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12-month vaccination — MCCQE Part 1 MCQ

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EasyPreventive Medicine12-month vaccinationMCCQE Part 1

An independent 81-year-old reports two falls in the past 6 months and now needs her arms to rise from a chair. She was not injured and has no acute neurologic symptoms. What is the most appropriate next preventive strategy?

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Correct answer: D — Complete a multifactorial assessment and tailor risk-reduction measures

Recurrent falls and impaired chair rise warrant a comprehensive falls assessment. Review gait and balance, orthostatic blood pressure, cognition, vision, footwear, continence, medication burden, cardiovascular and neurologic contributors, bone health and home hazards. Then tailor interventions, commonly including progressive strength and balance exercise, medication optimization and environmental modification. Bed rest worsens deconditioning; automatic imaging, indiscriminate deprescribing and an unassessed device do not address her individual risks. Shared goals and follow-up improve adherence to the resulting plan.

Reference: NICE Falls Guideline NG249: https://www.nice.org.uk/guidance/ng249/chapter/Recommendations