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Farmer's lung — DOccMed MCQ

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EasyOccupational DiseaseFarmer's lungDOccMed

A 50-year-old farmer presents with recurrent episodes of fever, cough, and breathlessness occurring 4-6 hours after handling mouldy hay. Symptoms resolve within 24-48 hours. What is the most likely diagnosis?

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Correct answer: A — Farmer's lung (extrinsic allergic alveolitis)

Recurrent episodes 4-6 hours after mouldy hay exposure with resolution within 48 hours is classic for farmer's lung (EAA from thermophilic actinomycetes in mouldy hay). This is a prescribed disease (PD B6).

Reference: IIDB Schedule; COSHH; Occupational Lung Disease