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Noise-induced hearing loss — DOccMed MCQ

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ModerateNoise and HearingNoise-induced hearing lossDOccMed

A foundry worker has audiometry showing a 4 kHz notch bilaterally and reports tinnitus. Noise mapping shows personal exposure regularly above 85 dB(A). What is the most likely occupational diagnosis?

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Correct answer: CNoise-induced hearing loss

A bilateral high-frequency notch around 4 kHz with substantial noise exposure is typical of noise-induced hearing loss. Age-related loss may coexist but the audiometric pattern and exposure history support an occupational contribution. The employer should review noise controls, hearing protection and audiometry surveillance.

Reference: Control of Noise at Work Regulations 2005; HSE Noise Guidance