Question

A 72-year-old woman with a prior vertebral fragility fracture and T-score of −2.8 at the femoral neck asks about osteoporosis management. Which is the most appropriate initial pharmacologic intervention?

Accepted Answer

Oral bisphosphonate therapy such as alendronate

Answer

Calcium and vitamin D supplements alone

Answer

Raloxifene monotherapy

Answer

Intranasal calcitonin

Answer

Hormone replacement therapy

Practice question

A 72-year-old woman with a prior vertebral fragility fracture and T-score of −2.8 at the femoral neck asks about osteoporosis management. Which is the most appropriate initial pharmacologic intervention?