A 59-year-old postmenopausal woman has BMI 19 kg/m2 and a parental history of hip fracture. She has no prior fracture and takes no glucocorticoids.

Question

A 59-year-old postmenopausal woman has BMI 19 kg/m2 and a parental history of hip fracture. She has no prior fracture and takes no glucocorticoids. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Use a clinical risk assessment tool to decide on DXA screening

Answer

Order skeletal survey

Answer

Wait until age 75 regardless of risk

Answer

Screen with alkaline phosphatase alone

Answer

Use serum calcium as the screening test

Osteoporosis screening — USMLE Step 3 MCQ

A 59-year-old postmenopausal woman has BMI 19 kg/m2 and a parental history of hip fracture. She has no prior fracture and takes no glucocorticoids. Which of the following is the most appropriate screening recommendation?