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Osteoporosis after fragility fracture — MCCQE Part 1 MCQ

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ModeratePreventive MedicineOsteoporosis after fragility fractureMCCQE Part 1

A 68-year-old woman has a low-trauma distal radius fracture after a fall from standing height. She is postmenopausal, takes no glucocorticoids, and has not had bone density testing. What is the most appropriate investigation?

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Correct answer: D — Bone mineral density testing with fracture risk assessment

A low-trauma fragility fracture after menopause should prompt osteoporosis evaluation with BMD and fracture risk assessment. Wrist fractures are sentinel fragility fractures and should not be dismissed. CA-125 and pregnancy testing are irrelevant. Skeletal survey is not routine without features suggesting malignancy.

Reference: Osteoporosis Canada guideline