A 68-year-old postmenopausal woman with no previous fractures presents for primary care review. She has a maternal history of hip fracture at age 78 a...

Question

A 68-year-old postmenopausal woman with no previous fractures presents for primary care review. She has a maternal history of hip fracture at age 78 and is a former smoker. According to Osteoporosis Canada 2023 guidelines, what is the most appropriate approach to fracture risk assessment?

Accepted Answer

Request bone mineral density testing now as she is older than 65 with clinical risk factors.

Answer

Bone mineral density testing is unnecessary until she has a fragility fracture.

Answer

Delay bone mineral density testing until age 75 years.

Answer

Perform spine radiographs only to assess vertebral fractures.

Answer

Start bisphosphonate therapy without bone mineral density testing or risk assessment.

ca-mccqe1 MCQ (SBA): Osteoporosis screening

A 68-year-old postmenopausal woman with no previous fractures presents for primary care review. She has a maternal history of hip fracture at age 78 and is a former smoker. According to Osteoporosis Canada 2023 guidelines, what is the most appropriate approach to fracture risk assessment?