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Osteoporosis treatment — ABFM Board MCQ

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ModerateEndocrine/MetabolicOsteoporosis treatmentABFM Board

A 67-year-old woman has a DEXA T-score of -2.8 at the femoral neck. She has normal renal function and no esophageal disorder. She has no prior fragility fracture. Which of the following is the most appropriate initial treatment?

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Correct answer: CStart oral bisphosphonate therapy

A T-score at or below -2.5 meets osteoporosis criteria; oral bisphosphonates are typical first-line pharmacologic therapy when not contraindicated.

Reference: USPSTF A and B Recommendations: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations