A 60-year-old woman with a history of hypertension and dyslipidaemia sustained a hip fracture after a low-impact fall. She has not had previous bone d...

Question

A 60-year-old woman with a history of hypertension and dyslipidaemia sustained a hip fracture after a low-impact fall. She has not had previous bone density testing. According to Osteoporosis Canada guidance, what is the most appropriate next step?

Accepted Answer

Order a DXA bone mineral density scan and initiate pharmacologic osteoporosis therapy unless contraindicated

Answer

No further investigation is required

Answer

Recommend calcium and vitamin D only

Answer

Order MRI of the spine only

Answer

Start long-term opioid therapy for pain without further investigation

ca-mccqe1 MCQ (SBA): Osteoporosis - fragility fracture management

A 60-year-old woman with a history of hypertension and dyslipidaemia sustained a hip fracture after a low-impact fall. She has not had previous bone density testing. According to Osteoporosis Canada guidance, what is the most appropriate next step?