A 70-year-old woman with a prior fragility wrist fracture and no prior bone density testing presents to your family practice. According to Osteoporosi...

Question

A 70-year-old woman with a prior fragility wrist fracture and no prior bone density testing presents to your family practice. According to Osteoporosis Canada, which investigation is most appropriate?

Accepted Answer

Order a dual-energy X-ray absorptiometry (DXA) bone mineral density scan

Answer

No further assessment because wrist fractures are low risk

Answer

Start calcium and vitamin D without investigation

Answer

Order spine radiographs only

Answer

Advise exercise and reassess in 5 years without investigations

ca-mccqe1 MCQ (SBA): Osteoporosis risk assessment

A 70-year-old woman with a prior fragility wrist fracture and no prior bone density testing presents to your family practice. According to Osteoporosis Canada, which investigation is most appropriate?