A 68-year-old woman with a low-trauma vertebral fracture is found to have a T-score of −2.8 at the femoral neck on DEXA scan. According to Australian ...

Question

A 68-year-old woman with a low-trauma vertebral fracture is found to have a T-score of −2.8 at the femoral neck on DEXA scan. According to Australian osteoporosis guidelines, what is the most appropriate pharmacological management?

Accepted Answer

Commence a bisphosphonate such as alendronate in addition to adequate calcium and vitamin D

Answer

No treatment because fracture risk is low

Answer

Start a calcium supplement only

Answer

Start long-term systemic corticosteroids

Answer

Use hormone replacement therapy alone

au-racgp MCQ (SBA): Osteoporosis

A 68-year-old woman with a low-trauma vertebral fracture is found to have a T-score of −2.8 at the femoral neck on DEXA scan. According to Australian osteoporosis guidelines, what is the most appropriate pharmacological management?