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Parkinson's falls — DGM MCQ

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ModerateMovement disordersParkinson's fallsDGM

An 83-year-old man with Parkinson's disease has recurrent falls and freezing at doorways. He takes levodopa but has wearing-off before the next dose. Blood pressure also drops on standing. Current medicines include co-careldopa and amlodipine. What is the most appropriate assessment?

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Correct answer: D — Multifactorial falls assessment including Parkinson's timing and postural BP

Falls in Parkinson's disease are often multifactorial, including freezing, wearing-off and orthostatic hypotension. Mechanical attribution alone, abrupt levodopa cessation, cataract-only management and benzodiazepines are inappropriate. Parkinson's falls require both general falls assessment and disease-specific review.

Reference: NICE NG71; NICE NG249