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CGA medication component — DGM MCQ

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ModerateComprehensive geriatric assessmentCGA medication componentDGM

An 86-year-old man is assessed by a frailty team after falls and confusion. He has constipation and dry mouth. The drug chart includes treatment for sleep, bladder urgency and pain. Current medicines include zopiclone, oxybutynin, codeine and paracetamol. Which medication should be reviewed?

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Correct answer: E — Zopiclone, oxybutynin and codeine

Sedatives, anticholinergics and opioids commonly contribute to falls, delirium and constipation, so they are key CGA medication targets. Paracetamol, colecalciferol, emollient and macrogol are generally less problematic in this scenario. Medication review is a core domain of CGA, not a separate optional task.

Reference: BGS CGA toolkit; STOPP/START criteria v3