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Osteoporosis screening — CCFP MCQ

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HardPreventive care and screeningOsteoporosis screeningCCFP

A 68-year-old postmenopausal woman has no fracture history but uses chronic glucocorticoids. What is the best osteoporosis assessment approach?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: EObtain BMD and estimate fracture risk using FRAX

Explanation lettering: C = shown as A · D = shown as B · A = shown as C · E = shown as D · B = shown as E

B is correct. Age and glucocorticoid exposure meet Canadian risk-based assessment criteria; BMD plus FRAX or CAROC informs treatment decisions. C, E and A do not provide recommended risk assessment. D may be appropriate after assessment but should not bypass it. Review fall risk, calcium/vitamin D intake and secondary causes in parallel.

Reference: Osteoporosis Canada: 2023 clinical practice guideline executive summary: https://osteoporosis.ca/executive-summary-clinical-practice-guideline/