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Muscle strain adjuncts — MRCGP AKT MCQ

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HardSoft Tissue InjuryMuscle strain adjunctsMRCGP AKT

A 68-year-old woman has recently started long-term oral prednisolone and has no previous fracture-risk assessment. What is the appropriate initial approach?

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Correct answer: B — FRAX or QFracture followed by DXA when the result is needed

The best answer is “FRAX or QFracture followed by DXA when the result is needed”. NICE recommends fracture-risk assessment with an approved tool such as FRAX or QFracture when risk factors include systemic glucocorticoid use, followed by DXA when the result would influence management. A normal calcium does not exclude osteoporosis, and assessment should precede a preventable fragility fracture.

Reference: NICE CG146: Osteoporosis assessing fracture risk: https://www.nice.org.uk/guidance/cg146/chapter/Recommendations