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Fear of falling — DGM MCQ

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EasyFallsFear of fallingDGM

A 78-year-old woman stopped going out after a fall on a wet pavement. She has no syncope, fracture or focal neurological symptoms. Timed Up and Go is slow and she is anxious about walking. Current medicines include no regular medicines. What is the most appropriate management?

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Correct answer: D — Strength and balance exercise with confidence-building advice

Reduced confidence and impaired mobility after a fall are indications for strength and balance exercise and supportive falls-prevention advice. Chair rest worsens frailty, diazepam increases falls, and CT brain or antibiotics do not match the presentation. Fear of falling is itself a modifiable risk factor for functional decline.

Reference: NICE NG249