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Multifactorial falls assessment — DGM MCQ

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HardFallsMultifactorial falls assessmentDGM

A 79-year-old man attends after collapsing while walking to the toilet at night. He has diabetes, peripheral neuropathy and takes tamsulosin and ramipril. Examination shows reduced vibration sense, a broad-based gait and standing blood pressure of 92/58 mmHg with symptoms. What is the most appropriate assessment?

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Correct answer: D — Lying and standing blood pressure with gait and balance review

The key assessment is directed at modifiable falls causes: orthostatic hypotension, neuropathy, gait and balance. Carotid Doppler is not a first-line test for falls without focal neurological symptoms. Falls in older adults often require simultaneous assessment of cardiovascular, neurological and functional factors.

Reference: NICE NG249