skip to main content

Recurrent falls — ABFM Board MCQ

Instant feedback + full explanation. One question, done properly.

ModerateGeriatricsRecurrent fallsABFM Board

A 74-year-old woman says she has fallen twice in 6 months while walking to the bathroom at night. She takes hydrochlorothiazide, diphenhydramine for sleep, and oxybutynin. Gait is slow but neurologic examination is nonfocal. Which of the following is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Refer for exercise-based fall prevention and medication review

Community-dwelling older adults at increased fall risk benefit from exercise interventions and assessment of contributing factors, including sedating and anticholinergic medications. Imaging is not indicated without focal neurologic findings or head trauma concerns.

Reference: USPSTF Falls Prevention Recommendation, 2024; AGS Beers Criteria