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DXA Indications — SCE Rheumatology MCQ

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HardMetabolic Bone DiseaseDXA IndicationsSCE Rheumatology

A man aged 65 has a clinical risk factor for osteoporosis and undergoes FRAX assessment without BMD. When should DXA be added under the NOGG strategy?

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Correct answer: D — Add DXA when intermediate FRAX probability needs risk refinement

The best answer is “Add DXA when intermediate FRAX probability needs risk refinement”. NOGG uses FRAX to triage many people: intermediate probability prompts BMD measurement and risk recalculation, while very low or very high risk may lead to advice or treatment without delaying for DXA. Age alone, a second fracture, plain-film appearance and sex are not the governing rules.

Reference: NOGG fracture-risk assessment and case finding: https://www.nogg.org.uk/full-guideline/section-3-fracture-risk-assessment-and-case-finding