A 70-year-old woman with a prior fragility hip fracture and T-score −2.4 at the femoral neck is reviewed in clinic. According to Osteoporosis Canada 2...

Question

A 70-year-old woman with a prior fragility hip fracture and T-score −2.4 at the femoral neck is reviewed in clinic. According to Osteoporosis Canada 2023 guidelines, what is the best management?

Accepted Answer

Begin pharmacologic osteoporosis therapy

Answer

Reassure; no pharmacotherapy needed because T-score is >−2.5

Answer

Repeat bone mineral density in 5 years with no treatment

Answer

Start calcium and vitamin D only

Answer

Order spine X-ray only and defer treatment

ca-mccqe1 MCQ (SBA): Osteoporosis with fragility fracture

A 70-year-old woman with a prior fragility hip fracture and T-score −2.4 at the femoral neck is reviewed in clinic. According to Osteoporosis Canada 2023 guidelines, what is the best management?