A 70-year-old is starting prednisolone 40 mg daily for vasculitis with a prolonged taper. What bone-health action should occur at treatment

Question

A 70-year-old is starting prednisolone 40 mg daily for vasculitis with a prolonged taper. What bone-health action should occur at treatment initiation?

Accepted Answer

Assess fracture risk now and start bone protection when indicated

Answer

Calculate fracture risk now but defer treatment pending bone density

Answer

Measure bone density now and reassess fracture risk after six months

Answer

Give calcium and vitamin D now, then calculate fracture risk later

Answer

Begin bone protection after a vertebral fracture is confirmed on imaging

Secondary Osteoporosis Causes — SCE Rheumatology MCQ

A 70-year-old is starting prednisolone 40 mg daily for vasculitis with a prolonged taper. What bone-health action should occur at treatment initiation?