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START osteoporosis — DGM MCQ

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EasyPolypharmacySTART osteoporosisDGM

An 83-year-old woman is reviewed after a fragility vertebral fracture. Her medicines list has analgesia but no bone protection. Renal function and calcium are acceptable. Current medicines include paracetamol and amlodipine. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Consider osteoporosis treatment and vitamin D/calcium status

After a fragility fracture, omission of bone protection should be considered under START principles and osteoporosis guidance. Age alone is not a reason to avoid treatment; NSAIDs, antibiotics and benzodiazepines do not prevent fragility fractures. Prescribing review should identify missing beneficial treatment as well as harmful medicines.

Reference: STOPP/START criteria v3; NICE CG146