A 69-year-old woman has DEXA T-score -2.8 at the femoral neck. Calcium and vitamin D are adequate, creatinine clearance is 62 mL/min, and she has no

Question

A 69-year-old woman has DEXA T-score -2.8 at the femoral neck. Calcium and vitamin D are adequate, creatinine clearance is 62 mL/min, and she has no esophageal stricture. She has no prior fragility fracture. Which of the following is the most appropriate next step in management?

Accepted Answer

Start oral bisphosphonate therapy

Answer

Repeat DEXA in 15 years

Answer

Start loop diuretic therapy

Answer

Treat with estrogen alone as first-line therapy

Answer

Recommend bed rest

Osteoporosis treatment — USMLE Step 3 MCQ

A 69-year-old woman has DEXA T-score -2.8 at the femoral neck. Calcium and vitamin D are adequate, creatinine clearance is 62 mL/min, and she has no esophageal stricture. She has no prior fragility fracture. Which of the following is the most appropriate next step in management?