Medical Examination shall include:

• A detailed medical and work history, or update thereof, with emphasis on: past, present and anticipated future exposure to cadmium; smoking history and current status; reproductive history; current use of medications with potential nephrotoxic side-effects; any history of renal, cardiovascular, respiratory, hematopoietic, and/or musculo-skeletal system dysfunction; and as part of the medical and work history, for employees who wear respirators, questions 3-11 and 25-32 in Appendix D, 29 CFR 1910.1027(l)(4)(ii)(A);
• A complete physical examination with emphasis on: blood pressure, the respiratory system, and the urinary system 29 CFR 1910.1027(l)(4)(ii)(B);
• A 14 inch by 17 inch, or a reasonably standard sized posterior-anterior chest X-ray (after the initial X-ray, the frequency of chest X-rays is to be determined by the examining physician) 29 CFR 1910.1027(l)(4)(ii)(C);
• Pulmonary function tests, including forced vital capacity (FVC) and forced expiratory volume at 1 second (FEV(1)) 29 CFR 1910.1027(l)(4)(ii)(D);
• Biological monitoring, as required by 29 CFR 1910.1027(l)(4)(ii)(E);
• Blood analysis, including blood urea nitrogen, complete blood count, and serum creatinine 29 CFR 1910.1027(l)(4)(ii)(F);
• Urinalysis, including the determination of albumin, glucose, and total and low molecular weight proteins 29 CFR 1910.1027(l)(4)(ii)(G);
• For males over 40 years old, prostate palpation, or other at least as effective diagnostic test(s) 29 CFR 1910.1027(l)(4)(ii)(H); and any additional tests deemed appropriate by the examining physician 29 CFR 1910.1027(l)(4)(ii)(I).

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