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Silicosis — SCE Respiratory MCQ

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HardOccupational lung diseaseSilicosisSCE Respiratory

A stone worker with accelerated silicosis continues exposure. Which intervention most alters future occupational risk while clinical assessment proceeds?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Stop respirable silica exposure and initiate occupational-health action

Explanation lettering: D = shown as B · B = shown as C · C = shown as D

E is correct. Prevention of further dose is fundamental: remove ongoing respirable silica exposure and trigger occupational-health, control and reporting processes. A simple mask is not an adequate control strategy. Inhaled steroid does not prevent dust-induced fibrosis. Silicosis increases TB risk but does not itself diagnose latent infection or justify unassessed isoniazid. Workplace action must not wait for advanced functional loss.

Reference: HSE silica and silicosis guidance: https://www.hse.gov.uk/lung-disease/silicosis.htm