Anticoagulation Falls Risk — RACP Adult Medicine MCQ

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ModerateGeriatric MedicineAnticoagulation Falls RiskRACP Adult Medicine

A 65-year-old man with AF and CHA₂DS₂-VA 3 has recurrent falls (5/year). Should anticoagulation be withheld?

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Correct answer: B — Address reversible fall risk factors first, then anticoagulate

Falls alone NOT a contraindication. Address reversible factors (postural hypotension, polypharmacy, vision) while commencing anticoagulation. DOACs preferred.

Reference: NHF/CSANZ – 2018; eTG – 2025