While other states have the DMV, or Department of Motor Vehicles, Maryland decided that was too ordinary sounding, so they created the MVA, or Motor Vehicle Administration.

After my recent unpleasant dealings with the MVA, it's no surprise that other meanings for MVA include:

Motor Vehicle or Multi Vehicle Accident
Manual Vacuum Aspiration (a type of abortion!)
Malignant Ventricular Arrhythmia
Merverdiavgift (Norwegian taxes)

So, here's the deal.