A 71-year-old woman sustained a low-trauma distal radius fracture after a fall from standing height. DXA shows T-score -2.7 at the femoral neck.

Question

A 71-year-old woman sustained a low-trauma distal radius fracture after a fall from standing height. DXA shows T-score -2.7 at the femoral neck. Creatinine clearance is 68 mL/min. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start oral bisphosphonate therapy

Answer

Start chronic calcitonin as preferred treatment

Answer

Prescribe estrogen-progestin therapy as first-line fracture treatment

Answer

Repeat DXA in 10 years without treatment

Answer

Recommend calcium without pharmacologic therapy

Fragility fracture osteoporosis — USMLE Step 3 MCQ

A 71-year-old woman sustained a low-trauma distal radius fracture after a fall from standing height. DXA shows T-score -2.7 at the femoral neck. Creatinine clearance is 68 mL/min. Which of the following would you recommend at the follow-up visit?