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AS Driving Safety — SCE Rheumatology MCQ

Instant feedback + full explanation. One question, done properly.

EasySpondyloarthropathyAS Driving SafetySCE Rheumatology

A 60-year-old man with radiographic axial spondyloarthritis holds a Group 1 driving licence. Cervical ankylosis has markedly restricted his neck rotation, and he is unable to look over his shoulder adequately when changing lanes. Which is the most appropriate advice?

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

Reveal the answer and explanation

Correct answer: B — He should notify DVLA because the restriction affects safe observation; driving assessment and suitable vehicle adaptations may permit continued driving

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

Marked cervical restriction can prevent adequate observation of adjacent traffic and blind spots, as demonstrated by his inability to look over his shoulder. Because his ankylosing spondylitis is affecting safe driving, he must notify DVLA. This does not automatically preclude driving: an individual driving assessment and appropriate adaptations may allow continued Group 1 driving. Normal visual acuity does not compensate fully for inability to observe surrounding traffic, so B and E are unsafe. Cervical ankylosis is not an automatic permanent bar to driving, making C too absolute. Informing an insurer does not replace the separate obligation to notify DVLA when the condition affects driving, so D is incorrect.

Reference: Driver and Vehicle Licensing Agency. Assessing fitness to drive: Appendix G—Disabilities and vehicle adaptations. Current guidance, accessed 26 August 2026. https://www.gov.uk/guidance/appendices-assessing-fitness-to-drive