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Confidentiality and driving after seizure — RCPSC EM MCQ

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HardEthics, medicolegal, Indigenous healthConfidentiality and driving after seizureRCPSC EM

In Ontario, a patient recovers from a first unprovoked seizure and promises not to drive. The episode meets the provincial medical reporting standard. What is the physician’s reporting action?

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

Reveal the answer and explanation

Correct answer: C — Counsel the patient and submit the required licensing-authority report

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

C is correct because Ontario imposes a mandatory medical reporting duty for qualifying conditions; a promise not to drive does not remove it. D and B leave the statutory duty unmet. E discloses information beyond the licensing process. A incorrectly makes a statutory report contingent on family permission.

Reference: Canadian Medical Protective Association, Duty to Report—Fitness to Drive: https://www.cmpa-acpm.ca/en/education-events/good-practices/medico-legal-matters/duty-to-report