MFOM Written case studies
MFOM Written · Put your knowledge to work in context.
The MFOM Written examination is the written component of the assessment route to Membership of the Faculty of Occupational Medicine, the UK faculty of the Royal College of Physicians that sets standards for the specialty. It is intended for doctors in occupational medicine training, or those working in the field, who need to show a broad and applied knowledge of the discipline before moving on to the later stages of Membership. The MFOM Written case studies are 5 cases and about 2,951 words.
1Paint sprayer with suspected isocyanate asthma: diagnosis, fitness and exposure control
A 34-year-old paint sprayer at a vehicle refinishing workshop has had 18 months of wheeze, chest tightness and nocturnal cough. Symptoms began about 6 months after he started using two-pack isocyanate paints and improve at weekends and on a two-week holiday; he has a 10 pack-year smoking history.
676 words, about 3 min2Firefighter with smoke exposure: interpreting carboxyhaemoglobin and return to work
A 31-year-old wholetime firefighter attends a large warehouse fire involving plastics and furniture. He wears breathing apparatus, but removes it during 'overhaul' and spends about 40 minutes in visible smoke.
556 words, about 3 min3HGV driver with OSA who refuses disclosure to his employer
A 44-year-old category C+E lorry driver attends for a medical after his GP diagnosed obstructive sleep apnoea (AHI 28) and started CPAP. He feels much better, his Epworth score is 6, and he has 100% CPAP compliance at 90 days.
582 words, about 3 min4Teacher with multiple sclerosis: adjustments versus ill-health retirement
A 47-year-old secondary school science teacher with relapsing–remitting multiple sclerosis has had worsening fatigue and right leg weakness over 6 months. She teaches 22 hours a week plus duties and has a 50-minute journey each way.
571 words, about 3 min5Breast cancer concerns in a call centre: cluster or coincidence?
A call centre employs 420 staff, 310 of them women aged 25–64. Over 4 years, six women have been diagnosed with breast cancer; one has died.
566 words, about 3 min