A 65-year-old woman comes for preventive care. She entered menopause at age 51, has no fracture history, and does not take glucocorticoids. BMI is 24

Question

A 65-year-old woman comes for preventive care. She entered menopause at age 51, has no fracture history, and does not take glucocorticoids. BMI is 24 kg/m2. She is active and has no back pain. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Screen with dual-energy x-ray absorptiometry

Answer

Screen with serum calcium alone

Answer

Use ankle-brachial index as screening

Answer

Order spine MRI

Answer

Defer bone testing until fracture occurs

Osteoporosis screening — USMLE Step 3 MCQ

A 65-year-old woman comes for preventive care. She entered menopause at age 51, has no fracture history, and does not take glucocorticoids. BMI is 24 kg/m2. She is active and has no back pain. Which of the following is the most appropriate screening recommendation?