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Osteoporosis calcium and vitamin D — GPhC CRA MCQ

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ModerateMusculoskeletal TherapeuticsOsteoporosis calcium and vitamin DGPhC CRA

A patient starting denosumab has low dietary calcium intake and vitamin D insufficiency. What is the most appropriate alternative?

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Correct answer: C — Calcium and vitamin D supplementation if intake is inadequate

Adequate calcium and vitamin D are important with antiresorptive therapy to reduce hypocalcaemia risk and support bone health. This makes calcium and vitamin d supplementation if intake is inadequate the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: NICE CKS; BNF