A 72-year-old woman sustains a low-trauma wrist fracture after a fall from standing height. DXA shows T-score −2.1 at the femoral neck. According to t...

Question

A 72-year-old woman sustains a low-trauma wrist fracture after a fall from standing height. DXA shows T-score −2.1 at the femoral neck. According to the 2023 Osteoporosis Canada guideline, what is the most appropriate management?

Accepted Answer

Offer antiresorptive therapy because she has a fragility fracture

Answer

Reassure; no pharmacologic therapy is indicated because T-score is > −2.5

Answer

Start calcium and vitamin D only

Answer

Repeat DXA in 5 years before deciding on therapy

Answer

Recommend exercise alone without medication

ca-mccqe1 MCQ (SBA): Osteoporosis

A 72-year-old woman sustains a low-trauma wrist fracture after a fall from standing height. DXA shows T-score −2.1 at the femoral neck. According to the 2023 Osteoporosis Canada guideline, what is the most appropriate management?