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Hand-arm vibration syndrome — DOccMed MCQ

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HardMusculoskeletal DisordersHand-arm vibration syndromeDOccMed

A 45-year-old road breaker operator reports blanching of two fingers in cold weather, tingling after tool use and reduced grip strength. He uses breakers and disc cutters most days; symptoms started after winter overtime and improve during summer leave. What is the most appropriate health surveillance?

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Correct answer: C — Tiered vibration health surveillance with symptom screening and clinical escalation

Regular vibrating-tool exposure with early vascular and sensory symptoms requires a tiered HAVS surveillance approach. Screening questionnaires identify workers needing competent clinical assessment and exposure review. X-rays and nerve studies are not routine first-line surveillance for every exposed worker. Anti-vibration gloves are not sufficient as a control or reason to omit surveillance.

Reference: HSE Hand-arm Vibration guidance; Control of Vibration at Work Regulations