A 60-year-old postmenopausal woman with no fractures and no major risk factors asks about osteoporosis screening. According to the 2023 Osteoporosis C...

Question

A 60-year-old postmenopausal woman with no fractures and no major risk factors asks about osteoporosis screening. According to the 2023 Osteoporosis Canada guideline, which is the most appropriate approach to fracture risk assessment?

Accepted Answer

Use a validated fracture risk tool (e.g., CAROC/FRAX) and consider DXA based on risk

Answer

Order DXA for all women at age 50

Answer

DXA only if she has height loss of >5 cm

Answer

Screen only if she reports a parental hip fracture

Answer

No screening is recommended for osteoporosis in asymptomatic women

ca-mccqe1 MCQ (SBA): Osteoporosis risk assessment

A 60-year-old postmenopausal woman with no fractures and no major risk factors asks about osteoporosis screening. According to the 2023 Osteoporosis Canada guideline, which is the most appropriate approach to fracture risk assessment?