skip to main content

Epilepsy driving advice — SCE Neurology MCQ

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

HardFunctional, Rehabilitation and DVLAEpilepsy driving adviceSCE Neurology

A Group 1 driver has a first unprovoked seizure with full recovery. CT and metabolic tests are normal and specialist MRI and EEG are pending. What driving advice should be given at the initial consultation?

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

Reveal the answer and explanation

Correct answer: DStop driving and notify the DVLA pending neurology review

The best answer is “Stop driving and notify the DVLA pending neurology review”. UK licensing rules require a person after an unprovoked seizure to cease driving and notify the DVLA; the eventual restriction depends on classification, recurrence risk and licence group, not solely on whether epilepsy has yet been diagnosed. “Continue driving until a second unprovoked seizure occurs” is less appropriate because a single seizure can immediately impair licensing eligibility “Restrict driving to daylight without DVLA notification” is less appropriate because time of day does not remove sudden-incapacity risk or the legal notification duty “Notify the employer while withholding the event from DVLA” is less appropriate because employer disclosure does not replace DVLA notification “Start medication principally to avoid a licensing restriction” is less appropriate because treatment decisions follow clinical benefit and recurrence risk rather than licensing avoidance

Reference: DVLA: neurological disorders — assessing fitness to drive. https://www.gov.uk/guidance/neurological-disorders-assessing-fitness-to-drive