A 66-year-old woman has a DEXA T-score of -2.7 at the femoral neck. She has no esophageal disorder, eGFR is 72 mL/min/1.73 m2, calcium is normal, and

Question

A 66-year-old woman has a DEXA T-score of -2.7 at the femoral neck. She has no esophageal disorder, eGFR is 72 mL/min/1.73 m2, calcium is normal, and dental examination is up to date. Which of the following is the most appropriate next step in management?

Accepted Answer

Start oral bisphosphonate therapy

Answer

Prescribe estrogen-progestin therapy for bone alone

Answer

Start chronic calcitonin as first-line therapy

Answer

Repeat DEXA in 10 years before treatment

Answer

Use high-dose glucocorticoids

Osteoporosis treatment — USMLE Step 3 MCQ

A 66-year-old woman has a DEXA T-score of -2.7 at the femoral neck. She has no esophageal disorder, eGFR is 72 mL/min/1.73 m2, calcium is normal, and dental examination is up to date. Which of the following is the most appropriate next step in management?