A 69-year-old woman with polymyalgia rheumatica starts prednisolone 20 mg daily for a planned 9 months. She had a wrist fracture after a fall last

Question

A 69-year-old woman with polymyalgia rheumatica starts prednisolone 20 mg daily for a planned 9 months. She had a wrist fracture after a fall last year. Calcium and vitamin D are adequate and eGFR is 70 ml/min/1.73 m². What is the most appropriate management?

Accepted Answer

Assess fracture risk and start bone-protective bisphosphonate therapy

Answer

Stop glucocorticoids abruptly

Answer

Delay bone protection until steroid course ends

Answer

Use calcitonin nasal spray first-line

Answer

Start cinacalcet

Glucocorticoid-induced osteoporosis — SCE Endocrinology MCQ

A 69-year-old woman with polymyalgia rheumatica starts prednisolone 20 mg daily for a planned 9 months. She had a wrist fracture after a fall last year. Calcium and vitamin D are adequate and eGFR is 70 ml/min/1.73 m². What is the most appropriate management?