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Long COVID return to work — DOccMed MCQ

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ModerateSickness Absence and RehabilitationLong COVID return to workDOccMed

A teacher returning after long COVID has post-exertional symptom exacerbation, cognitive fatigue and reduced exercise tolerance. She can teach one lesson but deteriorates after consecutive classes. What reasonable adjustment should be recommended?

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

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Correct answer: B — Phased timetable with rest breaks, reduced consecutive teaching and review

Long COVID may fluctuate, and post-exertional symptom exacerbation requires pacing. A phased timetable, reduced consecutive demands and review allow sustainable return. Rapid conditioning can worsen symptoms in some patients. Permanent removal is premature when capacity may improve.

Reference: NICE NG146; NICE COVID-19 rapid guideline