A 78-year-old woman living independently reports two falls in the past year without syncope. She takes diphenhydramine nightly and has mild gait

Question

A 78-year-old woman living independently reports two falls in the past year without syncope. She takes diphenhydramine nightly and has mild gait instability. Vision is corrected and she wants to reduce falls. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Review medications and refer for exercise-based balance training

Answer

Prescribe bed rest

Answer

Start diphenhydramine twice daily

Answer

Recommend home restraints

Answer

Order carotid stenting

Falls prevention — USMLE Step 3 MCQ

A 78-year-old woman living independently reports two falls in the past year without syncope. She takes diphenhydramine nightly and has mild gait instability. Vision is corrected and she wants to reduce falls. Which of the following would you recommend at the follow-up visit?