A 70-year-old woman with long-standing hypertension and type 2 diabetes presents with a low-impact vertebral fracture. Bone density testing confirms o...

Question

A 70-year-old woman with long-standing hypertension and type 2 diabetes presents with a low-impact vertebral fracture. Bone density testing confirms osteoporosis. Which pharmacological agent is most appropriate as first-line therapy for fracture prevention, assuming no contraindications?

Accepted Answer

Oral bisphosphonate such as alendronate

Answer

Calcium and vitamin D supplements alone

Answer

Teriparatide as first-line

Answer

Raloxifene as first-line

Answer

Denosumab as first-line in all patients

au-racgp MCQ (SBA): Osteoporosis - first-line pharmacological treatment

A 70-year-old woman with long-standing hypertension and type 2 diabetes presents with a low-impact vertebral fracture. Bone density testing confirms osteoporosis. Which pharmacological agent is most appropriate as first-line therapy for fracture prevention, assuming no contraindications?