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Osteoporosis — RCPSC IM MCQ

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EasyEndocrinologyOsteoporosisRCPSC IM

A 69-year-old woman sustains a low-trauma distal radius fracture after falling from standing height. She has no known malignancy, calcium is normal, 25-hydroxyvitamin D is insufficient, eGFR is 74 mL/min/1.73 m2 and she has not had prior bone density testing. Her FRAX risk is intermediate before BMD is entered. What is the most appropriate investigation?

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Correct answer: D — Central DXA of hip and lumbar spine with fracture-risk assessment

A fragility fracture after age 50 warrants osteoporosis assessment. Central DXA with clinical risk assessment helps classify fracture risk and guide pharmacologic prevention, while calcium and vitamin D status should be optimised.

Reference: Osteoporosis Canada guideline