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Syncope — DOccMed MCQ

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HardFitness for WorkSyncopeDOccMed

A delivery cyclist has recurrent syncope with one episode while riding. ECG shows intermittent complete heart block, and pacemaker insertion is planned. What is the most appropriate advice regarding fitness for work?

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Correct answer: E — Unfit for road delivery cycling pending treatment and specialist clearance

Sudden syncope during road cycling creates risk to the worker and others. The restriction should apply to road delivery cycling until the cause is treated and specialist advice confirms control. The worker may be fit for alternative non-safety-critical duties meanwhile.

Reference: FOM Fitness for Work Principles; DVLA Cardiovascular Guidance