A 70-year-old woman sustains a low-trauma distal radius fracture after a fall from standing height. She has a T-score of −2.4 at the femoral neck and ...

Question

A 70-year-old woman sustains a low-trauma distal radius fracture after a fall from standing height. She has a T-score of −2.4 at the femoral neck and −2.7 at the lumbar spine on DEXA scanning. She is vitamin D replete. According to recent Australian osteoporosis guidance, what is the most appropriate pharmacological management?

Accepted Answer

Start an oral bisphosphonate such as alendronate

Answer

No pharmacological therapy is indicated

Answer

Start long-term systemic glucocorticoids

Answer

Start calcitonin nasal spray only

Answer

Start calcium supplementation alone without other treatment

au-amc MCQ (SBA): Post-menopausal osteoporosis with minimal trauma fracture