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Multifactorial falls risk — DGM MCQ

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ModerateFallsMultifactorial falls riskDGM

An 83-year-old woman is seen after two falls in the past month. She lives alone and reports poor confidence outdoors. Examination shows slow gait and postural sway. Current medicines include amlodipine, zopiclone and alendronic acid. What is the most appropriate assessment?

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Correct answer: A — Comprehensive multifactorial falls assessment

Recurrent falls in an older person should trigger a multifactorial falls assessment covering gait, balance, vision, feet, continence, cognition, cardiovascular causes, medicines and environment. Routine CT head or carotid imaging is not the first step without focal neurology; bed rest worsens deconditioning, and antibiotics need evidence of infection. Falls prevention is most effective when modifiable risks are identified rather than attributing events to age.

Reference: NICE NG249