A 69-year-old woman has a femoral neck T-score of -2.8 on screening DXA. Calcium is normal, creatinine clearance is 65 mL/min, and 25-hydroxyvitamin

Question

A 69-year-old woman has a femoral neck T-score of -2.8 on screening DXA. Calcium is normal, creatinine clearance is 65 mL/min, and 25-hydroxyvitamin D is sufficient. She has no dysphagia or esophageal disease. Which of the following is the most appropriate next step in management?

Accepted Answer

Start oral bisphosphonate therapy

Answer

Order bone marrow biopsy

Answer

Prescribe estrogen as first-line osteoporosis therapy

Answer

Repeat DXA in 10 years without treatment

Answer

Start chronic calcitonin as first-line therapy

Osteoporosis treatment — USMLE Step 3 MCQ

A 69-year-old woman has a femoral neck T-score of -2.8 on screening DXA. Calcium is normal, creatinine clearance is 65 mL/min, and 25-hydroxyvitamin D is sufficient. She has no dysphagia or esophageal disease. Which of the following is the most appropriate next step in management?