skip to main content

Multimorbidity with carer strain — SCE Geriatric Medicine MCQ

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

HardMultimorbidityMultimorbidity with carer strainSCE Geriatric Medicine

An 84-year-old with heart failure, COPD, diabetes and falls attends five separate clinics. He reports treatment fatigue and ranks staying independent above disease-specific targets. What should the reviewing clinician do first?

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

Reveal the answer and explanation

Correct answer: CElicit priorities, quantify treatment workload and agree a coordinated cross-specialty plan

Multimorbidity review begins with what matters to the patient and maps current burden, interactions and likely benefit before agreeing coordinated changes. Disease targets, a lead specialty, pharmacist review and appointment consolidation may inform the plan, but each risks imposing professional priorities if values and workload have not first been elicited.

Reference: NICE NG56 multimorbidity: recommendations (Current NICE recommendations, accessed July 2026): https://www.nice.org.uk/guidance/ng56/chapter/Recommendations