A 69-year-old woman with a low-trauma wrist fracture is found to have a T-score of -2.8 on DEXA scanning. She has no contraindication to oral bisphosp...

Question

A 69-year-old woman with a low-trauma wrist fracture is found to have a T-score of -2.8 on DEXA scanning. She has no contraindication to oral bisphosphonates. What is the most appropriate pharmacological management?

Accepted Answer

Start oral Alendronate once weekly with lifestyle advice and calcium/vitamin D if needed

Answer

Advise calcium and vitamin D supplements only

Answer

Start hormone replacement therapy

Answer

No treatment is required as osteoporosis is mild

Answer

Start long-term high-dose Prednisolone

uk-plab-1 MCQ (SBA): Osteoporosis

A 69-year-old woman with a low-trauma wrist fracture is found to have a T-score of -2.8 on DEXA scanning. She has no contraindication to oral bisphosphonates. What is the most appropriate pharmacological management?