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Osteoporosis with fragility fracture — MCCQE Part 1 MCQ

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EasyFractures/TraumaOsteoporosis with fragility fractureMCCQE Part 1

A 70-year-old woman with osteoporosis (T-score -3.2) has a fragility fracture of distal radius. Vitamin D 40 nmol/L (low). Most appropriate management?

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Correct answer: A — Alendronate plus calcium and vitamin D

Osteoporosis + fragility fracture = high risk. Bisphosphonates (alendronate/risedronate) first-line. Ca/Vit D adjunctive but insufficient alone. Start treatment immediately.

Reference: Osteoporosis Canada 2023