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Frailty — SCE Geriatric Medicine MCQ

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HardExercise PrescriptionFrailtySCE Geriatric Medicine

A 79-year-old man has frailty, slow chair-rise time and unintentional weight loss. He wants to remain independent and has no unstable cardiac symptoms. What is the most appropriate management?

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Correct answer: E — Progressive resistance and balance exercise with nutritional review

The best answer is “Progressive resistance and balance exercise with nutritional review”. Progressive resistance and balance exercise with nutritional review best matches the decisive findings and the relevant UK pathway. The alternatives “Endurance running as the sole first intervention”, “Bed rest to prevent falls, with multidisciplinary review”, “Avoid strength work because of frailty”, “Analgesics before activity without rehabilitation, within a structured care pathway” are credible in related presentations but do not match the defining finding, treatment threshold, legal test or care pathway in this stem.

Reference: NICE NG56 multimorbidity recommendations: https://www.nice.org.uk/guidance/ng56/chapter/Recommendations