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Obstructive sleep apnoea in a lorry driver — DOccMed MCQ

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HardFitness for WorkObstructive sleep apnoea in a lorry driverDOccMed

A 52-year-old HGV driver is referred after two minor reversing incidents. He has loud snoring, witnessed apnoeas and an Epworth score of 18; his GP has requested sleep studies, and he reports near-misses on the motorway after early shifts. What is the most appropriate advice regarding fitness for work?

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Correct answer: A — Advise removal from Group 2 driving pending assessment and symptom control

Excessive sleepiness creates an immediate safety-critical risk for Group 2 driving. Suspected obstructive sleep apnoea with symptoms affecting driving should lead to cessation from driving until adequately assessed and controlled. A temporary non-driving role is preferable to unnecessary dismissal. A road test does not address the medical risk of sleepiness.

Reference: DVLA Assessing Fitness to Drive; HSE safety-critical work guidance