Question

A 68-year-old postmenopausal woman with a low-trauma distal radius fracture has a DEXA scan showing T-score -2.8 at the femoral neck. According to RACGP and Healthy Bones Australia osteoporosis guidelines, what is the most appropriate next step in management, assuming no contraindications?

Accepted Answer

Commence an oral bisphosphonate such as alendronate

Answer

Reassure and repeat DEXA in 5 years without treatment

Answer

Start calcium and vitamin D supplements only

Answer

Commence long-term systemic glucocorticoids

Answer

Offer oestrogen-only hormone replacement therapy as first-line

Practice question

A 68-year-old postmenopausal woman with a low-trauma distal radius fracture has a DEXA scan showing T-score -2.8 at the femoral neck. According to RACGP and Healthy Bones Australia osteoporosis guidelines, what is the most appropriate next step in management, assuming no contraindications?