Delirium — UKMLA MCQ

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EasyGeriatrics/PsychiatryDeliriumUKMLA MRCGP AKT PARA MRCP Part 1

An 82-year-old with hip fracture is agitated at night, hypoactive by day, fluctuating attention. Best first-line management for delirium?

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Correct answer: C — Identify and treat underlying causes and optimise environment

Delirium is managed by treating precipitating factors (infection, pain, drugs, dehydration) and non-pharmacological measures (orientation, sleep hygiene). Antipsychotics are reserved for distress/risk, at lowest dose/shortest duration.

Reference: NICE NG103: Delirium: prevention, diagnosis and management