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Post-stroke driving advice — SCE Neurology MCQ

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HardFunctional, Rehabilitation and DVLAPost-stroke driving adviceSCE Neurology

A car driver has a minor stroke with residual arm weakness that is improving. There have been no seizures. What UK driving advice is appropriate at four weeks?

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

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Correct answer: A — Do not drive for at least one month; resume only if recovery is satisfactory and no disqualifying deficit remains, clinically

The best answer is “Do not drive for at least one month; resume only if recovery is satisfactory and no disqualifying deficit remains, clinically”. Group 1 drivers must stop for at least one month after stroke; persistent deficits or other specified features alter notification and return-to-driving decisions. “Resume driving immediately after hospital discharge” can be reasonable in another presentation, but it does not account for the defining feature here. “Stop driving permanently after every stroke” can be reasonable in another presentation, but it does not account for the defining feature here. “Drive only when accompanied during the first month” can be reasonable in another presentation, but it does not account for the defining feature here. “Notify DVLA in every uncomplicated car-driver stroke regardless of residual deficit” can be reasonable in another presentation, but it does not account for the defining feature here.

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