A 68-year-old woman has femoral neck T-score of -2.8 on DXA. Calcium is normal, vitamin D deficiency has been corrected, and eGFR is 78 mL/min/1.73

Question

A 68-year-old woman has femoral neck T-score of -2.8 on DXA. Calcium is normal, vitamin D deficiency has been corrected, and eGFR is 78 mL/min/1.73 m2. She has no esophageal stricture or dental procedure planned. Which of the following is the most appropriate next step in management?

Accepted Answer

Start oral alendronate

Answer

Restrict weight-bearing activity

Answer

Start estrogen-progestin therapy

Answer

Repeat DXA in 5 years without treatment

Answer

Start calcitonin as first-line therapy

Osteoporosis treatment — USMLE Step 3 MCQ

A 68-year-old woman has femoral neck T-score of -2.8 on DXA. Calcium is normal, vitamin D deficiency has been corrected, and eGFR is 78 mL/min/1.73 m2. She has no esophageal stricture or dental procedure planned. Which of the following is the most appropriate next step in management?