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(Cr) Toxicity | ATSDR - CSEM - Agency for Toxic Substances and ...

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<strong>Agency</strong> <strong>for</strong> <strong>Toxic</strong> <strong>Substances</strong> <strong>and</strong> Disease Registry Chromium <strong><strong>Toxic</strong>ity</strong><br />

Case Studies in Environmental Medicine (<strong>CSEM</strong>)<br />

Instructions To complete the assessment <strong>and</strong> posttest, go to www2.cdc.gov/atsdrce/ <strong>and</strong><br />

follow the instructions on that page.<br />

You can immediately print your continuing education certificate from your<br />

personal transcript online. No fees are charged.<br />

Posttest 1. Which of the following statements is NOT true?<br />

A. Chromium is excreted in urine <strong>and</strong> bile as <strong>Cr</strong>(III).<br />

B. <strong>Cr</strong>(III) is generally more toxic than <strong>Cr</strong>(IV).<br />

C. <strong>Cr</strong>(VI) is absorbed more quickly than <strong>Cr</strong>(III).<br />

D. <strong>Cr</strong>(VI) is carcinogenic when inhaled.<br />

2. Which of the following statements is correct?<br />

A. Naturally occurring chromium is usually present as hexavalent <strong>Cr</strong>(VI).<br />

B. <strong>Cr</strong>(III) <strong>and</strong> <strong>Cr</strong>(VI) are released to the environment primarily from<br />

stationary point sources resulting from human activities.<br />

C. <strong>Cr</strong>(VI) in the air does not undergo any reaction.<br />

D. Tobacco smoke is a source of chromium intake.<br />

3. Which of the following statements is incorrect?<br />

A. Due to the actions of gastric acid <strong>and</strong> other components within the<br />

gastrointestinal tract, most of ingested <strong>Cr</strong>(VI) dosage is converted to<br />

<strong>Cr</strong>(III)<br />

B. <strong>Cr</strong>(VI) is reduced to <strong>Cr</strong>(III) in the lower respiratory tract.<br />

C. Absorption of <strong>Cr</strong>(VI) compounds can not occur through intact skin.<br />

D. The general population is exposed most often by ingestion through<br />

chromium content in soil, food, <strong>and</strong> water.<br />

4. EPA’s MCL <strong>for</strong> chromium in drinking water is which of the following?<br />

A. 50 g/L.<br />

B. 100 g/L.<br />

C. 500 g/L.<br />

D. None of the above.<br />

5. Which of the following is NOT true?<br />

A. Chromium deficiency may result in glucose intolerance.<br />

B. <strong>Cr</strong>(VI) compounds are irritating <strong>and</strong> corrosive.<br />

C. <strong>Cr</strong>(III) readily passes through cell membranes.<br />

D. Chromium compounds may be skin <strong>and</strong> pulmonary sensitizers.<br />

6. Significant chromium uptake occurs in all of the following EXCEPT<br />

A. Lung.<br />

B. Kidneys.<br />

C. Muscle.<br />

D. Liver.<br />

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