Falls Flashcards

1
Q

What is a patient at risk of if they are unable to get up from a fall?

A
Rhabdomyolysis
Hypothermia
Pressure sores
DVT
Muscle de-conditioning
Bronchopneumonia
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2
Q

Which groups have a higher risk of fall?

A

Women
Care home and hospital residents
Cognitive impairment

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3
Q

Give three examples of physiological ageing processes which contribute to falls

A

Len thickening and smaller pupils
Sarcopenia
Decrease in overall fitness
Slower reaction times

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4
Q

What are the 5 most common causes of syncope?

A
Vasovagal
Arrhythmia
Valve disease
Orthostatic hypotension
Carotid sinus hypersensitivity
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5
Q

Define orthostatic hypotension

A

Fall in SBP by >20 or in DBP >10 after 3 mins of standing

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6
Q

How may cervical myelopathy present?

A

High stepping gait

Romberg’s positive

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7
Q

How may peripheral neuropathy present?

A

Altered sensation
Wide based gait
Some dragging of feet

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8
Q

How may lumbar stenosis present?

A

Pain and paraesthesia in the legs
Wide based gait
Cerebellar signs

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9
Q

How may Parkinson’s disease present?

A
Shuffling gait
Stooped over
Don't lift feet
Tremor
Memory problems
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10
Q

Through which manoeuvre is BPPV diagnosed?

A

Dix-Hallpilke

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11
Q

Through which manoeuvre is BPPV treated?

A

Epley

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12
Q

Give examples of extrinsic factors which contribute to fall

A
Improper footwear and walking aids
Pets
Clutter
Rugs
Medication
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13
Q

Describe the timed up and go test

A

Patient gets up from chair, walks 3m, turns and comes back

Should take <10 seconds

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14
Q

Below which Tinetti score indicates a high risk of falls?

A

<=18

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15
Q

How many items are there in the Berg balance scale?

A

14

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16
Q

Below which score on the Berg Balance scale indicates a risk of fall?

A

<45

17
Q

What physical activity is recommended to reduce risk of falls?

A

Strength and balance training 3x weekly or minimum of 12 weeks

18
Q

What exercise program is used to reduce falls risk?

A

Otago program

19
Q

What effect of antidepressants contribute to falls?

A

Psychomotor impairment
Orthostatic hypotension
Imbalance

20
Q

What effects of neuroleptics contribute to falls?

A

Sedative
OH
Imbalance
Slow reaction

21
Q

What effect of anti-arrhythmics contribute to falls?

A

Bradycardia

22
Q

What effect of diuretics contribute to falls?

A

OH
Weakness
Hyponatraemia/kalaemia

23
Q

Give 3 examples of anti-cholinergic side effects

A
Confusion
Tachycardia
Blurred vision
Urinary retention 
Constipation
Dizziness