbonate
    3. CDilute acetic acid
    4. DA jet of cold water

    Answer and explanation in LearnFree account

  10. Question 10 · Medium

    A technician's forearm is scalded by boiling water from a water bath. What is the right first aid?

    1. ASmear butter or toothpaste on the burn
    2. BApply ice directly to the burned skin
    3. CCool it under running tap water for 20 minutes
    4. DBurst the blisters and apply antiseptic

    Answer and explanation in LearnFree account

  11. Question 11 · Medium

    Burning diethyl ether on the bench should not be put out with water because ether:

    1. ARaises the water to its boiling point
    2. BReacts with water to form an explosive
    3. CTurns into a toxic gas with water
    4. DFloats on water and spreads the fire

    Answer and explanation in LearnFree account

  12. Question 12 · Medium

    A tube of blood breaks on the bench. After it is covered with absorbent paper, which disinfectant is poured over it?

    1. A1% sodium hypochlorite
    2. B70% ethanol
    3. C0.1% potassium permanganate
    4. DPlain soap solution

    Answer and explanation in LearnFree account

  13. Question 13 · Easy

    Strong acids, alkalis and infectious fluids should be drawn into a pipette by using:

    1. AA rubber bulb or pipetting aid
    2. BMouth suction with a cotton plug
    3. CMouth suction with a rubber tube
    4. DMouth suction through a long pipette

    Answer and explanation in LearnFree account

  14. Question 14 · Medium

    After an occupational exposure to HIV-positive blood, post-exposure prophylaxis should be started:

    1. AAs early as possible, within 72 hours
    2. BWithin 2 weeks of the exposure
    3. COnly after the worker tests HIV positive
    4. DAfter 7 days, once the source is retested

    Answer and explanation in LearnFree account

  15. Question 15 · Medium

    Why is sputum for mycobacterial culture processed inside a Class II biological safety cabinet?

    1. AIt removes acid fumes from the room
    2. BIt sterilizes the sample with UV light
    3. CIt protects worker, sample and room
    4. DIt protects only the sample from dust

    Answer and explanation in LearnFree account

  16. Question 16 · Hard

    Used Drabkin's reagent from hemoglobin tests is collected in the same waste can as acid waste from a protein test. Shortly after, staff notice a smell of bitter almonds. What is the hazard?

    1. ANitrogen dioxide
    2. BHydrogen cyanide gas
    3. CHydrogen sulphide
    4. DChlorine gas

    Answer and explanation in LearnFree account

  17. Question 17 · Easy

    Which vaccine should every laboratory worker who handles blood receive?

    1. ATyphoid vaccine
    2. BRabies vaccine
    3. CHepatitis B vaccine
    4. DHepatitis A vaccine

    Answer and explanation in LearnFree account

  18. Question 18 · Easy

    By WHO guidance, washing hands with soap and water should take about:

    1. A10 minutes
    2. B5-10 seconds
    3. C2-3 minutes
    4. D40-60 seconds

    Answer and explanation in LearnFree account

  19. Question 19 · Hard

    A laboratory technician who never completed hepatitis B vaccination pricks a finger with a needle used on a patient known to be HBsAg positive. The wound has been washed. Which step should follow?

    1. ATest anti-HBs and give nothing if negative
    2. BGive hepatitis B vaccine only after 6 months
    3. CGive HBIG and start hepatitis B vaccination
    4. DStart a 28-day antiretroviral course only

    Answer and explanation in LearnFree account

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