Question

A 72-year-old woman with a T-score of -2.8 at the femoral neck on DEXA scan and a low-trauma wrist fracture is reviewed in general practice. Calcium and vitamin D levels are normal. What is the most appropriate pharmacological management?

Accepted Answer

Start an oral bisphosphonate

Answer

No drug therapy; reassure and repeat DEXA in 5 years

Answer

Start long-term prednisolone

Answer

Start hormone replacement therapy

Answer

Start long-term high-dose calcium alone

Practice question

A 72-year-old woman with a T-score of -2.8 at the femoral neck on DEXA scan and a low-trauma wrist fracture is reviewed in general practice. Calcium and vitamin D levels are normal. What is the most appropriate pharmacological management?