skip to main content

PD – Comprehensive Driving Assessment — SCE Neurology MCQ

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

HardMovement DisordersPD – Comprehensive Driving AssessmentSCE Neurology

A person with motor neurone disease develops orthopnoea, morning headache, weak cough and declining supine vital capacity. What intervention should be prioritised?

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

Reveal the answer and explanation

Correct answer: C — Urgent respiratory assessment and initiation of non-invasive ventilation

The best answer is “Urgent respiratory assessment and initiation of non-invasive ventilation”. Symptoms and physiology indicate respiratory-muscle failure; timely non-invasive ventilation improves symptoms and survival in suitable patients. “Long-term high-flow oxygen as sole treatment” can be reasonable in another presentation, but it does not account for the defining feature here. “Tracheostomy before discussing non-invasive support” can be reasonable in another presentation, but it does not account for the defining feature here. “Sedating cough suppression without ventilation assessment” can be reasonable in another presentation, but it does not account for the defining feature here. “Delay intervention until daytime hypercapnia causes coma” can be reasonable in another presentation, but it does not account for the defining feature here.

Reference: NICE NG42 motor neurone disease recommendations: https://www.nice.org.uk/guidance/ng42/chapter/Recommendations