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Cataract-related falls — DGM MCQ

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ModerateFallsCataract-related fallsDGM

An 80-year-old woman has tripped on kerbs several times over three months. She reports glare and difficulty judging steps. Visual acuity is reduced and fundoscopy suggests bilateral cataracts. Current medicines include amlodipine and metformin. What is the most appropriate referral?

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Correct answer: C — Ophthalmology referral for cataract assessment

Poor visual acuity and glare from cataracts are modifiable falls risk factors and warrant ophthalmology assessment. Neurology, respiratory, memory and pacemaker pathways do not address the visual trigger described. Falls prevention should include vision correction when visual impairment contributes to trips.

Reference: NICE NG249