DVLA Flashcards

1
Q

Cardiovascular disorders:
Hypertension

A

Unacceptable Rx. side effects,
-Stop driving
-No need to notify DVLA

Group 2 Entitlement the disqualifies from driving if resting BP consistently 180 mmHg systolic or more and/or 100 mm Hg diastolic or more

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2
Q

Acute coronary syndrome

A

4 weeks off driving
1 week if successfully treated by angioplasty

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3
Q

angioplasty (elective)

A

1 week off driving

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4
Q

CABG

A

4 weeks off driving

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5
Q

angina

A

driving must cease if symptoms occur at rest/at the wheel

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6
Q

pacemaker insertion

A

1 week off driving

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7
Q

implantable cardioverter-defibrillator (ICD)

A

For sustained ventricular arrhythmia: cease driving for 6 months
For prophylactically then cease driving for 1 month.
Having an ICD results in a permanent bar for Group 2 drivers

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8
Q

successful catheter ablation for an arrhythmia

A

2 days off driving

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9
Q

aortic aneurysm

A

6cm or more
-notify DVLA
-annual review (Licensing will be permitted subject to annual review)
6.5 cm or more
-disqualifies patients from driving

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10
Q

heart transplant

A

-6 weeks off driving
-no need to notify DVLA

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11
Q

DVLA: neurological disorders
Epilepsy/seizures - all patient must not drive and must inform the DVLA

1st unprovoked/isolated seizure:

A

-6 months off if all normal (imaging,EEG etc).
-12 months if these conditions are not met

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12
Q

Established epilepsy or multiple unprovoked seizures:

A

-Seizure free for 12 months - may qualify for driving licence
-Seizures free for 5 years - (with medication if necessary) a ‘til 70 licence is usually restored
-Withdrawal of epilepsy medication:
–should not drive whilst anti-epilepsy medication is being withdrawn and
–for 6 months after the last dose

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13
Q

Syncope simple faint:

A

no restriction

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14
Q

Syncope single episode, explained and treated:

A

4 weeks off

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15
Q

Syncope single episode, unexplained:

A

6 months off

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16
Q

Syncope two or more episodes:

A

12 months off

17
Q

Stroke or TIA:

A

1 month off driving,
No residual neurological deficit may not need to inform DVLA

18
Q

Multiple TIAs over short period of times:

A

3 months off driving and inform DVLA

19
Q

Craniotomy e.g. For meningioma:

A

1 year off driving

20
Q

Pituitary tumor: craniotomy:

A

6 months off driving
trans-sphenoidal surgery ‘can drive when there is no debarring residual impairment likely to affect safe driving’

21
Q

narcolepsy/cataplexy:

A

cease driving on diagnosis, can restart once ‘satisfactory control of symptoms’

22
Q

chronic neurological disorders e.g. multiple sclerosis, motor neuron disease:

A

DVLA should be informed, complete PK1 form (application for driving licence holders state of health)

23
Q

DVLA ALL

A

DVLA: cardiovascular disorders

The guidelines below relate to car/motorcycle use unless specifically stated. For obvious reasons, the rules relating to drivers of heavy goods vehicles tend to be much stricter

Specific rules
hypertension
can drive unless treatment causes unacceptable side effects, no need to notify DVLA
if Group 2 Entitlement the disqualifies from driving if resting BP consistently 180 mmHg systolic or more and/or 100 mm Hg diastolic or more
angioplasty (elective) - 1 week off driving
CABG - 4 weeks off driving
acute coronary syndrome- 4 weeks off driving
1 week if successfully treated by angioplasty
angina - driving must cease if symptoms occur at rest/at the wheel
pacemaker insertion - 1 week off driving
implantable cardioverter-defibrillator (ICD)
if implanted for sustained ventricular arrhythmia: cease driving for 6 months
if implanted prophylactically then cease driving for 1 month. Having an ICD results in a permanent bar for Group 2 drivers
successful catheter ablation for an arrhythmia- 2 days off driving
aortic aneurysm of 6cm or more - notify DVLA. Licensing will be permitted subject to annual review.
an aortic diameter of 6.5 cm or more disqualifies patients from driving
heart transplant: do not drive for 6 weeks, no need to notify DVLA
______________

DVLA: neurological disorders

Epilepsy/seizures - all patient must not drive and must inform the DVLA
1st unprovoked/isolated seizure:
-6 months off if all normal (imaging,EEG etc).
-12 months if these conditions are not met
Established epilepsy or multiple unprovoked seizures:
-seizure free for 12 months - may qualify for a driving licence
-seizures free for 5 years - (with medication if necessary) a ‘til 70 licence is usually restored
-withdrawal of epilepsy medication: should not drive whilst anti-epilepsy medication is being withdrawn and for 6 months after the last dose

Syncope
simple faint: no restriction
single episode, explained and treated: 4 weeks off
single episode, unexplained: 6 months off
two or more episodes: 12 months off

Other conditions
Stroke or TIA: 1 month off driving, no residual neurological deficit may not need to inform DVLA
Multiple TIAs over short period of times: 3 months off driving and inform DVLA
Craniotomy e.g. For meningioma: 1 year off driving*
Pituitary tumor: craniotomy: 6 months; trans-sphenoidal surgery ‘can drive when there is no debarring residual impairment likely to affect safe driving’
narcolepsy/cataplexy: cease driving on diagnosis, can restart once ‘satisfactory control of symptoms’
chronic neurological disorders e.g. multiple sclerosis, motor neuron disease: DVLA should be informed, complete PK1 form (application for driving licence holders state of health)

*if the tumour is a benign meningioma and there is no seizure history, licence can be reconsidered 6 months after surgery if remains seizure free
_______

DVLA: visual disorders

The guidelines below relate to car/motorcycle use unless specifically stated. For obvious reasons, the rules relating to drivers of heavy goods vehicles tend to be much stricter

Visual field defects
driving must cease unless confirmed able to meet recommended national guidelines for visual field

Monocular vision
must notify DVLA
may drive if acuity and visual field is normal in the remaining eye

Blepharospasm
consultant opinion is required