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Frailty syndrome — DGM MCQ

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EasyFrailtyFrailty syndromeDGM

An 86-year-old woman has unintentional weight loss, exhaustion, slow walking speed and weak grip. She has had two minor falls and needs help shopping. Blood tests show no acute abnormality. Current medicines include amlodipine and levothyroxine. What is the most likely diagnosis?

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Correct answer: B — Frailty syndrome

Weight loss, exhaustion, slow gait, weakness and reduced function are consistent with frailty syndrome. Stroke is acute and focal, BPPV causes brief vertigo, osteoarthritis alone does not explain global decline, and frailty should not be dismissed as normal ageing. Frailty identifies vulnerability to adverse outcomes and should trigger holistic assessment.

Reference: BGS CGA toolkit; NICE NG56