A 50-year-old postmenopausal woman has FRAX 10-year hip risk 3.5% and major osteoporotic 17%, T-score −1.8. Treatment?...

Question

A 50-year-old postmenopausal woman has FRAX 10-year hip risk 3.5% and major osteoporotic 17%, T-score −1.8. Treatment?

Accepted Answer

Start bisphosphonate therapy

Answer

No pharmacotherapy; calcium/vitamin D only

Answer

Repeat DEXA in 5 years

Answer

Start denosumab only if hip FRAX ≥5%

Answer

Lifestyle only; no meds until fracture

us-abfm MCQ (SBA): Osteoporosis/FRAX Thresholds