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Osteoporosis risk assessment — DGM MCQ

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EasyFallsOsteoporosis risk assessmentDGM

A 74-year-old man asks about fracture prevention after a low-trauma vertebral compression fracture. He has lost height and has chronic back pain. Calcium and renal function are normal. Current medicines include inhaled corticosteroid, metformin and ramipril. What is the most appropriate assessment?

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Correct answer: A — Fracture risk assessment with consideration of DXA

A low-trauma vertebral fracture in an older man requires fracture risk assessment and usually bone-density evaluation or treatment planning. Troponin, spirometry and skull X-ray do not assess fragility fracture risk, and osteoporosis is clinically important in men. Vertebral fractures are often missed unless height loss and back pain are actively considered.

Reference: NICE CG146