A 68-year-old woman has a low-trauma distal radius fracture. DXA shows T-score -2.7 at the femoral neck. Calcium and vitamin D intake are adequate

Question

A 68-year-old woman has a low-trauma distal radius fracture. DXA shows T-score -2.7 at the femoral neck. Calcium and vitamin D intake are adequate and renal function is normal. Which of the following is the most appropriate next step in management?

Accepted Answer

Start oral bisphosphonate therapy

Answer

Start estrogen as fracture treatment

Answer

Start chronic glucocorticoids

Answer

Use calcitonin as preferred long-term therapy

Answer

Recommend no treatment after wrist fracture

Osteoporosis treatment — USMLE Step 3 MCQ

A 68-year-old woman has a low-trauma distal radius fracture. DXA shows T-score -2.7 at the femoral neck. Calcium and vitamin D intake are adequate and renal function is normal. Which of the following is the most appropriate next step in management?