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Steroid osteoporosis prevention — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsSteroid osteoporosis preventionGPhC CRA

A 67-year-old woman starts prednisolone 15 mg daily expected to continue for several months. She has a previous fragility fracture. What monitoring is required?

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Correct answer: EAssess fracture risk and consider bone protection such as calcium/vitamin D and bisphosphonate therapy

Long-term systemic corticosteroids increase fracture risk, especially in older adults and those with previous fragility fracture. Bone protection and risk assessment should be considered early. Abrupt steroid cessation is unsafe.

Reference: NICE CKS; BNF