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CGA referral from primary care — DGM MCQ

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ModerateComprehensive geriatric assessmentCGA referral from primary careDGM

A 91-year-old woman has recurrent admissions, falls, weight loss and increasing care needs. Her GP has treated individual problems but overall function continues to decline. She wants to stay at home if possible. Current medicines include polypharmacy. What is the most appropriate referral?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Community comprehensive geriatric assessment service

Recurrent admissions and multidomain decline are indications for community CGA or frailty service input when available. Lipid, dermatology and surgery clinics are too narrow, and being housebound increases rather than reduces the need for community assessment. CGA can be delivered outside hospital and aligned with home priorities.

Reference: BGS CGA toolkit; BGS frailty guidance