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PD Falls – Multifactorial — SCE Neurology MCQ

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ModerateMovement DisordersPD Falls – MultifactorialSCE Neurology

A 60-year-old man with PD has recurrent falls. Multifactorial assessment identifies orthostatic hypotension, sedating medication, postural instability, and freezing. What is the correct approach?

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Correct answer: D — Multifactorial falls prevention: treat OH, reduce sedating meds, PD-specific physiotherapy with cueing, home hazard assessment, vision review, bone health assessment

Falls in PD require addressing ALL modifiable risk factors: OH (medication review, midodrine, stockings), sedating meds (reduce/switch), balance training, FOG management (cueing), home hazards (OT), vision, bone health (reduce fracture impact). Falls can be reduced 20–40% with multifactorial intervention. A: Multiple domains needed. C: Comprehensive. D: Falls can be reduced. E: One component.

Reference: NICE NG71; NICE CG161 Falls