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Steroid osteoporosis prevention — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsSteroid osteoporosis preventionGPhC CRA

A 72-year-old woman is expected to take prednisolone 10 mg daily for at least six months. She has previous fragility fracture. What is the most appropriate action?

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Correct answer: C — Refer for bone protection assessment and calcium/vitamin D review

Long-term systemic corticosteroids increase osteoporosis and fracture risk. Older age and previous fragility fracture increase the need for bone protection assessment, which may include bisphosphonate therapy and calcium/vitamin D optimisation. Abrupt cessation is unsafe.

Reference: BNF; NICE CKS