Question

A 60 year old woman presents with generalised bone pain, muscle weakness and difficulty climbing stairs. Blood tests show corrected calcium 2.05 mmol/L, phosphate low and raised alkaline phosphatase. Vitamin D level is very low. According to NICE guidance, what is the most appropriate treatment?

Accepted Answer

High dose oral Colecalciferol replacement

Answer

Bisphosphonate infusion

Answer

Calcitonin

Answer

Parathyroidectomy

Answer

No treatment required

Practice question

A 60 year old woman presents with generalised bone pain, muscle weakness and difficulty climbing stairs. Blood tests show corrected calcium 2.05 mmol/L, phosphate low and raised alkaline phosphatase. Vitamin D level is very low. According to NICE guidance, what is the most appropriate treatment?