An 81-year-old man describes three sudden falls over 2 months. He reports brief light-headedness on standing, has no vertigo and no post-ictal

Question

An 81-year-old man describes three sudden falls over 2 months. He reports brief light-headedness on standing, has no vertigo and no post-ictal confusion. His pulse is 48/min on bisoprolol, and lying and standing blood pressure is 136/76 mmHg and 104/62 mmHg. What is the most likely diagnosis?

Accepted Answer

Orthostatic hypotension with bradycardia

Answer

Cerebellar stroke

Answer

Benign paroxysmal positional vertigo

Answer

Focal seizure with impaired awareness

Answer

Normal pressure hydrocephalus

Orthostatic hypotension — DGM MCQ

An 81-year-old man describes three sudden falls over 2 months. He reports brief light-headedness on standing, has no vertigo and no post-ictal confusion. His pulse is 48/min on bisoprolol, and lying and standing blood pressure is 136/76 mmHg and 104/62 mmHg. What is the most likely diagnosis?