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Question 8#

When advising patients about the DVLA regulations governing Group 2 entitlement to drive an HGV, which one of the following statements is incorrect?

A. Patients with angina can be relicensed provided that they have been symptom free for more than 6 weeks, and can complete three stages/9 minutes of a Bruce protocol exercise tolerance test with no significant symptoms/ECG changes (having been off anti-anginals for 48 hours)
B. After an acute MI, patients are disqualified from their Group 2 entitlement for 6 weeks. Thereafter they may be relicensed provided that they can complete three stages/9 minutes of a Bruce protocol exercise tolerance test with no significant symptoms/ECG changes (having been off anti-anginals for 48 hours)
C. Following elective PCI, patients can resume their Group 2 entitlement after 1 week
D. Following the implantation of a permanent pacemaker, patients are disqualified from their Group 2 entitlement for 6 weeks
E. Following the implantation of an ICD, patients are permanently disqualified from their Group 2 entitlement

Correct Answer is C

Comment:

Patients who have undergone an elective PCI procedure are disqualified from their Group 2 entitlement for 6 weeks, and are required to meet the functional requirements in options A and B prior to relicensing. Following a CABG, patients are disqualified from their Group 2 entitlement for 3 months and may be considered for relicensing provided that their LVEF is >40% and the functional test requirements are met.