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Falls risk — RACGP Fellowship MCQ

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

ModerateGeriatricsFalls riskRACGP Fellowship

An 82-year-old woman presents after two falls in three months. She takes temazepam, perindopril and oxybutynin. Postural blood pressure drops from 134/76 mmHg sitting to 106/62 mmHg standing. Gait is slow but there is no focal neurology. What is the most appropriate management?

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

Reveal the answer and explanation

Correct answer: A — Perform multifactorial falls intervention including medication review and balance strengthening

Explanation lettering: C = shown as A · A = shown as B · B = shown as C

Option C is correct because Australian RACGP guidance (Silver Book, Red Book) emphasises that most older fallers have multifactorial causes and require multidisciplinary assessment—including medication review (to address sedatives, anticholinergics, antihypertensives) and supervised strength and balance training. Option A lacks neurological indications and misses modifiable factors; B fails to address underlying causes; D is contraindicated and irrelevant; E promotes deconditioning and increases risk.

Reference: RACGP Silver Book — Falls chapter (2025) and RACGP preventive activities guideline — Falls section (2025)