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Ménière disease — DOccMed MCQ

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HardFitness for WorkMénière diseaseDOccMed

A train dispatcher has untreated Ménière disease with unpredictable vertigo attacks lasting hours. The role involves working beside live tracks and giving safety-critical signals. What is the most appropriate advice regarding fitness for work?

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Correct answer: C — Unfit for live-track safety-critical duties until attacks are controlled

Unpredictable vertigo creates a high risk in live-track safety-critical work. The restriction should be specific to hazardous duties rather than broad exclusion from employment. Review can occur after treatment response and risk assessment.

Reference: FOM Fitness for Work Principles