Question

A 72-year-old woman with a prior fragility wrist fracture and a T-score of −2.7 at the femoral neck on DEXA is seen in clinic. According to Osteoporosis Canada guidelines, what is the most appropriate management?

Accepted Answer

Initiate bisphosphonate therapy and ensure adequate calcium and vitamin D intake

Answer

Reassure her that no pharmacologic treatment is needed

Answer

Avoid pharmacologic therapy because of age >70

Answer

Start systemic glucocorticoids for pain control

Answer

Use calcitonin nasal spray as first-line therapy

Practice question

A 72-year-old woman with a prior fragility wrist fracture and a T-score of −2.7 at the femoral neck on DEXA is seen in clinic. According to Osteoporosis Canada guidelines, what is the most appropriate management?