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Fragility fracture — SCE Endocrinology MCQ

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EasyCalcium/BoneFragility fractureSCE Endocrinology

A 79-year-old woman with osteoporosis has a low-trauma hip fracture. She was not previously assessed for fracture risk. Vitamin D is 31 nmol/L and corrected calcium is normal. What is the most appropriate management?

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Correct answer: E — Start secondary fracture prevention after correcting vitamin D insufficiency

A low-trauma hip fracture is diagnostic of high fracture risk and should trigger secondary prevention, falls assessment and vitamin D optimisation. Waiting for a risk calculator is not necessary after hip fracture. Long-term calcitonin is not standard osteoporosis prevention.

Reference: NICE CG146; NOGG Guideline