Dementia and driving safety — MCCQE Part 1 MCQ

Correct answer: D — Assess driving risk and follow provincial mandatory reporting requirements if unsafe

Assess driving risk and follow provincial mandatory reporting requirements if unsafe is the single best answer because the age, timing, examination findings and investigations in the vignette fit Dementia and driving safety better than the alternatives. The most tempting distractor is less appropriate because it either treats a neighbouring presentation, delays a time-critical intervention, or ignores a key discriminator in the stem. The remaining options are suboptimal because they would miss the diagnosis, use an investigation or treatment in the wrong sequence, or fail to address safety and follow-up. Canadian practice should be anchored to CMPA duty to report guidance, with attention to acuity, safety-netting and local provincial pathways.

Reference: CMPA duty to report guidance