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Asbestosis — DOccMed MCQ

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HardOccupational Lung DiseaseAsbestosisDOccMed

A former insulation worker has basal crackles, clubbing and progressive exertional dyspnoea. CT shows bilateral pleural plaques and lower-lobe fibrosis. What is the most likely occupational diagnosis?

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Correct answer: E — Asbestosis with pleural plaques

Lower-lobe pulmonary fibrosis with heavy asbestos exposure is consistent with asbestosis, while pleural plaques indicate previous exposure. The progressive symptoms and imaging distinguish it from benign plaques alone. Smoking history should be assessed, and respiratory specialist management is needed.

Reference: HSE Asbestos Guidance; IIDB Prescribed Diseases