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Noise-induced hearing loss — DOccMed MCQ

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ModerateNoise and HearingNoise-induced hearing lossDOccMed

A 54-year-old metal press operator has gradual hearing difficulty and tinnitus. Audiometry shows bilateral high-frequency sensorineural loss with a notch around 4 kHz; he worked near presses for 22 years before hearing protection was introduced. What is the most appropriate health surveillance?

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Correct answer: E — Audiometry within a hearing-conservation programme and review of noise controls

Long-term press noise exposure requires a hearing-conservation approach including audiometric surveillance. Audiometry can detect early high-frequency loss and prompt control review. Hearing protection availability does not prove adequate exposure control. Waiting for persistent symptoms undermines prevention.

Reference: HSE Noise guidance; Control of Noise at Work Regulations