An 87-year-old woman with recurrent falls is found to have vitamin D deficiency and proximal myopathy. Calcium is normal, eGFR is 55 mL/min/1.73 m²

Question

An 87-year-old woman with recurrent falls is found to have vitamin D deficiency and proximal myopathy. Calcium is normal, eGFR is 55 mL/min/1.73 m² and ALP is mildly raised. She rarely goes outdoors and has difficulty rising from a chair. What is the most appropriate management?

Accepted Answer

Treat vitamin D deficiency and combine with strength and balance rehabilitation

Answer

Treat with long-term bed rest to prevent falls

Answer

Use vitamin D alone and avoid exercise until levels normalise

Answer

Request parathyroidectomy before supplementation

Answer

Start high-dose loop diuretic to lower fracture risk

Vitamin D deficiency with proximal myopathy — SCE Geriatric Medicine MCQ

An 87-year-old woman with recurrent falls is found to have vitamin D deficiency and proximal myopathy. Calcium is normal, eGFR is 55 mL/min/1.73 m² and ALP is mildly raised. She rarely goes outdoors and has difficulty rising from a chair. What is the most appropriate management?