Knowledge Test Answers & Guidance
Review the answers below. This page is intended to support learning and does not replace Motor Medicals policies, SOPs, DVLA guidance or your professional responsibilities.
1. Is an ID check mandatory at the start of every appointment?
Doctors must not start any medical without first confirming the patient’s identity using valid ID. ID may be physical or shown on a phone. The key checks are the patient’s name and date of birth. If there are any concerns about identity, contact the doctor on call before proceeding.
2. How many cancellations are generally permitted within a rolling six-month period?
Motor Medicals generally permits one cancellation within a rolling six-month period. Further cancellations may affect future clinic allocation or result in review.
3. What should you do if you are unsure how to complete a form?
Do not guess. Use the Doctor Hub, SOPs, DVLA guidance and on-call support where required.
4. What should you do if a patient offers you a tip?
Due to conflict-of-interest concerns, all tips received during Motor Medicals clinics are the property of Motor Medicals and must be declared and recorded.
5. While working in clinics, you may collect cash payments from drivers. What must you do?
All money collected on behalf of Motor Medicals must be recorded, accounted for and transferred or handled as instructed by accounts.
6. Which guidance document should be used when assessing HGV and taxi medicals?
HGV and most taxi medicals are assessed against Group 2 medical standards. Use the latest DVLA guidance and Motor Medicals SOPs.
7. Following a single unprovoked epileptic seizure, how long is Group 2 driving usually prohibited?
For a one-off seizure, Group 2 relicensing generally requires 5 years seizure-free and off anti-epileptic medication. For more than one seizure, this is generally 10 years seizure-free and off anti-epileptic medication.
8. According to current DVLA guidance, obstructive sleep apnoea should be adequately controlled for approximately how long?
Sleepiness must be controlled and treatment adherence should be demonstrated. If symptom control cannot be achieved within 3 months, DVLA notification is required.
9. How often should an insulin-treated HGV driver test blood glucose readings?
Motor Medicals does not carry out insulin-treated taxi medicals. For oral hypoglycaemics such as gliclazide, twice-daily readings should also be checked for HGV and taxi drivers where relevant.
10. Are medical records required for taxi medicals?
All taxi medicals require some form of medical record check. Some councils require full medical records only. TFL only accepts full medical records. If unsure, review the council requirements and contact the doctor on call.
11. A taxi applicant fails the visual assessment. Can the remainder of the medical be completed and signed off without a satisfactory eye assessment?
A taxi medical is considered one complete document. Both the medical and eye assessment must be satisfactory before the doctor signs off the medical. If the eye test is done separately, the applicant still needs to return so the medical can be completed properly.
12. A D4/HGV applicant fails the visual assessment. Can the doctor complete the rest of the D4 medical?
The doctor can complete the medical section and the eyesight section may be completed separately by an optician or optometrist. The completed D4 can then be submitted to DVLA. It does not need to return to Motor Medicals unless requested.
13. What distance should normally be used with the Motor Medicals visual acuity test?
Use the test distance specified for the chart provided. Traditional Snellen charts are often 6 metres, but the Motor Medicals supplied test may be designed for 3 metres.
14. What blood pressure reading normally requires referral and cannot be passed immediately?
For Group 2 standards, blood pressure at or above this level requires further management before the applicant can be passed.
15. Which investigations are required following a myocardial infarction for taxi medicals?
Taxi medical patients with relevant cardiac history must be reviewed carefully. The doctor should review the ETT and echocardiogram in clinic where required. A negative exercise tolerance test should not show concerning ischaemic changes such as significant ST changes.
16. You discover a documentation error after submission. What should you do?
Known errors must be escalated promptly. Failure to report a known error may be treated more seriously than the original mistake.
17. A clinic has been allocated to you. How long do you normally have to confirm it?
Allocated shifts should be confirmed within 48 hours, usually by marking the shift green on the confirmation sheet.
18. What is the minimum Group 2 visual acuity standard with corrective lenses if required?
This may be achieved with corrective lenses if required, subject to the applicable Group 2 eyesight standards.