Community Medicine (PSM) · Occupational Health and Legislation (ESI, Factories Act)

Compressed air disease (Caisson disease / decompression sickness) primarily results from:

  • A Nitrogen narcosis causing CNS depression at high pressure
  • B Rapid ascent causing dissolved nitrogen to form gas bubbles in tissues and blood
  • C Oxygen toxicity leading to seizures and pulmonary edema
  • D Carbon dioxide accumulation in closed working environments
Correct answer: B. Rapid ascent causing dissolved nitrogen to form gas bubbles in tissues and blood

Explanation

Decompression sickness (Caisson disease) occurs during rapid ascent from high-pressure environments; nitrogen dissolved in tissues at depth forms bubbles when pressure decreases rapidly, causing joint pain ('bends'), neurological symptoms, pulmonary gas embolism ('chokes'). Treatment is recompression in a hyperbaric chamber. Nitrogen narcosis is a separate condition causing impaired judgment at depth during diving.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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