Question

A 68-year-old postmenopausal woman with a low-trauma wrist fracture has a DEXA scan showing T-score −2.8 at the femoral neck. She has normal renal function and no contraindications. According to osteoporosis guidelines, which pharmacological therapy is most appropriate first-line?

Accepted Answer

Oral bisphosphonate such as alendronate

Answer

Calcium and vitamin D supplements alone

Answer

Teriparatide as first-line therapy

Answer

Denosumab as first-line in all patients

Answer

Raloxifene as first-line for all postmenopausal women

Practice question

A 68-year-old postmenopausal woman with a low-trauma wrist fracture has a DEXA scan showing T-score −2.8 at the femoral neck. She has normal renal function and no contraindications. According to osteoporosis guidelines, which pharmacological therapy is most appropriate first-line?