A 68-year-old postmenopausal woman with a low-trauma Colles fracture is assessed in general practice. She has no secondary causes of osteoporosis. DEX...

Question

A 68-year-old postmenopausal woman with a low-trauma Colles fracture is assessed in general practice. She has no secondary causes of osteoporosis. DEXA scan shows a T-score of -2.8 at the femoral neck. According to Australian osteoporosis guidelines, what is the most appropriate first-line pharmacological therapy?

Accepted Answer

Oral bisphosphonate (e.g. alendronate) plus calcium and vitamin D supplementation as required

Answer

Calcitonin nasal spray

Answer

Long-term systemic corticosteroids

Answer

Raloxifene alone

Answer

No pharmacological therapy; lifestyle advice only

au-amc MCQ (SBA): Osteoporosis in postmenopausal woman