Isolated Seizure – Group 2 Licence — SCE Neurology MCQ

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ModerateEpilepsy & Seizure DisordersIsolated Seizure – Group 2 LicenceSCE Neurology

A 48-year-old lorry driver (Group 2 licence) has a first unprovoked seizure. MRI brain and EEG are normal. For how long must he refrain from driving his lorry?

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Correct answer: E — 5 years seizure-free off medication

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

For Group 2 (HGV/PSV) licensing, following a first unprovoked seizure, the driver must be seizure-free for at least 5 years without antiseizure medication. This is a significantly more stringent requirement than Group 1 (6 or 12 months). A/B: These are Group 1 standards. D: 10 years applies to Group 2 epilepsy (2+ seizures). E: Group 2 licensing requires being off medication.

Reference: DVLA – Assessing Fitness to Drive (2025)