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Orthostatic hypotension falls — RACP Written MCQ

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ModerateDermatology, GeriatricsOrthostatic hypotension fallsRACP Written

A 78-year-old man has recurrent falls when standing from a chair. Blood pressure is 148/82 mmHg supine and 112/68 mmHg after 2 minutes standing. He takes prazosin, temazepam and frusemide. What is the most appropriate management?

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

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Correct answer: CMedication review targeting orthostatic hypotension and falls risk

Postural blood pressure drop with falls in an older person taking alpha blocker, sedative and diuretic should prompt medication rationalisation and falls-risk intervention.

Reference: RACP Divisional Written Examination blueprint; Australian Therapeutic Guidelines/AMH principles