Question

A 70-year-old woman on long-term corticosteroids for polymyalgia rheumatica presents with a low-energy fracture of the wrist. Her DEXA scan shows a T-score of -2.8. What is the most appropriate first-line treatment?

Accepted Answer

Bisphosphonates (e.g., alendronate)

Answer

Hormone replacement therapy

Answer

Teriparatide injection

Answer

High-dose vitamin D alone

Answer

Calcitonin nasal spray

Practice question

A 70-year-old woman on long-term corticosteroids for polymyalgia rheumatica presents with a low-energy fracture of the wrist. Her DEXA scan shows a T-score of -2.8. What is the most appropriate first-line treatment?