Question

A 68-year-old postmenopausal woman with a low-trauma vertebral fracture is seen in clinic. Her 10-year major osteoporotic fracture risk using FRAX with bone mineral density is high. According to Osteoporosis Canada 2023 guidelines, which management strategy is most appropriate?

Accepted Answer

Initiate pharmacologic therapy with an oral bisphosphonate

Answer

Reassure and repeat bone mineral density in 5 years

Answer

Use calcium and vitamin D alone without pharmacotherapy

Answer

Avoid pharmacotherapy because she is over 65 years old

Answer

Rely on vertebral fracture only; fracture risk tools are not needed

Practice question

A 68-year-old postmenopausal woman with a low-trauma vertebral fracture is seen in clinic. Her 10-year major osteoporotic fracture risk using FRAX with bone mineral density is high. According to Osteoporosis Canada 2023 guidelines, which management strategy is most appropriate?