AMC Driving MCQ

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Transcript of AMC Driving MCQ

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    1)Patient has history of abnormal movement of hands and is taking sodium valproate. She is asking what

    interval of seizure free is reqd before she can drive again?

    3 mths, 6mths, 12mths,18mths, 24mths

    2)A 19 y/o man was seen in the emergency department 2 months ago after his first episode of tonic-clonic

    seizure. You medicated him and advised him that he

    must be on a 6 months seizure free period before he can drive again. In his controltoday you have learnt that he has been driving as part of his work as plumber. What

    is the most appropriate response?

    a. Report him to his employer

    b. Report him to the drivers licensing authority

    c. Recommend him to use his medication before driving

    d. Take no further action

    e. Retain him and call the police

    3) a young pt. with first time seizure. She has h/o of sudden spasms and twitching of muscles in past few

    years. your advice about driving....

    a) no driving for 6 mths

    b) no driving for 3 mths

    c) no driving for 1 mthd) cannot drive anymore.

    3)bus driver suffered stroke 2 month ago with no residuals on exam

    va 6/9 p.e bilateral temporal hemianopia. Your advice regarding driving

    a)never drive

    b)rive with glasses

    5) 82 years old pt. came with numbness n heaviness of rt hand n leg together with left homonymous

    hemianopia. her hand n foot state was resolved after 2 weeks bt her visual field defect is stil present 6

    weeeks later, wht wd u do?

    a. prevent pt from driving fr 2 wks

    b. prevent driving fr 2 months

    c. prevent driving fr 6 months.d. never drive

    6) One of your pt comes to see you concerned about her 82 yo husband, who had a

    small car accident last evening (or something similar). He has a decrease in his visual

    accuity (numbers given, can't remember). He is willing to continue to drive, even if his sight in the

    evening is bad. What is THE NEXT STEP?

    A. Reassure her that her husband can continue to drive

    B. Write down in the pt file your findings and that you advise him to stop driving

    C. Report to the State Road Authority

    D. Tell the pt that he can drive only in during the day

    E. Suspend his driving licence

    7) pt after shock develops homonymous hemianopia, what advice do u give regarding driving vision 6/9 ,

    6/12 respectively

    a. no driving for 6 mnths,

    b. driving after consultn with rta

    c. cant drive ever

    8) 70yr man drives bus in community. his snellen vision test is 6/9 wen he wear glasses. what is ur advise

    in regard to his driving license?

    1.he cant drive any more

    2.he can drive but he has 2 wear glases while driving

    9) An old truck driver has 6/36 vision. He can see well with his glasses. After consulting with you, he goes

    to another GP and claims that he was given the ok to continue driving. What will you do?.

    a. Advise him not to drive

    b. Speak to the other g.p

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    c. report to trafic vic

    10) Question on driving: a woman c/o single episode of epilepsy following a history with involuntary

    muscle spasms on waking up for a few months. GPE was done on her and she was otherwise normal. For

    how long will you have to restrict her driving?

    a. 6months

    b. 9mc. 3m

    d. 12m

    e. 24m

    11) An 82 yr old previous patient of yours presents to you again. You had advised him previously that he

    should not drive. The patient admits consulting another doctor in between and driving upto 12 km

    distance. His vision has not improved. What do you do?

    a. Re confirm that he cannot drive

    b. Ask him to consult with the other doctor from now on

    c. Report to the Road Trafic authority

    d. Allow him to continue to drive withing the 12 km distance

    12) An obese patient with diabetes review at his GP. He complaints of daytime sleepiness when driving atwork. His wife asks him to stop driving. Whats your appropriate management?

    A. Advise him to have sleep hygiene.

    B. Diet and exercise.

    C. Check HBA1C

    13) A man weighing 84 Kg., height 179 Cm. smoker, and drinks alcohol 4-6 glass on routine examination

    found to have BP of 150/98 mm of mercury, he doesnt want to use his seatbelt while driving his car.

    Which of the following is one of the most important measures for his management?

    a) Reduce 14 Kg. of weight immediately

    b) Stop smoking

    c) Chorthiazide everyday

    d) Stop alcohol

    e) Ask him to wear seatbelts

    1)24m,2)b,3)?,4)never drive,5)d,6)c or d,7)c,8)2,9)a or c, 10)a, 11)c,12)? 13)e,

    Plz correct me.

    first is incomplete, 2-B, 3-a,4-A,5-d,6-C,7-c,8-2,9-c,10-a,11-c,12-?,13-e