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Orthostatic hypotension in Parkinson's disease — DGM MCQ

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ModerateMovement disordersOrthostatic hypotension in Parkinson's diseaseDGM

An 81-year-old woman with Parkinson's disease reports dizziness and falls after meals. Blood pressure is 138/76 mmHg lying and 98/58 mmHg standing. She takes co-beneldopa, amlodipine and doxazosin. What is the most appropriate assessment?

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

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Correct answer: E — Lying and standing blood pressure with medication review

Orthostatic hypotension is common in Parkinson's disease and may be worsened by antihypertensives or dopaminergic therapy. The documented postural drop directs assessment towards cardiovascular and medication causes. Falls in Parkinson's disease are often multifactorial and should not be attributed to gait alone.

Reference: NICE NG71; NICE NG249