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Osteoporosis after fragility fracture — MCCQE Part 1 MCQ

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ModeratePreventive MedicineOsteoporosis after fragility fractureMCCQE Part 1

A 67-year-old woman sustains a distal radius fracture after slipping from standing height. She had early menopause and takes no calcium or vitamin D. X-ray confirms a low-trauma fracture. What is the most appropriate next step in management?

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Correct answer: C — Assess fracture risk and arrange bone mineral density testing with secondary prevention

A low-trauma fracture after age 50 should trigger osteoporosis and falls risk assessment, including BMD testing and secondary prevention. Wrist fractures are sentinel fragility fractures and predict future fracture risk. Bed rest worsens deconditioning and fall risk.

Reference: Osteoporosis Canada Clinical Practice Guideline