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Mixed noise exposure — DOccMed MCQ

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HardNoise and HearingMixed noise exposureDOccMed

A printing worker has tinnitus and difficulty hearing speech in background noise. Audiometry confirms high-frequency loss, but he also plays in a loud band at weekends. Workplace exposure is 87 dB(A) before hearing protection. What is the most appropriate management?

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Correct answer: D — Advise workplace noise-control review and audiology referral, noting mixed exposure history

Both occupational and leisure noise may contribute, but workplace exposure at this level requires control and surveillance action. The audiometric result and symptoms warrant appropriate clinical referral. Occupational health should avoid over-attribution while ensuring legal duties for workplace noise are addressed.

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