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HAVS — DOccMed MCQ

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HardMusculoskeletal DisordersHAVSDOccMed

A council grounds worker uses strimmers and hedge cutters for several hours daily. He reports episodic finger blanching in cold weather, tingling in the thumb and index finger, and difficulty picking up coins. What is the most likely occupational diagnosis?

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Correct answer: E — Hand-arm vibration syndrome with sensorineural features

The combination of vascular symptoms, sensory disturbance and prolonged use of vibrating tools points to HAVS. Carpal tunnel syndrome can coexist, but the cold-induced blanching and vibration exposure make HAVS the best fit. Management should include exposure reduction, health surveillance review and referral according to severity.

Reference: HSE Vibration Guidance