skip to main content

Glucocorticoid-induced osteoporosis — SCE Endocrinology MCQ

Instant feedback + full explanation. One question, done properly.

EasyCalcium/BoneGlucocorticoid-induced osteoporosisSCE Endocrinology

A 44-year-old man has low-trauma vertebral fractures. He is taking prednisolone 20 mg daily for vasculitis and has normal calcium, phosphate and PTH. What is the most likely contributor?

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

Reveal the answer and explanation

Correct answer: C — Glucocorticoid-induced osteoporosis

Long-term systemic glucocorticoids are a major cause of secondary osteoporosis and vertebral fracture. Normal calcium and PTH make hyperparathyroidism unlikely. Fracture prevention should be assessed early when long-term steroids are prescribed.

Reference: NICE CG146; NOGG Guideline; BNF