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Falls prevention — USMLE Step 3 MCQ

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EasyAmbulatory Medicine / Primary CareFalls preventionUSMLE Step 3

An 81-year-old woman reports two falls in the past 6 months. She takes diphenhydramine for sleep, has orthostatic dizziness, and uses no assistive device. Vision is corrected with glasses. Timed Up and Go test is prolonged. She has no syncope or focal neurologic symptoms. Which of the following is the most appropriate at this time?

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Correct answer: D — Medication review, strength and balance exercise, and home safety assessment

Older adults with recurrent falls benefit from multifactorial intervention including medication deprescribing, exercise, gait assessment, vision correction, and home safety review.

Reference: CDC STEADI falls prevention guidance